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

“Is It Suicide or Genocide?”: Black Female Clinicians’ Critical Understandings of Shame and Other Related Themes to Suicide in Black Communities DOI Open Access
Heath H. Hightower

American Journal of Qualitative Research, Journal Year: 2024, Volume and Issue: 8(4), P. 151 - 177

Published: Sept. 27, 2024

<i>Suicide is a complex, multi-factorial human experience that affects millions of people in the U.S. and disproportionately impacts Black communities every year. Historical data, critical theories, research literature indicate suicides result from interactions between macrosystemic systemic forces individual-level meaning-making processes. To explore complexities among deaths often labelled contemporary communities, this project centered elevated perspectives fourteen female clinicians. Because their marginalized identities, intersectional lived experiences, clinical training, these participants were well-positioned to analyze understand degrees which are associated with oppressive dynamics and/or psychological factors. Narrative inquiry thematic analysis underscored interplay six characters for critically understanding suicide communities: shame, hopelessness, trauma, racism, problems, fear. Participants also noted violence, anger, guilt shaped lesser degree. address themes’ suicide-potentiating effects on I discuss language, research, policy, psychosocial assessment intervention implications.</i>

Language: Английский

Citations

1
Exposure to firearm injury and suicide in a rural Pennsylvania county: implications for mental and behavioral health DOI Creative Commons
Richard Stansfield, Daniel C. Semenza,

Devon Ziminski

et al.

Journal of Behavioral Medicine, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 28, 2024

Abstract To evaluate the association between self-reported gun violence exposures and mental health behavioral indicators in a rural population. Using cross-sectional survey responses from 630 residents of county Pennsylvania, logistic regression models estimate likelihood indicating moderate or severe levels outcomes as function exposure. We control for series variables related to ownership, behavior, history with firearms demographic characteristics. Personal firearm victimization was associated depressive symptoms interrupted sleep. Secondary exposure violence, particularly friends attempting completing suicide, higher odds reporting (14 days more past month) symptoms, anxiety, poor For suicide involving friend family member, all three are 3 times greater (OR 2.984, 95% CI 1.457–6.108). each additional exposure, experiencing sleep difficulties 1.4 1.384, 1.115–1.720). Cumulative also increase binge drinking drug use. Firearm adverse this Approaches counter effects cumulative including reinvigorating community spaces strengthening social supports, may help reduce burden communities.

Language: Английский

Citations

0
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

Citations

0