YEARS

2014-2017

AUTHORS

Xinqi Dong, Melissa Andrea Simon

TITLE

2/2 - Suicide Prevention in Chinese Older Adults

ABSTRACT

DESCRIPTION (provided by applicant): This two-site (Rush University and Northwestern University) linked re-submission of R34MH100443 collaborative application aims to design a culturally tailored and community- engaged intervention to reduce suicidal thoughts in US Chinese older adults, who have the highest suicide rate than any other racial/ethnic groups. Despite this health disparity, we have great paucity in our understanding of cultural issues surrounding suicide in Chinese populations, and this has directly hampered the intervention efforts. Accordingly, we seek to support a geriatrician (Dong) with expertise in aging, mental health and Chinese culture, and an interventionist (Simon) with expertise in clinical trials using community health workers to reduce health disparities among minority populations. More specifically, we aim to 1) expand synergistic academic and community partnerships; 2) iteratively design and refine a culturally meaningful pilot intervention to reduce suicidal thought; 3) conduct a pilot randomized controlled trial; and 4) rigorously evaluate the cultural acceptability of the proposed intervention at multiple levels. This study will set the cornerstone for the next R01 application to fully test the efficacy of a culturally tailored intervention to reuce suicidal thoughts in Chinese aging populations. By 2030, Chinese older adults will account for a quarter of the world's aging populations. Despite the rapid growth of Chinese populations in the US, there are marked health disparities among Chinese older adults, which are further exacerbated by the complex linguistic and cultural nuances in studying Chinese populations, particularly on issues of suicidal thoughts. Moreover, there has been inadequate and sustainable community support necessary to empower the Chinese community to be fully engaged as equal partners in research. In this application, a bilingual and bicultural principal investigator and an interdisciplinary investigative team have leveraged the principles of community-based participatory research (CBPR), building on our prior NIH funded CBPR projects to partner synergistically and sustainably with the Chicago Chinese community in order to overcome these challenges and set the foundation for this proposal. The study findings will inform clinicians, investigators, communities, social services and policy makers to: a) improve our in-depth understanding of cultural issues surrounding suicide; b) empower community to be equal partners in mental health research; c) guide the next R01 intervention study; and d) inform practice and policy on suicide care in Chinese older adults.

FUNDED PUBLICATIONS

  • Elder Abuse: Systematic Review and Implications for Practice.
  • The prevalence of medical conditions among U.S. Chinese community-dwelling older adults.
  • A psychometric assessment of the psychological and social well-being indicators in the PINE study.
  • Suicidal ideation in an older U.S. Chinese population.
  • Preventive care service usage among Chinese older adults in the Greater Chicago area.
  • Perceived Stress and Elder Abuse: A Population-Based Study of Adult Protective Services Cases in Chicago.
  • Levels of health literacy in a community-dwelling population of Chinese older adults.
  • Levels of Acculturation of Chinese Older Adults in the Greater Chicago Area - The Population Study of Chinese Elderly in Chicago.
  • Anxiety among community-dwelling U.S. Chinese older adults.
  • Addressing health and well-being of U.S. Chinese older adults through community-based participatory research: introduction to the PINE Study.
  • The prevalence of loneliness among U.S. Chinese older adults.
  • The prevalence of cardiopulmonary symptoms among Chinese older adults in the Greater Chicago area.
  • Trust in physicians among U.S. chinese older adults.
  • Physical function assessment in a community-dwelling population of U.S. Chinese older adults.
  • The expectation and perceived receipt of filial piety among Chinese older adults in the Greater Chicago area.
  • Demographic characteristics of U.S. Chinese older adults in the Greater Chicago area: assessing the representativeness of the PINE study.
  • Social engagement among U.S. Chinese older adults--findings from the PINE Study.
  • A battery of tests for assessing cognitive function in U.S. Chinese older adults--findings from the PINE Study.
  • Screening for Elder Abuse in Healthcare Settings: Why Should We Care, and Is It a Missed Quality Indicator?
  • The association between filial piety and suicidal ideation: findings from a community-dwelling Chinese aging population.
  • Experience of discrimination among U.S. Chinese older adults.
  • Association between Elder Abuse and Metabolic Syndromes: Findings from the Chicago Health and Aging Project.
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