Components of Effective Suicide Prevention in the USAF

美国空军有效预防自杀的组成部分

• 批准号: 7147682
• 负责人: Kerry L Knox
• 金额: $ 36.07万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-24 至 2011-05-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7147682
• 关键词: behavior prediction; behavior therapy; behavioral /social science research tag; classification; clinical research; community mental health services; health care personnel performance; health care service evaluation; health services research tag; hospital utilization; human subject; human therapy evaluation; longitudinal human study; mental disorder prevention; military personnel; outcomes research; population survey; prevention; self destructive behavior; suicide; war /peace

DESCRIPTION (provided by applicant): This application is first and foremost a study of the relationship between implementation and reductions in events of suicide. In 1997, the United States Air Force had fully implemented a complex, multifaceted suicide prevention program. As such, the United States Air Force provides an excellent environment in which to study which components of a multifaceted program are most effective in producing the desired outcomes. While there has been a surge of interest in the role that implementation plays in determining the effectiveness of a program, there are relatively few empirical studies that specifically investigate the relationship between implementation and prevention and/or intervention outcomes. For this study, we have defined five core, functional components of the Air Force Suicide Prevention Program (AFSPP) based on the Eleven Initiatives that have constituted the program since its inception. However, our current understanding of the effectiveness of the AFSPP has been limited to the apparent success of the program based on a nonspecific understanding of the temporal association between implementation of these Eleven Initiatives and declines in events of suicide and other related outcomes. Conducting this study at this time is important for several related reasons. First, on-going programmatic efforts in the Air Force will greatly benefit from attaining a more concrete understanding of the functional components of what has been a very complex, multifaceted program. Second, replication of the AFSPP to new settings is potentially of great scientific value. The Air Force has a good track record with its program, is one of the few community based programs for suicide prevention in a very large population, and may prove to be an exemplary model of service to science. As a sample of the U.S. population the Air Force is comprised of a healthy open cohort, which serves to reduce the selection bias inherent in studies of suicide that utilize clinical or psychiatric samples. As such, our findings may be significant for other relatively healthy populations, including college students and men and women in the middle years of life. However, there is an unresolved but on-going debate about how best to combine the perceived need for fidelity across different sites with sufficient flexibility that permits successful engagement with communities with diverse demographic characteristics and cultural norms. The data from this study will have great significance for the field of mental health prevention in general if we can reach a greater appreciation for which of the core components of the AFSPP can be flexibly translated across sites, while at the same time maintaining the full functionality associated with those components.

描述（由申请人提供）：此申请首先是对实施与自杀事件减少之间关系的最重要研究。 1997年，美国空军完全实施了一项复杂的多方面预防计划。因此，美国空军提供了一个极好的环境，可以在其中研究多面计划的哪些组成部分最有效地产生所需的结果。尽管对实施在确定程序有效性方面发挥的作用引起了人们的兴趣，但相对较少的经验研究专门研究了实施与预防与/或干预结果之间的关系。在这项研究中，我们根据该计划以来构成该计划的11项计划，定义了空军预防计划（AFSPP）的五个核心功能组成部分（AFSPP）。但是，我们目前对AFSPP有效性的理解仅限于该计划的明显成功，这是基于对实施这11项倡议的时间关联的非特异性理解与自杀事件和其他相关成果的下降之间的下降。目前进行这项研究很重要，这是有几个相关原因。首先，空军正在进行的程序化努力将通过对非常复杂，多方面的计划的功能组件有更具体的了解，将大大受益。其次，将AFSPP复制到新环境具有巨大的科学价值。空军的计划具有良好的记录，是少数几个基于社区的自杀计划之一，在非常大的人群中，可能被证明是科学服务的典范模型。作为美国人口的样本，空军由健康的开放群体组成，该队列可减少使用临床或精神病样本的自杀研究中固有的选择偏差。因此，我们的发现对于其他相对健康的人群可能很重要，包括在生活的中期，包括大学生和男女。但是，关于如何最好地结合各个地点的忠诚度的需求具有足够的灵活性，可以成功地与具有不同人口特征和文化规范的社区进行成功的互动。如果我们能够更加了解AFSPP的哪些核心组成部分可以在跨站点上灵活地翻译，而同时维持与这些组件相关的全部功能，那么这项研究的数据通常对预防心理健康领域具有重要意义。