Awarded Research Grant to Prevent Violence and Violence-Related Injury
Given prior research of the link between intimate partner violence (IPV) and suicide attempts among low income, African American women, secondary preventive interventions are needed for abused women with suicidal ideation to reduce the likelihood of their attempting suicide and to decrease associated morbidity.
This study will evaluate the efficacy of a group empowerment psychoeducational intervention (PEI) versus enhanced treatment as usual (ETAU) at post-intervention and follow-up in reducing suicidal behavior and its correlates; compare the efficacy of PEI versus ETAU at post-intervention and follow-up in reducing IPV; compare the effectiveness of PEI versus ETAU at post-intervention and follow-up in reducing individual, family-social, and community-level risk factors; compare the effectiveness of PEI versus ETAU at post-intervention and follow-up in enhancing individual, family-social, and community-level protective factors; and determine those individual, family-social, and community-level background variables that moderate the group assignment–outcomes link.
A hybrid efficacy-effectiveness trial using a mixed model design will be used to explore the aims of this study. Between-subjects variables are intervention condition (PEI, ETAU) and within-subject variable is time (pre-intervention, post-intervention, six months and one year follow-ups). The sample consists of two groups (95 each) of low income, African American women currently in an abusive relationship with suicidal ideations. The ETAU includes a compliance enhancement intervention, treatment as usual in the community, and suicidal and IPV behavior monitoring. The PEI includes the ETAU plus a 10-session, culturally-competent and gender-sensitive empowerment group intervention. The data for the first four specific aims will be analyzed with multiple linear and logistic regressions. Intent-to-treat analyses will also be conducted. This study is innovative in its focus on suicidal ideation among abused women; its inclusion of low income, African American women; and in its use of culturally-competent assessments and interventions.