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.

项目概要/摘要 这是 Evan Goldstein 博士的 K18 奖励申请，他是一位经验丰富的健康服务研究员， K18 将为 Goldstein 博士提供自杀和医疗保健差异研究方面的专业知识。 有必要通过新技术和三个关键职业的合作来扩大他的研究计划 增强领域： 1) 发展定性研究技能以丰富他的定量工作； 2) 增强他的定量研究能力； 利益相关者参与流程和社区参与干预开发方面的专业知识 服务不足和代表性不足的人群，重点关注黑人/非裔美国人 (AA) 社区；3) 培养和加强他在社区参与枪支自杀预防方面的研究领导技能 为了实现他的目标，戈德斯坦博士组建了一个跨学科的指导团队。 Jennie Hill 博士（导师）是定性研究和社区参与研究方面的专家，Hilary Coon 博士（联合 导师），一位资深科学家和自杀研究领域公认的领导者加入了导师团队。 （Eric Seiber 博士、Adam Bress 和 Laura Prater 博士）提供枪支安全研究方面的额外专业知识， 种族/民族差异、对服务不足人群的干预、混合方法研究和领导力。 超过二分之一的黑人/AA 自杀死亡涉及枪支，这是最致命的自杀方法。 戈德斯坦的目标是确定枪支自杀死亡之前的具体生活状况 黑人/AA 成年人，并收集卫生专业人员和社区成员关于健康状况的反馈 系统可以进行干预，以防止黑人/AA 社区的枪支自杀。他提出以下建议。 具体目标： 目标 1) 确定黑人/AA 成年人持枪自杀前的情况；目标 2) 与黑人/AA 枪支拥有者进行访谈，以更好地了解他们对枪支安全的态度 他们愿意与卫生专业人员讨论枪支安全；以及 目标 3) 聚集卫生专业人员 关于枪支自杀死亡之前的哪些情况可以用于适应和提示的反馈 为黑人/AA 成年患者提供致命手段 (CALM) 咨询 该提案将响应 NIH 的要求。 呼吁研究人员识别危险因素并改善少数族裔的枪支自杀预防 社区，特别关注黑人/AA 成年人。 拟议的研究意义重大，因为它将满足确定关键情况的关键需求 调查黑人/AA 成年人的枪支自杀死亡情况并确定潜在的干预方案。 拟议的研究具有创新性，因为它将利用法医/验尸官和执法报告 与社区成员和卫生专业人员访谈相结合的信息，以生成有关 枪支安全和致死方法意味着为黑人/AA 提供更多的民众知情和有效的咨询 成年患者。