Impacts of Social Determinants of Health and COVID-19 Pandemic Factors on Suicide Risk among Youth

健康社会决定因素和 COVID-19 流行病因素对青少年自杀风险的影响

• 批准号: 10628299
• 负责人: MARTIE P Thompson
• 金额: $ 13.64万
• 依托单位: APPALACHIAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10628299
• 关键词: Accident and Emergency department; Address; Age; Appalachian Region; Award; COVID-19; COVID-19 impact; COVID-19 pandemic; Cause of Death; Communities; Data; Data Analyses; Data Analytics; Data Set; Data Sources; Databases; Economics; Education; Environment; Gender; Grant; Growth; Health; Healthcare; Human Resources; Individual; Infrastructure; Institution; Investigation; Lead; Light; Link; Location; Mediating; Mental Health; Modeling; Persons; Principal Component Analysis; Public Health; Publications; Race; Reporting; Research; Research Personnel; Research Training; Risk Factors; Role; Rural; Rural Appalachia; Science; Sex Orientation; Students; Suicide; Surgeon; System; Testing; Text; Time; Training; United States National Institutes of Health; Universities; Youth; demographics; digital mental health; experience; graduate student; health disparity; innovation; multilevel analysis; novel; pandemic disease; pandemic impact; racial identity; response; sexual identity; social; social health determinants; sociodemographic group; student mentoring; suicidal behavior; suicidal risk; suicide rate; traumatic event; undergraduate student

Project Summary Suicide is a significant public health problem among youth. Data indicate suicidal behaviors were increasing among youth even before the COVID-19 pandemic began and have likely increased even more since its onset. This R16 proposed research seeks to address the urgent mental health crisis and respond to the recent advisories from the US Surgeon General that highlight the need for a better understanding of the impact of the pandemic on youth. We will meet this objective by pursuing the following specific aims: (1) Identifying the trajectory of suicide risk among youth across the pandemic period and testing if there have been differential changes based on demographics; (2) Determining how social determinants of health are related to suicide risk among youth; and (3) Characterizing the moderating and mediating roles of social determinants of health in the association between COVID-19 burden and suicide risk among youth. This research is innovative in several ways. First, it will apply a Social Determinants of Health framework and thus will widen the investigation of suicidal behavior risk factors beyond individual-level factors to include relevant social, economic, education, physical infrastructure, and healthcare risk factors, which have often been overlooked in COVID-19 mental health research with youth. Second, it will use real-time crisis response data to determine how suicide risk has changed over the course of the pandemic, an important asset given the reporting time lag involved with other data sources. Third, it will link data from large national databases (SDOH, Crisis Text Line, USAFacts) that each provides important and unique strengths (e.g., national, real-time, explores sexual orientation and race identity) to assess the direct, indirect, and interactive effects of social determinants of health and COVID-19 burden on suicidal behavior among youth. Our research team is particularly poised to undertake this investigation. The PI has extensive experience in suicide research, secondary data analysis, and mentoring students, and the Co-Investigators have experience using several of the proposed data sources and similar data analytic approaches as proposed. Further, Appalachian State University is an ideal institution to receive this award because Pell grants support 28% of its undergraduate students, it awards degrees in biomedical sciences, and has received only one NIH grant in the past two years.

项目概要 自杀是青少年中一个重要的公共卫生问题。数据显示自杀行为正在增加 早在 COVID-19 大流行开始之前，青少年就已经开始接受这种治疗，而且自大流行爆发以来，这种情况可能会增加得更多。 这项 R16 拟议研究旨在解决紧迫的心理健康危机并应对最近的 美国卫生局局长的建议强调需要更好地了解病毒的影响 青年人的流行病。我们将通过追求以下具体目标来实现这一目标： (1) 确定 大流行期间青少年自杀风险的轨迹以及测试是否存在差异 基于人口统计的变化； (2) 确定健康的社会决定因素与自杀风险的关系 在青年人中； (3) 描述健康问题社会决定因素在健康问题中的调节和中介作用 青少年中 COVID-19 负担与自杀风险之间的关联。这项研究在多个方面具有创新性 方式。首先，它将应用健康问题社会决定因素框架，从而扩大对以下问题的调查： 自杀行为的危险因素超出个人因素，包括相关的社会、经济、教育、 物质基础设施和医疗保健风险因素，这些因素在 COVID-19 精神疾病中经常被忽视 与年轻人一起进行健康研究。其次，它将使用实时危机应对数据来确定自杀风险的变化情况。 在大流行期间发生了变化，考虑到其他方面的报告时滞，这是一项重要的资产 数据来源。第三，它将链接来自大型国家数据库（SDOH、Crisis Text Line、USAFacts）的数据， 每个都提供了重要且独特的优势（例如，国家、实时、探索性取向和种族 身份）来评估健康社会决定因素和 COVID-19 的直接、间接和交互影响 青少年自杀行为的负担。我们的研究团队特别准备承担这项工作 调查。 PI 在自杀研究、二手数据分析和指导方面拥有丰富的经验 学生和联合研究人员有使用多个拟议数据源和类似数据源的经验 建议的数据分析方法。此外，阿巴拉契亚州立大学是接收 该奖项是因为佩尔助学金支持其 28% 的本科生，它授予生物医学学位 科学，并且在过去两年中仅获得了一项 NIH 资助。