Social Cognitive Mechanisms Underlying Disclosure and Help Seeking Behavior in Late-Life Suicide

晚年自杀中披露和寻求帮助行为背后的社会认知机制

• 批准号: 10592120
• 负责人: Colin A. Depp
• 金额: $ 74.51万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-01-01 至 2027-10-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10592120
• 关键词: Affect; Aging; Area; Behavior; Characteristics; Clinical; Code; Cognitive; Coupled; Data; Disclosure; Ecological momentary assessment; Elderly; Elements; Emotions; Ethnic Origin; Evaluation; Face; Feeling suicidal; Gender; Goals; Health Professional; Hypersensitivity; Impaired cognition; Individual; Influentials; Intervention; Language; Link; Loneliness; Longitudinal Studies; Measurement; Measures; Mediating; Mental Health Services; Methods; Mind; Modeling; Motivation; National Institute of Mental Health; Natural Language Processing; Negative Valence; Outcome; Participant; Pathway Analysis; Patient Self-Report; Pattern; Positive Valence; Prevention approach; Prevention strategy; Primary Health Care; Process; Recording of previous events; Research; Research Domain Criteria; Risk; Safety; Sampling; Series; Social Behavior; Social Network; Social isolation; Specific qualifier value; Speech; Strategic Planning; Structure; Subgroup; Suicide; Suicide attempt; Suicide prevention; System; Task Performances; Time; Translating; Work; cognitive ability; cognitive process; depressive symptoms; digital mental health; dyadic interaction; health care settings; help-seeking behavior; ideation; improved; mHealth; motivational processes; multimodality; novel; personalized intervention; predictive marker; prospective; recruit; safety net; social; social cognition; social contact; social engagement; social factors; social inclusion; social structure; suicidal behavior; suicidal risk; theories; tool; young adult

PROJECT SUMMARY/ABSTRACT This proposal responds to RFA-MH-22-135. Non-disclosure of suicide ideation prior to attempt is normative and even more common in later life. Similarly, our preliminary data indicates lower inclusion of social contacts in suicide safety plans among at-risk older adults. Unfortunately, interventions to increase informal help seeking are ineffective to date. Therefore, major roadblocks exist in the interpersonal processes seen as essential to late-life suicide prevention, and new targets are needed for increasing help-seeking behavior. The purpose of this longitudinal observational project is to understand why older adults do not disclose suicide ideation or seek help from others amidst suicide crises. We focus on social cognitive abilities and biases, which influence how individuals perceive (or misperceive) others and have previously been associated with loneliness, suicidal ideation and behavior. The premise of this research is that social cognitive impairments impact the positive and negative valence systems involved in affiliation and the social structures that determine help seeking in suicide. Facilitating this research, our group has developed and validated a dyadic social affiliation task that objectively quantifies RDoC positive and negative valence systems involved in support seeking. This task enables evaluation of valence systems across multiple units of analysis, including behavior, self-report, facial affect and natural language processing. Measurement of these intrinsic processes will be integrated with quantification of extrinsic help-seeking opportunity, via structural social network assessment. A translational aspect of our proposed social network analyses is to augment network measurement with the social elements of suicide safety planning. In a longitudinal study, we will recruit a sample of diverse older adults from a variety of urgent, primary, and mental health care settings. Recruitment will be stratified by groups defined by current active suicide ideation, depressive symptoms without ideation or attempt histories, and healthy comparators. In Aim 1 of the study, we will compare groups on social cognition, positive and negative valence indicators from our social affiliation task, along with social network structure, including past help seeking and disclosure in the subgroup with current suicide ideation. In Aim 2, we will administer mobile emotion recognition tasks and social affiliation in predicting in real-time suicide disclosure through ecological momentary assessment over 30 days. We will then evaluate whether social cognition and affiliation markers predict trajectories of help seeking and suicide ideation through longitudinal data gathered over one year. Exploratory analyses will leverage the data derived by applying time series network analyses and natural language processing to model processes underlying non-disclosure. Our long-term goal is to translate this research to novel personalized interventions that improve interpersonal processes embedded in both current and novel suicide prevention approaches for older adults. This proposal responds directly to NIMH Strategic Plan, Aim 2.2 and 3.2, and the NIMH’s Priority Area in Digital Mental Health.

项目摘要/摘要 该提案对RFA-MH-22-135做出了回应。尝试之前未披露自杀想法是正常的 在以后的生活中更加普遍。同样，我们的初步数据表明社会接触的包含较低 在高危老年人中的自杀安全计划中。不幸的是，增加非正式帮助的干预措施 寻求日期无效。因此，在人际关系过程中存在重大障碍 晚期预防自杀的必不可少，以及增加寻求帮助的行为所需的新目标。 这个纵向观察项目的目的是了解为什么老年人不披露自杀 在自杀犯罪中的构想或寻求帮助。我们专注于社会认知能力和偏见， 这会影响个人如何感知（或误解）他人并以前与 孤独，自杀思想和行为。这项研究的前提是社会认知障碍 影响涉及会员的正面和负面价系统以及确定的社会结构 帮助寻求自杀。促进这项研究，我们的小组已经开发并验证了二元社会 会员任务，客观地量化了支持的RDOC正值和负面价系统 寻求。此任务可以评估跨多个分析单位的价值系统，包括行为， 自我报告，面部影响和自然语言处理。这些内在过程的测量将是 通过结构性社交网络评估，与数量的其他寻求帮助机会集成在一起。一个 我们提出的社交网络分析的转化方面是通过使用 自杀安全计划的社会要素。在一项纵向研究中，我们将招募潜水员的样本 来自各种紧急，初级和心理保健环境的成年人。招聘将由 由当前主动自杀想法，抑郁症状而定义的群体，没有想法或尝试历史， 和健康的比较器。在研究的目标1中，我们将比较有关社会认知，积极和 来自我们社会会员任务的负面价指标以及社交网络结构，包括过去 以当前的自杀想法在子组中寻求和披露。在AIM 2中，我们将管理移动 情感识别任务和社会会员在通过生态学预测实时自杀披露时 瞬间评估30天。然后，我们将评估社会认知和会员标记是否 通过收集一年的纵向数据来预测帮助寻求和自杀思想的轨迹。 探索性分析将通过应用时间序列网络分析和自然来利用得出的数据 语言处理以建模未披露的过程。我们的长期目标是翻译 研究新型的个性化干预措施，这些干预措施改善了嵌入在两个当前的人际交往过程 以及针对老年人的新型自杀预防方法。该提案直接回应NIMH战略 计划，AIM 2.2和3.2，以及NIMH在数字心理健康方面的优先领域。