Social connections preventing suicide ideation during developmental transitions among young sexual minority women

社会关系在年轻性少数女性的发展转变过程中预防自杀意念

基本信息

批准号：
10397697
负责人：
Eric W Schrimshaw
金额：
$ 45.43万
依托单位：
UNIVERSITY OF CENTRAL FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-22 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10397697
关键词：
Address Affect Age Area Asian Bisexual Black race Data Development Distress Feeling Feeling suicidal Female Funding Gays Glean Health Heterosexuals Hispanic Individual Interview Lesbian Life Literature Longitudinal Studies Love Mediation Mental Health Minority Motivation Participant Pathway interactions Persons Population Process Qualitative Methods Reporting Research Research Personnel Risk Risk Factors Sampling Social support Stress Suicide Suicide attempt Suicide prevention Surveys Testing Theoretical model Time United States National Institutes of Health Volition Woman Youth aged college community involvement effective intervention ethnic diversity experience health disparity high risk high school insight male men minority children minority stress peer protective factors psychologic racial diversity recruit sexual identity sexual minority sexual minority group sexual minority women sexual role social social inclusion social media stressor suicidal behavior suicidal morbidity suicidal risk suicide model support network theories

项目摘要

PROJECT SUMMARY Young lesbian, bisexual, and other women who love women (YLBWLW) are more likely to report considering and attempting suicide than their heterosexual female peers, or gay/bisexual male peers. However, most researchers combine lesbians/bisexual women with other sexual minorities, resulting in a paucity of research specific to YLBWLW, and even fewer have examined potential differences between YLBWLW. Further, within the scant protective factor research, YLBWLW are severely under-represented, and no studies have examined relationships between individual identity protective factors or interpersonal social connectedness protective factors specific to YLBWLW and their suicide risk. Another important area of study in suicide research with YLBWLW involves understanding how developmental transition periods (e.g., into high school, college, or the workforce) affect suicide risk since developmental transitions can result in a major loss of social connections that serve as protective factors against minority stress and suicide ideation. To address gaps in the research, we will pursue the following specific aims: (1) Examine the moderating effects of individual and interpersonal sexual identity-specific protective factors on theoretical pathways of risk for suicide ideation among YLBWLW; (2) Test developmental transition periods as a multi-level moderator within the theoretical model; and (3) Explore in-depth the effects of changes in social connections over time, especially during transition periods, on suicide risk. The sample will include a nationwide sample of 780 racially and ethnically diverse YLBWLW aged 14 to 30 recruited through social media platforms. Participants will complete an online survey every three months over an 18-month period. We will address Aim 1 by performing stratified latent variable moderated mediation analyses for YLBWLW separately to test and compare the following hypotheses: a) individual protective factors (identity centrality, authenticity, and affirmation) will moderate the risk relationship of minority stress on entrapment; and b) interpersonal social connectedness factors (social inclusion/belonging, lesbian/bisexual community involvement, social support) will moderate (weaken) the risk conferred by experiences of entrapment on suicide ideation. For Aim 2, we hypothesize that a) compared to those not going through transitions, those going through a transition will experience increased feelings of stress and entrapment; and b) social connectedness and positive identity factors will moderate associations between stress, entrapment, and suicide ideation. Aim 3 will involve conducting individual interviews with a subsample of 70 participants going through a developmental transition and reporting some suicide ideation to glean insights into YLBWLW’s experiences of these transitions and aspects of social connection that were most helpful in reducing their distress. The impact of this research involves identifying modifiable individual identity- and interpersonal social connectedness-level protective factors that will guide suicide prevention efforts across different levels of influence to promote mental health and reduce deaths by suicide among YLBWLW.

项目概要年轻女同性恋、双性恋和其他爱女人的女性 (YLBWLW) 更有可能报告考虑到比异性恋女性同龄人或同性恋/双性恋男性同龄人更尝试自杀。研究人员将女同性恋/双性恋女性与其他性少数群体结合起来，导致研究匮乏针对 YLBWLW，甚至更少人研究过 YLBWLW 之间的潜在差异。保护因素研究很少，YLBWLW 的代表性严重不足，并且没有研究检验个人身份保护因素或人际社会联系保护之间的关系 YLBWLW 的特定因素及其自杀风险是自杀研究的另一个重要研究领域。 YLBWLW 涉及了解发展过渡期（例如，进入高中、大学或劳动力）会影响自杀风险，因为发展转型可能导致社会联系的重大丧失作为针对少数群体压力和自杀意念的保护因素。我们将追求以下具体目标：（1）考察个人和人际的调节作用性别认同特异性保护因素对 YLBWLW 自杀意念风险理论途径的影响； (2) 在理论模型中测试发育过渡期作为多级调节器；以及 (3) 深入探索社会关系随时间变化的影响，特别是在转型时期，对该样本将包括全国范围内 780 名不同种族和族裔的 YLBWLW 老年人样本。通过社交媒体平台招募的 14 至 30 名参与者将每三人完成一次在线调查。我们将通过执行分层潜在变量调节来实现目标 1。分别对 YLBWLW 进行中介分析，以检验和比较以下假设：a) 个体保护性因素（身份中心性、真实性和肯定性）将调节少数群体的风险关系受困压力；b) 人际社会联系因素（社会包容/归属感，女同性恋/双性恋社区参与、社会支持）将减轻（削弱）以下因素带来的风险：对于目标 2，我们着迷的是 a) 与那些没有自杀意念的人相比。通过过渡，那些正在经历过渡的人会感受到更大的压力和陷阱；b) 社会联系和积极的身份因素将调节之间的关联目标 3 将涉及对子样本进行单独访谈。 70 名正在经历发展转变的参与者报告了一些自杀意念以收集信息深入了解 YLBWLW 在这些转变中的经历以及最受关注的社会关系方面有助于减少他们的痛苦这项研究的影响涉及识别可修改的个人身份。和人际社会联系水平的保护因素将指导整个自杀预防工作对促进 YLBWLW 心理健康和减少自杀死亡产生不同程度的影响。