Graduation Year

2024

Document Type

Dissertation

Degree

Ph.D.

Degree Name

Doctor of Philosophy (Ph.D.)

Degree Granting Department

Public Health

Major Professor

Abraham Salinas Miranda, MD, Ph.D.

Co-Major Professor

Dinorah Martinez Tyson, Ph.D.

Committee Member

Joe Bohn, Ph.D.

Committee Member

Patrice M. Buzzanell, Ph.D.

Keywords

health equity, institutional logics, LGBTQ+, policy, public health

Abstract

The concept of Communication Resilience in Suicide Prevention (CRISP) offers a conceptual framework for exploring communication strategies in community-based suicide prevention. A constructivist paradigm informs this study and utilizes an approach heavily influenced by Dorothy Smith’s critical feminist sociological work of institutional ethnography (IE). The study intentionally interweaves critical research praxis with a dual etic/emic positionality through constructivist understandings of dialectical sensemaking. It uses the Communication Theory of Resilience (CTR) and Institutional Logics Theory (ILT) as analytic tools of inquiry. The study includes purposive sampling and multiple qualitative methods, including unstructured interviews, text analyses, and observational data. Fifteen unstructured interviews were conducted among fourteen participants from June 2024 through July 2024. An adapted version of The Listening Guide technique (TLG) was used to analyze interview data. The study also included 100 hours and 30 minutes of notated field observation across 65 separate observations from August 2022 through August 2024. Additionally, a three-tier reading framework informed by Murray (2022) was used to analyze eleven documents. Integrated analyses provide insight into community-based suicide prevention for LGBTQ+ communities in Florida and emphasize strategies for advocacy. CRISP offers a framework for reassessing and strategizing how to promote equity and access to care for LGBTQ+ communities. Furthermore, this study finds that subversive, diplomatic, and advocacy-focused communication practices may assist in navigating unique institutional logics to support community-based suicide prevention for LGBTQ+ communities in Florida.

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