Southwest Hub for American Indian Youth Suicide Prevention Research

美国印第安人青少年自杀预防研究西南中心

基本信息

批准号：
10076912
负责人：
Mary Allison Barlow
金额：
$ 16.22万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-06-20 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10076912
关键词：
Address Alaska Native Ally American Indians Apache Baltimore Belief Case Management Cherokee Indian Church Clinic Collaborations Communication Communities Community Mental Health Services Data Data Analyses Development Effectiveness Elderly Exercise Goals Grant Health Health Policy Health Professional Health behavior Hospitals Institution Intervention Knowledge Learning Mental Health Methods Modeling Monitor Navajo Pattern Pharmacotherapy Policies Policy Maker Prevention Research Prevention strategy Preventive Intervention Preventive Medicine Provider Public Health Public Health Schools Research Research Activity Research Design Research Infrastructure Research Personnel Reservations Resources Risk Reduction Running Sampling Schools Science Self-Injurious Behavior Services Site Social Work Structure Suicide Suicide prevention System Testing Time Training Translating Transportation Tribes Trust United States National Institutes of Health White Mountain Apache Work Writing Youth alcohol abuse therapy base clinical care data management design experience follow-up healing health disparity human subject protection implementation research improved insight interest journal article native youth novel outreach prevent prevention service programs public health research recruit reducing suicide resilience service providers skills suicidal suicidal adolescent suicidal risk systems research treatment center trend tribal college tribal community tribal health tribal leader

项目摘要

The overall goal of the Southwest Hub for American Indian Youth Suicide Prevention Research (Southwest Hub) is to establish a collaborative network of tribal leaders, investigators, interventionists, service providers and service users in the Southwest region that will be managed by trusted scientific partner--Johns Hopkins Center for American Indian Health (CAIH)--to pool intellectual resources, cultural assets and experience to overcome American Indian and Alaska Native (AIAN) youth suicide disparity. Primary goals are to: 1) develop and test preventive strategies that can sustainably reduce the burden of youth suicide and promote resilience in Native communities; 2) conduct outreach and dissemination to promote additional tribal community engagement in research activities; and, 3) enable tribal leaders, providers and policy makers to used science-based information to formulate mental health policies and programs to reduce suicide. Specific aims are: Aim 1) Develop an Administrative Core to support communication, coordination of activities and capacity building to facilitate, produce and share evidence to prevent youth suicide and promote resilience, and apply relevant findings in Hub partners’ settings (White Mountain Apache, Navajo, San Carlos Apache, Hualapai and Cherokee Nations), and in additional interested tribal communities through collaboration with other regional Hubs and national allies. Aim 2) Undertake a rigorous Suicide Prevention Study to test a sequence of novel preventive strategies that can be used by tribes to sustainably reduce the burden of AI youth suicide and promote resilience. A key priority will be to demonstrate the effectiveness of task-shifting intervention administration to culturally embedded paraprofessional community mental health workers (CMHWs). In the White Mountain Apache setting, the primary research site for this Hub, we will build on a line of youth suicide prevention research that the Tribe and CAIH have undertaken since 1994. It includes a robust tribally-mandated suicide surveillance and follow-up system run by Apache CMHWs that is in early stages of replication by Navajo Nation, the secondary research site for this Hub. The tribal-specific surveillance systems will aid the research teams in monitoring trends and patterns in self-harm prior to, during and after the grant period; offer a unique means to recruit community-based samples of suicidal Native youth; and provide a platform for testing strategies to prevent youth suicide and promote resilience. For collaborators in the three satellite sites (San Carlos Apache, Hualapai, and Cherokee Nations), the development of parallel surveillance systems, research skills and prevention interventions will be determined based on local policy and service priorities. Aim 3) Conduct outreach and disseminate science-based information for tribal leaders and allied partners, including other Hubs, to formulate mental health policies and programs to reduce youth suicide across diverse tribal settings. The Southwest Hub builds on a 30+-year track record of public health research between Johns Hopkins CAIH, the White Mountain Apache Tribe and Navajo Nation. These partners are poised to extend trusted research relationships to new tribal partners, produce novel evidence, exercise tribal sovereignty to improve public health, and tap extensive national networks to share methods to reduce youth suicide disparity and promote new understanding of youth resilience.

西南印第安人青年预防研究（西南枢纽）的总体目标是建立一个由部落领导者，研究人员，干预主义者，服务提供商和服务用户的协作网络西南地区将由可信赖的科学合作伙伴管理 - 约翰·霍普金斯（John Hopkins）健康（CAIH） - 要克服美洲印第安人和阿拉斯加的池智力资源，文化资产和经验土著（Aian）青年自杀差异是：1）制定和测试可以可持续的生产策略减轻青年自杀的负担并促进土著社区的韧性；传播以促进部落社区参与研究活动； 3）提供者和政策制定者也使用基于科学的信息来制定心理健康政策和计划减少自杀的目的是：目标1）活动和Capace建设以促进，生产和共享证据，以防止青年自杀和促进弹性，并在集线器合作伙伴的设置中应用相关发现（White Mountain Apache，Navajo，San Carlos Apache， Hualapai和Cherokee Nation），以及通过与其他人合作的其他感兴趣的部落社会区域枢纽和国家盟友2）进行严格的自杀预防研究部落可以使用的预防策略可持续减轻AI青年自杀的负担并促进韧性。文化嵌入式跨专业社区精神卫生工作者（CMHWS）。设置，该中心的主要研究站点和Caih自1994年以来就进行了。它包括一个强大的部落规定的自杀监视和随访系统由Apache CMHWS经营，在该枢纽的二级研究站点的复制复制的早期阶段。特定于部落的监视系统将帮助研究团队监测自我伤害的趋势和模式在赠款期间和之后；并提供一个测试策略的平台，以防止青年自杀并促进韧性。三个卫星站点（San Carlos Apache，Hualapai和Cherokee Nation），《平行监视》的发展系统，研究技能和预防干预措施将根据当地政策和服务重点确定。 3）为部落领导人和盟军合作伙伴（包括其他人）开展宣传并传播基于科学的信息。枢纽，制定心理健康政策和计划，以减少各种部落环境的青年自杀西南枢纽建立在约翰·霍普金斯·凯希（Johns Hopkins Caih）的30多年以上的公共卫生研究记录中山地山部落和纳瓦霍民族。部落合作伙伴，产生新的证据，锻炼部落苏布里奇，并利用广泛的国家网络分享减少青年自杀并促进对青年弹性的新理解的方法。