SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings

SuSt-AInS：在美洲印第安人环境中维持自杀预防计划

• 批准号: 10455537
• 负责人: Emily Haroz
• 金额: $ 11.2万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-06-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10455537
• 关键词: Address; Adoption; American Indians; Apache Tribe; Assessment tool; Case Management; Case Manager; Cessation of life; Communities; Community Outreach; Competence; Data; Development; Dissemination and Implementation; Evidence based practice; Feedback; Focus Groups; Funding; General Population; Goals; Health; Intake; Intervention; Interview; K-Series Research Career Programs; Knowledge; Life; Longterm Follow-up; Mental Health; Mental Health Services; Mentors; Mentorship; Methodology; Methods; Modeling; National Institute of Mental Health; Navajo; Population; Prevention program; Process; Program Sustainability; Public Health; Research; Research Personnel; Research Support; Resource-limited setting; Resources; Science; Series; Services; Strategic Planning; Structure; Suicide; Suicide prevention; Surveillance Program; System; Testing; Thinking; Time; Tribes; Underrepresented Populations; United States National Institutes of Health; White Mountain Apache; Work; Youth; base; behavioral health; design; dissemination research; dissemination science; dynamic system; effective intervention; evidence base; follow-up; hands-on learning; implementation research; implementation science; implementation study; implementation trial; improved; innovation; mortality; novel; outreach; pilot test; prevent; prevention service; programs; prospective; public health research; reducing suicide; scale up; sustainability framework; theories; treatment services; tribal leader

PROJECT SUMMARY Suicide is a significant public health problem with rates in the US general population gradually increasing over time. The burden of suicide is even more pronounced in many American Indian tribes, especially among youth, with average rates estimated to be about four times higher than the US general population. The effects of these deaths are felt throughout communities. Programs aimed at preventing suicide are critically important in these settings and represent one of the top priorities of the National Institute of Mental Health. However, even when we know prevention programs work, sustaining them and their effects has proved challenging. The overall goal of this K01 Mentored Research Career Development Award is to broaden the candidate’s expertise in the science of sustainment. Through coursework, structured mentorship activities and applied learning, the candidate will develop new competencies in (1) Dissemination and Implementation (D&I) science with a focus on sustainment; (2) American Indian health research; (3) use of innovative methodologic approaches, including mixed-methods and systems dynamic approaches; and (4) professional development, to become an independent NIMH-funded investigator. Drs. Joseph Gallo, Shannon Wiltsey-Stirman, and Allison Barlow will provide primary mentorship, and are joined by a team of dedicated and interdisciplinary consultant mentors including Drs. Takeru Igusa, Sonja Schoenwald, Lawrence Palinkas, Lindsey Zimmerman and Teresa Brockie. The research will be conducted by leveraging the NIMH U19 Southwest Suicide Prevention Hub. The candidate will combine mixed-methods and systems dynamic science, to innovatively identify, prioritize and ultimately, test strategies to enhance sustainment of the Celebrating Life youth suicide prevention program as it is disseminated to other tribal contexts. Locally, this research will help our community partners to devise solutions for sustaining effective suicide prevention programs in their settings. More broadly, this study addresses a critical gap in research on sustainment in the Dissemination and Implementation (D&I) science field, and focuses on populations from low-resource and underrepresented groups, representing one of the core values of D&I science.!Results from this study will inform development of an R01 proposal focused on testing systems dynamic approaches as sustainment strategies in an appropriately powered implementation trial. The study goals advance NIMH strategic objective #4 strengthening the public health impact of NIMH supported research by developing and validating “strategies for implementing, sustaining and continuously improving evidence-based practices” (4.2a) and is consistent with NIH’s Priorities for D&I science, focusing on “research testing approaches to scaling up and sustaining effective interventions.”

项目概要 自杀是一个重大的公共卫生问题，美国总人口的自杀率在过去几年中逐渐上升 在许多美洲印第安部落中，自杀的负担甚至更加明显，尤其是在年轻人中。 估计平均比率比美国普通人口高出四倍左右。 整个社区都感受到了这些死亡事件，旨在预防自杀的计划对于这些国家至关重要。 然而，这些设置也是国家心理健康研究所的首要任务之一。 当我们知道预防计划有效时，维持它们及其效果就变得具有挑战性。 K01 指导研究职业发展奖的总体目标是拓宽候选人的视野 通过课程作业、结构化指导活动和应用来获得维持科学方面的专业知识。 通过学习，候选人将在 (1) 传播和实施 (D&I) 科学方面发展新能力 重点关注维持；(2) 美洲印第安人健康研究；(3) 创新方法的使用； 方法，包括混合方法和系统动态方法；(4) 专业发展，以 成为 NIMH 资助的独立调查员 Joseph Gallo、Shannon Wiltsey-Stirman 和 Allison 博士。 巴洛将提供主要指导，并由一支敬业的跨学科顾问团队加入 导师包括 Takeru Igusa、Sonja Schoenwald、Lawrence Palinkas、Lindsey Zimmerman 和 Teresa 该研究将利用 NIMH U19 西南自杀预防中心进行。 候选人将结合混合方法和系统动态科学，以创新方式识别、优先考虑和 最终，测试加强“庆祝生命”青少年自杀预防计划的维持的策略 这项研究将在当地传播到其他部落环境，帮助我们的社区合作伙伴进行设计。 更广泛地说，这项研究是在他们的环境中维持有效的自杀预防计划的解决方案。 解决了传播与实施 (D&I) 科学维持研究中的一个关键空白 领域，并重点关注来自资源匮乏和代表性不足的群体的人口，代表了 D&I 科学的核心价值。！这项研究的结果将为 R01 提案的制定提供信息，该提案的重点是 测试系统动态方法作为适当动力实施中的维持策略 该研究目标推进了 NIMH 战略目标#4，加强了 NIMH 的公共卫生影响。 通过制定和验证“实施、维持和持续的战略”来支持研究 改善循证实践”（4.2a），并且与 NIH 的 D&I 科学优先事项一致，重点是 “研究测试扩大和维持有效干预措施的方法。”

项目成果

Informing Precision Home Visiting: Identifying Meaningful Subgroups of Families Who Benefit Most from Family Spirit.

通知精准家访：识别最能从家庭精神中受益的有意义的家庭亚群。

• 发表时间: 2019-11
• 作者: Haroz, E E;Ingalls, A;Kee, C;Goklish, N;Neault, N;Begay, M;Barlow, A
• 通讯作者: Barlow, A

Increasing culturally responsive care and mental health equity with indigenous community mental health workers.

与土著社区心理卫生工作者一起提高文化响应性护理和心理健康公平性。

• 发表时间: 2021-02
• 影响因子: 2.3
• 作者: O'Keefe, Victoria M;Cwik, Mary F;Haroz, Emily E;Barlow, Allison
• 通讯作者: Barlow, Allison

Under the hood: lay counsellor element use in a modular multi-problem transdiagnostic intervention in lower resource countries.

幕后：在资源较低国家的模块化多问题跨诊断干预中使用外行顾问元素。

• 发表时间: 2019
• 影响因子: 3.5
• 作者: Murray, Laura K;Haroz, Emily E;Pullmann, Michael D;Dorsey, Shannon;Kane, Jeremy;Augustinavicius, Jura;Lee, Catherine;Bolton, Paul
• 通讯作者: Bolton, Paul

Comparing the predictive value of screening to the use of electronic health record data for detecting future suicidal thoughts and behavior in an urban pediatric emergency department: A preliminary analysis.

比较筛查与使用电子健康记录数据检测城市儿科急诊科未来自杀想法和行为的预测价值：初步分析。

• 发表时间: 2021
• 影响因子: 3.2
• 作者: Haroz, Emily E;Kitchen, Christopher;Nestadt, Paul S;Wilcox, Holly C;DeVylder, Jordan E;Kharrazi, Hadi
• 通讯作者: Kharrazi, Hadi

A Cascade of Care Model for Suicide Prevention.

预防自杀的级联护理模式。

• 发表时间: 2023-04
• 影响因子: 5.5
• 作者: Haroz, Emily E;Sarapik, Liina M;Adams, Leslie B;Nestadt, Paul S;Athey, Alison;Alvarez, Kiara;Slade, Eric P;Cwik, Mary;Berman, Alan L;Wilcox, Holly C
• 通讯作者: Wilcox, Holly C