Major Erin, Thomas Celina, Healy Charlotte, VanderStoep Amy, Richardson Joseph B, Scalea Thomas M, Harfouche Melike N
Rowan University School of Osteopathic Medicine, Stratford, New Jersey, USA.
University of Maryland School of Medicine, Baltimore, Maryland, USA.
Trauma Surg Acute Care Open. 2025 Mar 19;10(1):e001560. doi: 10.1136/tsaco-2024-001560. eCollection 2025.
Despite being high risk for post-traumatic stress disorder, Black men survivors of gun violence, and particularly young men aged 18-24, seldom participate in mental health services after injury. The aim of this study was to identify barriers to participation in mental health services for this population.
Over a 2-year period, 1 hour-long focus group was conducted with three counselors of the local hospital-based violence intervention program and 21 individual, semistructured in-depth interviews were held with Black men who were hospitalized for a firearm-related injury. All interviews were recorded and transcribed. Transcripts were coded using open coding and grounded theory methodology and ultimately grouped into themes using MAXQDA V.2022 software.
Median age of participants was 34 years (IQR=11). Barriers to participation revolved around competing priorities/stressors, expense, difficulty with trust and openness and the demands of street life. Motivating factors included cultural competence, persistence, availability, reliability and genuineness of the therapy staff. Most participants denied negative social stigma of therapy as a barrier but emphasized that the individual must value therapy to participate. Young, Black men were perceived as struggling with self and peer-imposed views of masculinity that conflicted with therapy participation.
Black men who have experienced violent firearm injury face strong social pressures that conflict with participation in mental health services. Programs must be integrated with other social services and be responsive to community conditions to be successful.
IV.
尽管遭受创伤后应激障碍的风险很高，但枪支暴力事件的黑人男性幸存者，尤其是18至24岁的年轻男性，受伤后很少参与心理健康服务。本研究的目的是确定该人群参与心理健康服务的障碍。
在两年时间里，与当地医院暴力干预项目的三名顾问进行了一次时长1小时的焦点小组讨论，并对因枪支相关伤害住院的黑人男性进行了21次单独的半结构化深度访谈。所有访谈均进行了录音和转录。使用开放式编码和扎根理论方法对转录本进行编码，并最终使用MAXQDA V.2022软件将其归纳为主题。
参与者的年龄中位数为34岁（四分位间距=11）。参与的障碍围绕着相互竞争的优先事项/压力源、费用、信任和开放度方面的困难以及街头生活的需求。激励因素包括治疗人员的文化能力、坚持性、可及性、可靠性和真诚度。大多数参与者否认将治疗的负面社会污名视为障碍，但强调个人必须重视治疗才能参与。年轻黑人男性被认为在自我和同伴施加的男性气质观念方面存在挣扎，这些观念与参与治疗相冲突。
经历过枪支暴力伤害的黑人男性面临着与参与心理健康服务相冲突的强大社会压力。项目必须与其他社会服务相结合，并响应社区状况才能取得成功。
四级。
