Proposing an Individual-in-Contexts Model for Reimagining Suicide Screening, Assessment, and Intervention in Black Communities DOI Creative Commons
Heath H. Hightower, Morgan J. Grant

Journal of Human Services, Journal Year: 2024, Volume and Issue: 43(1)

Published: Dec. 18, 2024

Suicidality affects millions of people in the United States every year. Despite its pervasiveness, suicidality often impacts minoritized communities disproportionately. For example, Black communities, with historically low rates, have experienced significant increases deaths by suicide last two decades. Such occurred unique and complex individual contextual relationships such as historical trauma, racialized ecological injustices, structural institutional racism, resource-deprived forced family separation through over-incarceration, interpersonal discrimination, internalized shame. While traditional psychiatric, psychological, public health approaches undoubtedly prevented some suicides, these fields study overlook or obscure interconnections between upstream, oppressive systemic dynamics downstream, individual-level factors that uniquely contribute to communities. To address oversights limitations, re-imagine human services professionals’ screening, assessment, intervention The Individual-in-Contexts Model (ICM) is offered. This model integrates critical, ecological, contextual, feminist scholarship frameworks, provides rationale for specific research, practice, policy recommendations.

Language: Английский

Frequency, recency, and variety of gun violence exposure: Implications for mental health and suicide among US adults DOI
Daniel C. Semenza, Allison E. Bond,

Devon Ziminski

et al.

Social Science & Medicine, Journal Year: 2025, Volume and Issue: 366, P. 117672 - 117672

Published: Jan. 7, 2025

Language: Английский

Citations

1

Lifetime and Past-Year Defensive Gun Use DOI Creative Commons
Michael D. Anestis,

Kimberly Burke,

Sultan Altikriti

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e250807 - e250807

Published: March 14, 2025

Defensive gun use (DGU) is cited as a rationale for permissive firearm-carrying policies; however, no consensus exists on how frequently DGU occurs. To examine the frequency of relative to violence exposure (GVE) in sample firearm owners drawn from nationally representative US adults. This survey study used data cross-sectional, self-reported administered via KnowledgePanel, probability-based panel, between May 15 and 28, 2024. Eligible participants were adults residing within reporting current access who responded items. Data analyzed July September Primary outcomes 4 forms DGU: telling perceived threat about firearm, showing threat, firing vicinity but not at threat. Among 12 822 invited participate, 8647 (67.4%) read informed consent, 8009 (92.6%) consented 3000 (37.7%; 532 [51.1%] male; 982 [32.7%] aged ≥60 years) endorsed items, including 295 Black, non-Hispanic (9.8%); 365 Hispanic (12.2%); 2178 White, (72.6%). was rare, with 91.7% (95% CI, 90.6%-92.7%) lifetime history DGU. The most reported form (lifetime: 4.7%; 95% 4.0%-5.5%). Less than 1% any past-year GVE more pervasive (eg, loss friend or loved one suicide: 34.4%; 32.7%-36.1%; hearing gunshots neighborhood: 51.8%; 50.0%-53.6%) 3.2%; 2.6%-3.9%; 32.7%; 31.0%-34.4%). In this access, rare GVE. Perceived threats may necessitate DGU, given association GVE, consequences be substantial. Narratives centering consideration policies misstate risk profile access.

Language: Английский

Citations

1

Gun violence exposure and population health inequality: a conceptual framework DOI
Daniel C. Semenza, Nicole Kravitz‐Wirtz

Injury Prevention, Journal Year: 2024, Volume and Issue: unknown, P. ip - 045197

Published: Oct. 2, 2024

This essay establishes a conceptual framework to understand how direct, secondar and community exposures gun violence converge influence population health. Our asserts that persistent in structurally disadvantaged communities enacts broad consequences for mental, physical behavioural health, operating as key driver of racial socioeconomic health disparities. We discuss the applications this research improved data collection with focus on establishing timely accurate measures alongside individual measures. then address policy implications framework, emphasising need long-term, institutional investment prevention intervention, survivor service provision evidence-based policies at all levels government.

Language: Английский

Citations

4

Association between US city firearms dealers and firearm suicide rates, 2015–2021 DOI
Megan O'Toole,

Jay Szkola,

Sarah Burd-Sharps

et al.

Injury Prevention, Journal Year: 2025, Volume and Issue: unknown, P. ip - 045432

Published: Jan. 6, 2025

Background Firearm suicides are more prevalent in cities than many recognise. Extant research—though conducted at different geographic levels or on types of firearm deaths—suggests that firearms dealers may play a role city suicides. This study examines the relationship between rates and Methods Data from Center for Disease Control’s National Vital Statistical System Bureau Alcohol, Tobacco, Firearms Explosives’ Federal Listing included 284 2015–2021. Types, locations as well suicide were examined. Poisson regression models tested associations dealer rates, controlling characteristics. Models stratified by size poverty level, results examined overall type. Results highest Midwest, South West; with populations less 500 000; most veterans white residents. 3.4 times higher (9.8 per 100 000 population) lowest (2.9). In adjusted models, associated depended type, level. Discussion conclusions City an important access to lethal means, especially small through pawnshops. These findings hold implications how can engage prevention partners.

Language: Английский

Citations

0

Anticipatory Violence and Health Among Black Adults in the United States DOI Creative Commons
Daniel C. Semenza, Cortney VanHook, Nazsa S. Baker

et al.

Journal of Racial and Ethnic Health Disparities, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 7, 2025

Abstract This study analyzes the relationship between anticipatory community and police violence health outcomes including mental physical well-being, sleep problems, functional disability. Using data from a nationally representative survey of 3015 self-identified Black African American adults in USA collected 2023, findings series regression analyses reveal that anticipating is linked to poorer self-rated increased problems. Anticipatory associated with disturbances. These associations persist even after accounting for previous experiences violence. The results underscore potential consequences violence, suggesting fear personal victimization can adversely influence health. Addressing through trauma-informed public policies practices critical improving reducing disparities violence-exposed communities. Future research should explore longitudinal impacts extend additional racial groups outcomes.

Language: Английский

Citations

0

Homicide Rates Across County, Race, Ethnicity, Age, and Sex in the US DOI Creative Commons
Paula D. Strassle, Parkes Kendrick,

Mathew M Baumann

et al.

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(2), P. e2462069 - e2462069

Published: Feb. 27, 2025

Importance Homicide is one of the leading causes death in US, especially among adolescents and adults younger than 45 years. While geographic, racial ethnic, sex differences homicide rates have been documented, a comprehensive assessment across all sociodemographics needed. Objective To assess variation US from 2000 to 2019 geographic location, race ethnicity, sex, age. Design, Setting, Participants This cross-sectional study used deidentified records National Vital Statistics System population estimates Center for Health individuals living January 1, 2000, December 31, 2019. Data analysis was completed April 2023. Exposure County, ethnicity (American Indian or Alaska Native, Asian Pacific Islander, Black, Hispanic Latino, White), age (0-14, 15-24, 25-44, 45-64, ≥65 years), (female male) as reported on certificates. Main Outcomes Measures The main outcome per 100 000 individuals. Validated small-area estimation models were estimate county-level by age, (50 unique populations). Estimates corrected misclassification certificates standardized. Results Between 2019, there 367 827 (95% uncertainty interval [UI], 366 683-369 046) homicides with decedents most commonly being male (77.7% [95% UI, 77.5%-77.8%]), aged 15 44 years (69.8% 69.6%-69.9%]), Black (46.0% 45.5%-46.5%]). highest males 24 (74.6 72.3-77.0] population) 25 (70.0 68.4-71.4] followed American Native (24.5 19.2-31.0] (33.5 28.6-38.8] population). higher deaths observed 143 counties; more 25% counties this level Arkansas, Louisiana, Mississippi, North Carolina. Despite national remaining stable over period (6.1 6.0-6.2] both years; incidence rate difference, 0.04 −0.16 0.07]), increased (range, 1631 3051 [53.5%] 1406 1488 [94.5%]) White females 65 Conclusions Relevance In rates, substantial found within county, groups; had homicide. findings highlight several populations places where high, but awareness violence prevention remains limited.

Language: Английский

Citations

0

Understanding the broader impacts of non-fatal firearm violence trauma in the United States: a scoping review DOI
Deanna Marie Giraldi, S.G. Swingler, David S. Kirk

et al.

The Lancet Regional Health - Americas, Journal Year: 2025, Volume and Issue: 46, P. 101091 - 101091

Published: April 19, 2025

Language: Английский

Citations

0

Local gun violence, mental health, and sleep: A neighborhood analysis in one hundred US Cities DOI
Daniel C. Semenza, Ian A. Silver, Richard Stansfield

et al.

Social Science & Medicine, Journal Year: 2024, Volume and Issue: 351, P. 116929 - 116929

Published: May 3, 2024

Language: Английский

Citations

3

Gun Violence Exposure and Quality of Life in Nine US States DOI Creative Commons

Jennifer Paruk,

Daniel C. Semenza

Journal of Urban Health, Journal Year: 2024, Volume and Issue: 101(5), P. 942 - 950

Published: July 29, 2024

Abstract Direct and indirect gun violence exposure (GVE) is associated with a broad range of detrimental health effects. However, much this research has examined the effects single type GVE (e.g., being shot) on discrete outcomes daily pain, PTSD). Since people may experience numerous types threatened hearing gunshots in their neighborhood) well-being, we study association between four direct five aspects quality life (overall, physical, psychological, social, environmental). Using representative sample adults from nine states ( N = 7455), find that witnessing/hearing about shooting one’s neighborhood was most commonly experienced significant decreases all life. Cumulative also overall environmental For example, individuals GVEs had an adjusted average physical 11.14 points lower 7.18 than no GVE. Decreasing critical component improving community well-being.

Language: Английский

Citations

3

Associations between gun violence exposure and suicide mortality rates in US counties DOI
Konstantinos Christopoulos

Social Psychiatry and Psychiatric Epidemiology, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 28, 2024

Language: Английский

Citations

1