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.

美国印第安人青少年自杀预防研究西南中心（西南中心）的总体目标是建立一个由部落领袖、调查人员、干预人员、服务提供者和服务使用者组成的协作网络西南地区将由值得信赖的科学合作伙伴——约翰·霍普金斯美洲印第安人中心管理健康（CAIH）——汇集智力资源、文化资产和经验，战胜美洲印第安人和阿拉斯加本土 (AIAN) 青少年自杀差异的主要目标是：1) 制定和测试可持续的预防策略。减轻青少年自杀负担并提高原住民社区的复原力；2) 开展外展活动；传播以促进部落社区更多地参与研究活动；以及，3) 使部落领袖能够，提供者和政策制定者利用基于科学的信息来制定心理健康政策和计划，减少自杀的具体目标是：目标 1) 建立一个行政核心来支持沟通、协调。开展活动和能力建设，以促进、产生和分享预防青少年自杀的证据，并促进复原力，并将相关发现应用于中心合作伙伴的环境（白山阿帕奇、纳瓦霍、圣卡洛斯阿帕奇、 Hualapai 和 Cherokee Nations），以及通过与其他感兴趣的部落社区合作区域中心和国家盟友目标 2) 进行严格的自杀预防研究以测试一系列新颖的研究。部落可以使用预防策略来可持续地减轻人工智能青少年自杀的负担并促进一个关键的优先事项将是证明任务转移干预管理的有效性。白山阿帕奇地区具有文化根基的辅助专业社区心理健康工作者 (CMHW)。作为该中心的主要研究地点，我们将建立在部落的一系列青少年自杀预防研究的基础上和 CAIH 自 1994 年以来一直在开展。它包括一个强大的部落授权的自杀监测和跟踪系统由 Apache CMHW 运行，纳瓦霍族国家（该中心的二级研究站点）正处于复制的早期阶段。针对部落的监测系统将帮助研究团队在事前监测自残的趋势和模式在资助期间和之后提供一种独特的方式来招募有自杀倾向的土著青年的社区样本；并为测试预防青少年自杀和提高复原力的策略提供平台。三个卫星站点（圣卡洛斯阿帕奇、瓦拉派和切罗基国家），并行监视的发展系统、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) 为部落领袖和联盟伙伴（包括其他人）开展外展活动并传播基于科学的信息中心，制定心理健康政策和计划，以减少不同部落环境中的青少年自杀。西南中心建立在约翰·霍普金斯大学 CAIH、White 之间 30 多年的公共卫生研究记录之上阿帕奇山部落和纳瓦霍族部落这些合作伙伴准备将值得信赖的研究关系扩展到新的领域。部落合作伙伴，提供新的证据，行使部落主权以改善公共卫生，并利用广泛的国家网络分享减少青少年自杀差异并促进对青少年复原力的新认识的方法。