Document text
Principal Investigator: MARTIE P Thompson
Organization: APPALACHIAN STATE UNIVERSITY
Fiscal Year: 2024
Award: $137,093
Funding agency: National Institute of General Medical Sciences
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.
Terms: <Accident and Emergency department><Address><Age><Appalachia><Appalachian><Appalachian Region><Award><COVID burden><COVID crisis><COVID epidemic><COVID pandemic><COVID-19><COVID-19 affected><COVID-19 burden><COVID-19 consequence><COVID-19 crisis><COVID-19 disease burden><COVID-19 effect><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health burden><COVID-19 health crisis><COVID-19 impact><COVID-19 impacted><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 related burden><COVID-19 years><CV-19><Cause of Death><Communities><Coronavirus Infectious Disease 2019><Data><Data Analyses><Data Analysis><Data Analytics><Data Bases><Data Set><Data Sources><Databases><Economics><Education><Educational aspects><Emergency Department><Emergency room><Environment><Gender><Generalized Growth><Grant><Growth><Health><Healthcare><Human Resources><Individual><Infrastructure><Institution><Investigation><Investigators><Lead><Light><Link><Location><Manpower><Mediating><Mental Health><Mental Hygiene><Modeling><NIH><National Institutes of Health><Pb element><Persons><Photoradiation><Principal Component Analyses><Principal Component Analysis><Psychological Health><Public Health><Publications><Race><Races><Reporting><Research><Research Personnel><Research Training><Researchers><Risk Factors><Role><Rural><Rural Appalachia><Rural Appalachian><SARS-CoV-2 burden><SARS-CoV-2 disease burden><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 infection burden><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Science><Scientific Publication><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Sex Orientation><Sexual Orientation><Students><Suicide><Surgeon><System><Testing><Text><Time><Tissue Growth><Training><United States National Institutes of Health><Universities><Youth><Youth 10-21><ages><coronavirus disease 2019><coronavirus disease 2019 consequence><coronavirus disease 2019 crisis><coronavirus disease 2019 effect><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 impact><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19><coronavirus disease-19 global pandemic><coronavirus disease-19 impact><coronavirus disease-19 pandemic><coronavirus infectious disease-19><data base><data interpretation><demographics><digital mental health><disparity in health><economic><experience><fatal attempt><fatal suicide><graduate student><health care><health disparity><heavy metal Pb><heavy metal lead><innovate><innovation><innovative><intent to die><methods to study multiple-level influences><multi-level analysis><multi-level model><multilevel analysis><multilevel model><multilevel modeling><novel><ontogeny><pandemic><pandemic disease><pandemic effect><pandemic impact><pandemic outcome><pandemic repercussions><personnel><racial><racial background><racial identity><racial origin><response><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><sex identity><sexual identity><social><social health determinants><social role><socio-demographic groups><sociodemographic group><student mentoring><student-led learning><suicidal behavior><suicidal risk><suicide behavior><suicide rate><suicide risk><suicides><traumatic event><undergrad><undergraduate><undergraduate student>