The BH-Works Suicide Prevention Program for Sexual and Gender Minority Youth

BH-Works 针对性和性别少数青少年的自杀预防计划

基本信息

批准号：
10440817
负责人：
Jody Moser Russon
金额：
$ 19.15万
依托单位：
VIRGINIA POLYTECHNIC INST AND ST UNIV
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-24 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10440817
关键词：
Adoption Caregivers Caring Cause of Death Child Clinic Clinical Communities Computer software Consolidated Framework for Implementation Research Control Groups Data Data Analytics Development Diamond Effectiveness Elements Face Family Feeling Feeling suicidal Fishes Future General Population Health Personnel Heterosexuals Learning Lesbian Gay Bisexual Transgender Queer Manuals Measures Mental Health Services Monitor Online Systems Outcome Patients Philadelphia Policy Developments Population Prevention program Process Program Acceptability Program Effectiveness Provider Psychiatry Readiness Reporting Research Resources Risk Assessment Risk Management Rural Safety Sampling Screening procedure Self Efficacy Services Sexual and Gender Minorities Sexual and Gender Minority Youth Site Standardization Structure Suicide Suicide attempt Suicide prevention System Technology Testing Time Training Trust United States United States Substance Abuse and Mental Health Services Administration Use Effectiveness Virginia Vulnerable Populations Work Youth behavioral health cisgender community organizations comparison group data management effectiveness implementation study evidence base gender minority community high risk hybrid type 2 design implementation facilitation implementation strategy improved minority children minority patient peer pilot test programs satisfaction screening screening, brief intervention, referral, and treatment secondary outcome service organization skills substance use suicidal behavior suicidal risk treatment as usual usability

项目摘要

PROJECT ABSTRACT Suicide is the second leading cause of death for 15-to-24-year-olds in the United States. Compared to their heterosexual and cisgender peers, sexual and gender minority (SGM) adolescents report significantly higher rates of suicidal ideation and suicide attempts. Unfortunately, many barriers complicate the implementation of suicide prevention in SGM communities. SGM youth often report feeling unwelcome and misunderstood in traditional behavioral health service organizations. Consequently, treatment attendance and retention remain low. Instead, this population generally seeks mental health services in community organizations for lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. Unfortunately, these organizations are often unprepared for this clinical challenge. The Behavioral Health-Works (BH-Works) suicide risk management system may offer a potential solution to this problem. BH-Works is an evidence-based, comprehensive youth suicide prevention program. It offers support for policy development, staff training, suicide and behavioral health screening, technology-assisted safety planning, an electronic patient referral system, real-time data analytics for program monitoring, and a learning collaborative structure to support sustainability. All functions are supported on a web-based software platform that facilitates implementation, adoption and expansion. BH- Works has been used in both clinical and non-clinical settings. In this project, we will adapt this program for LGBTQ organizations. This project builds upon robust partnerships with two diverse LGBTQ organizations (Mazzoni Center, in Philadelphia and Diversity Camp Inc., in rural Southwest, Virginia) and partnering behavioral health sites. We will use an Effectiveness-Implementation Hybrid Type 2 design (Curran et al., 2013) with a historical comparison group to pilot the BH-Works program within the two LGBTQ organizations. Informed by the Consolidated Framework for Implementation Research, we will pilot test a sequenced implementation strategy. This strategy focuses on promoting engagement, building partnership, , and creating sustainability In Year 1, we will collect treatment as usual data, work with our partners to adapt BH-Works content, practices, and workflow. We will also train staff/providers in suicide risk management, family engagement and affirmative care. In Year 2, we will begin pilot testing the SGM BH-Works screening and referral systems. We will evaluate primary program outcomes (increased suicide identification and successful referrals), secondary outcomes (program acceptability), and explore program mechanisms (training impact, partnership development, software usability and caregiver involvement). The proposed research responds to the growing national need to identify and refer vulnerable youth at risk for suicide. A future R01 will test program effectiveness with a larger sample and different implementation strategies.

项目摘要自杀是美国 15 至 24 岁人群的第二大死因。与他们相比异性恋和顺性别同龄人、性少数和性别少数 (SGM) 青少年的报告显着更高自杀意念和自杀企图的比率。不幸的是，许多障碍使实施变得复杂 SGM社区的自杀预防。 SGM的青少年经常表示在生活中感到不受欢迎和误解传统的行为健康服务组织。因此，治疗出勤率和保留率仍然低的。相反，这一人群通常会在社区组织中为女同性恋者寻求心理健康服务，同性恋、双性恋、跨性别者和酷儿 (LGBTQ) 青年。不幸的是，这些组织常常没有准备好应对这一临床挑战。行为健康工作 (BH-Works) 自杀风险管理系统可能会为这个问题提供一个潜在的解决方案。 BH-Works 是一个基于证据的综合性青年项目自杀预防计划。它为政策制定、员工培训、自杀和行为提供支持健康检查、技术辅助安全规划、电子患者转诊系统、实时数据用于项目监控的分析，以及支持可持续性的学习协作结构。所有功能基于网络的软件平台提供支持，促进实施、采用和扩展。 BH- Works 已用于临床和非临床环境。在这个项目中，我们将调整这个程序 LGBTQ 组织。该项目建立在与两个不同 LGBTQ 组织的牢固合作伙伴关系之上（位于费城的 Mazzoni Center 和位于弗吉尼亚州西南部乡村的 Diversity Camp Inc.）和合作行为健康网站。我们将使用有效性-实施混合 2 型设计（Curran 等人， 2013）与一个历史比较小组在两个 LGBTQ 组织内试点 BH-Works 计划。根据实施研究综合框架，我们将按顺序进行试点测试实施策略。该战略的重点是促进参与、建立伙伴关系以及创造可持续性在第一年，我们将像往常一样收集治疗数据，与我们的合作伙伴合作以适应 BH-Works 内容、实践和工作流程。我们还将对员工/提供者进行自杀风险管理、家庭方面的培训参与和平权关怀。第二年，我们将开始对SGM BH-Works筛选进行试点测试转介系统。我们将评估主要计划成果（自杀识别率的提高和成功率）推荐）、次要结果（计划可接受性）并探索计划机制（培训影响、合作伙伴关系发展、软件可用性和护理人员参与）。拟议的研究回应国家日益需要识别和转介有自杀风险的弱势青少年。未来的R01将进行测试较大样本和不同实施策略下的计划有效性。