Preventing Firearm Suicide Deaths Among Black/African American Adults

防止黑人/非裔美国成年人因枪支自杀死亡

• 批准号: 10811498
• 负责人: Evan Victor Goldstein
• 金额: $ 36.6万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-20 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10811498
• 关键词: Accounting; Address; Adherence; Adult; African American; Area; Attitude; Award; Behavior; Behavior Therapy; Behavioral; Biological; Black race; Cessation of life; Clinical; Collaborations; Color; Communities; Coroners and Medical Examiners; Counseling; Data; Discrimination; Distress; Effectiveness; Face; Family; Federally Qualified Health Center; Feedback; Financial Hardship; Firearms; Goals; Health Care Visit; Health Professional; Health Services; Health system; Healthcare Systems; Intervention; Interview; K-18 conjugate; Law Enforcement; Leadership; Life; Medical Examiners; Mentors; Mentorship; Methodology; Methods; National Institute on Minority Health and Health Disparities; Outcome; Ownership; Patients; Population; Positioning Attribute; Prevention Research; Process; Protocols documentation; Qualitative Research; Reporting; Research; Research Methodology; Research Personnel; Risk; Risk Factors; Safety; Senior Scientist; Structure; Suicide; Suicide attempt; Suicide prevention; System; Techniques; Text; Training; Translational Research; Underrepresented Populations; Underserved Population; United States National Institutes of Health; Universities; Utah; Violence; Work; career; chronic pain; community engaged research; effective intervention; ethnic disparity; ethnic minority; experience; health care disparity; improved; innovation; member; minority communities; prevent; programs; racial disparity; racial minority; recruit; research and development; screening; skills; social culture; success; suicidal morbidity; suicidal risk; suicide rate; therapy development; underserved community; willingness

PROJECT SUMMARY/ABSTRACT This is a K18 award application for Dr. Evan Goldstein, an experienced health services researcher with expertise in suicide and health care disparities research. The K18 will provide Dr. Goldstein with the support necessary to expand his research program through new techniques and collaborations in three key career enhancement areas: 1) Developing qualitative research skills to enrich his quantitative work; 2) Enhancing his expertise in stakeholder engagement processes and community-engaged intervention development with underserved and underrepresented populations, focusing on Black/African American (AA) communities; and 3) Cultivating and strengthening his research leadership skills in community-engaged firearm suicide prevention research. To achieve his goals, Dr. Goldstein has assembled an interdisciplinary mentorship team comprised of Dr. Jennie Hill (Mentor), an expert in qualitative and community-engaged research, and Dr. Hilary Coon (Co- Mentor), a senior scientist and recognized leader in suicide research. Three advisors join the mentorship team (Drs. Eric Seiber, Adam Bress, and Laura Prater), providing additional expertise in firearm safety research, racial/ethnic disparities, interventions with underserved populations, mixed-methods research, and leadership. More than 1 in 2 Black/AA suicide deaths involve firearms, the most lethal suicide method. Dr. Goldstein’s objectives are to identify the life situations specifically preceding firearm suicide deaths among Black/AA adults and gather feedback from health professionals and community members on how health systems can intervene to prevent firearm suicides in Black/AA communities. He proposes the following Specific Aims: Aim 1) Identify circumstances preceding firearm suicide among Black/AA adults; Aim 2) Conduct interviews with Black/AA firearm owners to better understand their attitudes on firearm safety and their willingness to discuss firearm safety with health professionals; and Aim 3) Gather health professional feedback on which circumstances preceding firearm suicide deaths could be used to adapt and prompt Counseling on Access to Lethal Means (CALM) for Black/AA adult patients. This proposal will respond to NIH’s call for researchers to identify risk factors and improve firearm suicide prevention in racial/ethnic minority communities, specifically focusing on Black/AA adults. The proposed research is significant because it will fill a critical need for determining key circumstances preceding firearm suicide deaths among Black/AA adults and identifying potential intervention scenarios. The proposed research is innovative because it will harness medical examiner/coroner and law enforcement report information paired with community member and health professional interviews to generate information about firearm safety and ways to make lethal means counseling more population-informed and effective for Black/AA adult patients.

项目摘要/摘要 这是Evan Goldstein博士的K18奖项，他是一位经验丰富的健康服务研究员 自杀和医疗保健分销研究方面的专业知识。 K18将为Goldstein博士提供支持 在三个关键职业中通过新技术和合作扩展其研究计划所必需的必要 增强领域：1）发展定性研究技能以丰富他的定量工作； 2）增强他 利益相关者参与过程和社区参与干预开发方面的专业知识 服务不足和人为不足的人口，重点是黑人/非裔美国人（AA）社区； 3） 在社区参与枪支自杀预防中培养和增强他的研究领导能力 研究。为了实现他的目标，戈德斯坦博士召集了一个跨学科的心态团队 定性和社区参与研究专家Jennie Hill博士（导师）和Hilary Coon博士（共同 导师），自杀研究的高级科学家和公认的领导者。三名顾问加入Mentalship团队 （Eric Seiber博士，Adam Bress和Laura Prater），在枪支安全研究方面提供了其他专业知识， 种族/种族差异，服务不足的人群，混合方法研究和领导才能。 超过2个黑人/AA自杀死亡涉及枪支，这是最致命的自杀方法。博士 戈德斯坦的目标是确定在枪支自杀死亡之前的生活状况 黑人/AA成年人，并收集卫生专业人员和社区成员的反馈 系统可以干预以防止黑人/AA社区中的枪支自杀。他提出以下 具体目的：目标1）确定黑人/AA成年人自杀前的情况；目标2） 对黑人/AA枪支所有者进行采访，以更好地了解他们对枪支安全的出席性和 他们愿意与卫生专业人员讨论枪支安全；目标3）聚集健康专业人员 可以使用枪支自杀死亡发生的情况的反馈来适应和提示 为黑人/AA成年患者获得致命手段（平静）的咨询。该提议将回应NIH的 呼吁研究人员确定风险因素并改善种族/族裔少数民族的预防枪支自杀 社区，特别关注黑人/AA成年人。 拟议的研究很重要，因为它将满足确定关键情况的关键需求 黑人/AA成年人之间的枪支自杀死亡并确定潜在的干预情况。这 拟议的研究具有创新性，因为它将利用医学检查员/死因裁判官和执法报告 信息与社区成员和卫生专业访谈配对，以生成有关的信息 枪支安全和使致命的方法意味着对黑人/AA的人口更加信息和有效 成人患者。