Optimizing the Zero Suicide Model for Juvenile Detention

优化青少年看守所零自杀模式

• 批准号: 10818718
• 负责人: Brittany N Rudd
• 金额: $ 2.24万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10818718
• 关键词: Address; Adolescent; African American; Black race; Caring; Chicago; Clinical; Clinical Sciences; Complement; Complex; Data; Data Collection; Early identification; Elements; Ensure; Environment; Evidence based practice; Faculty; Feeling suicidal; Funding; Future; Goals; Hybrids; Illinois; Intervention; Interview; Justice; K-Series Research Career Programs; Knowledge; Legal; Mental Health; Mentorship; Methods; National Institute of Mental Health; Pathway interactions; Prevention; Prevention Research; Procedures; Public Health; Research; Research Activity; Research Personnel; Risk; Safety; Suicide; Suicide attempt; Suicide prevention; Training; Training Activity; Translational Research; United States National Institutes of Health; Universities; Work; Youth; brief intervention; career; career development; clinical center; design; detention center; effectiveness/implementation trial; evidence base; experience; health equity; implementation research; improved; interest; peer; prevent; prevention practice; recruit; reducing suicide; screening; skills; suicidal; suicidal behavior; suicidal risk; suicide model; suicide rate; young adult

PROJECT SUMMARY/ABSTRACT This K23 Career Development Award will prepare the applicant to launch her career as an independent investi- gator with expertise in research at the intersection of implementation and mental health equity research, with a specialization in legal settings that serve youth, consistent with NIMH Strategic Objective 4. The University of Illinois at Chicago (UIC), under the expert mentorship of Drs. Marc Atkins, Jaleel Abdul-Adil, Lisa Saldana, and Greg Brown, is the ideal environment for the applicant’s career development. Faculty conduct extensive imple- mentation research with the goal of promoting youth mental health equity and have strong connections to the Chicago Department of Public Health and the NIH-funded UIC Center for Clinical and Translational Sciences. Training goals include: (a) foundational mental health equity research, (b) advanced implementation research, and (c) specialized training in suicide prevention research and practice. The research component of this appli- cation was developed to complement the training goals and provide opportunities to execute and refine newly developed skills. The research plan addresses the critical need to prevent suicide among youth in juvenile jus- tice settings. Youth in juvenile detention centers experience suicidal ideation at higher rates than their peers, and juvenile detention centers disproportionately serve African American and Black youth, a group experienc- ing an increase in suicide attempts nationally. Aligned with the Zero Suicide model, the applicant will optimize the clinical and implementation elements used within juvenile detention centers (i.e., screening, pathways of care, and brief treatment of suicidality via the Safety Planning Intervention). As the applicant’s goal is to be- come an expert in the implementation of a range of evidence-based practices for legal settings that serve youth, studying suicide prevention, given its large research base of evidence-based practices and its complex regulatory concerns, provides the ideal training platform. In Aim 1, formerly detained young adults (n=35) who identify as Black will be interviewed to understand their lived experiences and identify key barriers to and facili- tators of suicide prevention in juvenile detention. In Aim 2, using data from the applicant’s prior work and Aim 1, the applicant will refine the Zero Suicide clinical elements for detention to ensure they are culturally respon- sive and contextually appropriate and select and operationalize the implementation elements. In Aim 3, the ap- plicant will pilot the feasibility of the Zero Suicide model and R01 method in two local detention centers using a stepped wedge design and a convergent mixed method. The aim is to demonstrate the feasibility of the clinical and implementation elements as well as the recruitment, retention, and data collection procedures. This project will provide the necessary data and skills for the applicant’s future R01 hybrid type 2 effectiveness-implementa- tion trial of the Zero Suicide model for juvenile detention. The timing of this proposed study is critical. Prevent- ing youth suicide is a national priority, and NIMH has pledged to reduce the suicide rate by 20% by 2025 and has a special interest in research on risk and prevention of Black youth suicide (NOT-MH-20-055).

项目概要/摘要 该 K23 职业发展奖将为申请人作为独立投资人开启她的职业生涯做好准备 Gator 在实施和心理健康公平研究的交叉领域拥有研究专业知识， 专门从事为青年服务的法律环境，符合 NIMH 战略目标 4。 伊利诺伊大学芝加哥分校 (UIC)，在 Marc Atkins、Jaleel Abdul-Adil、Lisa Saldana 博士的专家指导下 格雷格·布朗（Greg Brown）为申请人的职业发展提供了理想的环境。 以促进青少年心理健康公平为目标的心理研究，并与 芝加哥公共卫生部和 NIH 资助的 UIC 临床和转化科学中心。 培训目标包括：(a) 基础心理健康公平研究，(b) 高级实施研究， (c) 自杀预防研究和实践方面的专门培训。 开发培训目标是为了补充培训目标，并提供执行和完善新目标的机会 该研究计划解决了青少年司法中预防青少年自杀的迫切需要。 少年拘留中心的青少年比同龄人有更高的自杀意念， 青少年拘留中心不成比例地为非裔美国人和黑人青年提供服务，这一群体经历了 考虑到全国范围内自杀未遂的增加，申请人将根据零自杀模型进行优化。 少年拘留中心内使用的临床实施和要素（即筛查、 由于申请人的目标是- 成为在法律环境中实施一系列循证实践的专家，这些实践服务于 鉴于其基于证据的实践的庞大研究基础及其复杂性，研究自杀预防的青年人 目标 1 中，为曾经被拘留的年轻人 (n=35) 提供了理想的培训平台。 身份为黑人的人将接受采访，以了解他们的生活经历，并确定实现这一目标的主要障碍和便利 在目标 2 中，使用申请人之前的工作和目标中的数据。 1、申请人将完善拘留的零自杀临床要素，以确保它们具有文化响应能力 在目标 3 中，应根据具体情况选择和实施实施要素。 申请人将在当地两个看守所试点零自杀模式和 R01 方法的可行性 阶梯楔形设计和收敛混合方法的目的是证明临床的可行性。 和实施要素以及招聘、保留和数据收集程序。 将为申请人未来的R01混合动力2型有效性实施提供必要的数据和技能 青少年拘留的零自杀模式试验的时机至关重要。 减少青少年自杀是国家优先事项，NIMH 承诺到 2025 年将自杀率降低 20%， 对黑人青少年自杀的风险和预防的研究特别感兴趣（NOT-MH-20-055）。