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.

项目摘要 自杀是青年人的重大公共卫生问题。数据表明自杀行为正在增加 在年轻人中，甚至在199日大流行开始之前，自从刚开始时就可能增加了更多。 这项R16提出的研究旨在解决紧急心理健康危机，并应对最近 美国外科医生的咨询表明，强调需要更好地理解对影响的影响 对青年的大流行。我们将通过追求以下特定目标来实现这一目标：（1）确定 在整个大流行期的青年中自杀风险的轨迹，并测试是否存在差异 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有关 在青年中； （3）表征社会决定因素在健康中的调节作用 青年人之间的共同负担与自杀风险之间的关联。这项研究在几个 方式。首先，它将应用健康框架的社会决定因素，从而扩大了对 自杀行为风险因素以外的个人级别因素包括相关的社会，经济，教育， 在Covid-19心理上经常被忽略的身体基础设施和医疗危险因素 与青年的健康研究。其次，它将使用实时危机响应数据来确定自杀风险如何 在大流行过程中发生了变化，鉴于报告时间延迟涉及其他资产 数据源。第三，它将链接来自大型国家数据库（SDOH，危机文本线，USAFACTS）的数据 每种都提供重要而独特的优势（例如，民族，实时，探索性取向和种族 身份），以评估健康和共同决定因素的直接，间接和互动效应-19 青年人自杀行为负担。我们的研究团队特别准备做到这一点 调查。 PI在自杀研究，次要数据分析和指导方面具有丰富的经验 学生和共同投资者都有使用一些建议的数据源和类似的经验 提出的数据分析方法。此外，阿巴拉契亚州立大学是接受的理想机构 该奖项是因为佩尔（Pell）授予了28％的本科生，因此授予生物医学学位 科学，在过去两年中仅获得了一项NIH赠款。