Understanding the role of structural oppression for suicide risk among black sexual and gender minority adolescents and young adults
Active Project Grant Awarded Last action
- Award ID
- R01MD018679
- Recipient
-
Rutgers The State University Of New Jersey UEI YVVTQD8CJC79
- Awarding agency
-
National Institute for Minority Health and Health Disparities
National Institutes of Health, Department of Health and Human Services
- Obligated
- $7,120,691
Award facts
- Assistance listing
- 93.307 Minority Health and Health Disparities Research
- Completion date 68% complete
- Place of performance
- Newark, NJ 07107, USA
Award details come from USAspending.gov.
Description
- Abstract
- Black sexual and gender minority (SGM) adolescents and young adults (AYA) face profound and increasing suicide inequities. Evidence indicates differences in individual risk factors (e.g., mood disorders, substance use) do not account for these suicide inequities. As such, there is a need to move beyond models of individual- level causes of population-level inequities to identify and intervene upon the socio-structural drivers of suicide among black SGM AYA. Specifically, longitudinal research is needed to highlight sources of structural racism, anti-SGM stigma, mental health stigma, and their intersections that affect suicidal thoughts and behaviors (STBS) among black SGM AYA, and to translate these findings into public health policy intervention. We are submitting this application in response to RFA-MH-22-140 understanding suicide risk and protective factors among black youth (R01). We propose to build from an existing infrastructure supporting our U.S. National U- award study (UG3AI169655), to enroll a national cohort of 1,000 black SGM from ages 16 to 24, which would be one of the largest black SGM AYA national cohorts of its kind. We will use a combined approach to recruitment (e.g., digital recruitment techniques, school-based recruitment) that capitalizes on community-, school-, and internet-based networks maintained by our community collaborators. Participants will complete a web-based survey annually for three years that assesses STBS, microsystemic suicide precursors (interpersonal risk factors [thwarted belongingness, perceived burdensomeness], suicide prevention resources [access to psychotherapy, access to community-based SGM support]), STB correlates (e.g., interpersonal stigma, anxiety, substance use), and key sociodemographic and contextual variables. In tandem with study enrollment, our multidisciplinary team of oppression and suicide researchers, psychological care providers, policy experts, and community-based collaborators will develop a database of novel quantitative structural oppression metrics (e.g., state-level policy and social climate indicators), including developmentally-specific forms of structural racism, anti-SGM stigma, mental health stigma, and their intersections that target black SGM AYA (aim 1). We will subsequently utilize these metrics and the longitudinal follow-up data to test whether there are direct associations from structural oppression to later STBS (aim 2). We will also use these data to test indirect associations from structural oppression to STBS through increased interpersonal suicide risk factors (thwarted belongingness, perceived burdensomeness; aim 3A) and decreased access to suicide prevention resources (psychotherapy, SGM AYA social services; aim 3B). Developing and testing a socio- structural model of suicide risk meets the calls of the 2019 congressional black caucus taskforce "ring the alarm" report and has strong potential to move the field beyond individual-level models of risk to support the structural change that will help to reduce population-level black SGM AYA suicide inequities.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $63,347 | |
| Amendment | $570,123 | |
| Amendment | $570,123 | |
| Amendment | $64,761 | |
| Amendment | $64,761 | |
| Amendment | $64,761 | |
| Amendment | $0 | |
| Amendment | $0 | |
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| Amendment | $0 | |
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| Amendment | $582,847 | |
| Amendment | $582,847 | |
| Amendment | $582,847 | |
| Amendment | $582,847 | |
| Amendment | $582,847 | |
| Amendment | $702,145 | |
| Amendment | $702,145 | |
| Amendment | $702,145 | |
| Original award | $702,145 |
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Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Duke University | $29,191 | |
| Whitman-Walker Institute Inc. | $139,101 | |
| The Hetrick-Martin Institute. Inc. | $16,113 | |
| Duke University | $134,909 | |
| Whitman-Walker Institute Inc. | $57,253 | |
| Duke University | $132,921 | |
| The Hetrick-Martin Institute. Inc. | $14,564 | |
| Whitman-Walker Institute Inc. | $34,165 | |
| George Washington University (The) | $10,205 | |
| The Hetrick-Martin Institute. Inc. | $15,779 | |
| Duke University | $16,979 | |
| Whitman-Walker Institute Inc. | $111,190 | |
| George Washington University (The) | $29,636 | |
| University Of Texas Medical Branch At Galveston | $168,908 |
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Quick answers
Who received award R01MD018679?
R01MD018679 was awarded to Rutgers The State University Of New Jersey by National Institute for Minority Health and Health Disparities (National Institutes of Health) on May 17, 2024.
How much is award R01MD018679 worth?
$7,120,691 has been obligated on R01MD018679.
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