Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women
Open accessAbstract
This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population.
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Group psychotherapies reduced suicidal ideation in 5 of 10 studies and suicide in one study, but none reported reducing nonfatal suicide attempts.
“Group psychotherapies reduced suicidal ideation in 5/10 studies(100–109) and suicide in one,(100) but none reported reducing nonfatal suicide attempts (Table S3c).”
From Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (2021) · cites this paper as [104]
The Discussion (Intervention Effects; page unavailable) reports reduced suicidal ideation after an empowerment-based group intervention compared with standard care. The Method (Procedure; page unavailable) identifies suicidal ideation and depressive symptoms as the two primary outcomes; this paper does not report a reduction in suicide deaths or establish the citing sentence’s counts across ten studies. It also does not report a reduction in nonfatal suicide attempts. (LLM, conf=0.87)
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“Other inclusion criteria included ages 18 to 64, adequate cognitive ability as measured by theMini-Mental State Exam (Folstein, Folstein, McHugh, & Fanjiang, 2001), and no or minimal active psychotic symptoms as measured by the 10-item Nia Psychotic Screen (Zhang et al., 2013).”
MethodSelf-citation
- Authors
- Zhang, H., Neelarambam, K., Schwenke, T. J., Rhodes, M. N., Pittman, D. M., & Kaslow, N. J.
- Affiliations
- Grady Memorial Hospital (US)
- Georgia State University (US)
- Lewis & Clark College (US)
- Corresponding author
- Kaslow, Nadine J.
- Venue
- Journal of Clinical Psychology in Medical Settings
- Published
- 2013-07-18
- Volume
- 20
- Issue
- 4
- Pages
- 401-414
- ISSN
- 1068-9583 (ISSN-L)
- 1573-3572
- PMC
- PMC3846771
- OpenAlex
- W2050569742
- Cited by
- 47
- References
- 79
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 1
- FWCI
- 5.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Clinical Psychology in Medical Settings (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5r01mh078002-05)
- Centers for Disease Control and Prevention
- U.S. Public Health Service (R49 CCR421767-01)
- National Institute on Aging
- National Institute of Mental Health (1R01MH078002- 01A2, R01 MH078002)
- National Center for Injury Prevention and Control
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- suicidal ideation, African American women, intimate partner violence, suicide attempt history, culturally sensitive interventions, existential well-being, spiritual well-being, religious well-being, coping, depressive symptoms, mediation, low-income women, suicide prevention
- MeSH terms
- Suicide Prevention, Adaptation, Psychological, Black or African American, Depression, Female, Follow-Up Studies, Humans, Interviews as Topic, Poverty, Risk Factors, Spouse Abuse, Suicide, Urban Population, Program Evaluation, Spirituality, Cultural Competency
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