Suicide prevention as a community development process: understanding circumpolar youth suicide prevention through community level outcomes.
Suicide prevention as a community development process: understanding circumpolar youth suicide prevention through community level outcomes.
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DOI：
10.3402/ijch.v68i3.18328
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发表时间：
2009-06
影响因子：
1.3
通讯作者：
People Awakening Team
中科院分区：
文献类型：
--
作者：
Allen J;Mohatt G;Fok CC;Henry D;People Awakening Team
以社区为基础的模式在预防方面越来越突出，对极地土著社区的自杀预防具有特殊意义。因此，在社区层面可能会更全面地了解极地周围自杀预防计划的结果。我们在这里提出了一种在这一层次上进行分析的方法。本文旨在了解文化预防计划，在阿拉斯加州的农村Yup'ik青年针对自杀和共同发生的酗酒作为一个社区发展过程，通过在社区层面的变化。准实验设计，在干预前后或4个时间点进行评估。该项目的社区发展进程始于2004年10月。第一次方案基线评估于2006年11月开始，在与青年和家长开展预防活动之前，干预后评估于2008年3月结束。五个关键的线人前和干预后完成了社区准备评估，这是一个结构化的程序，评估社区的自杀意识作为一个问题，其组织准备预防规划。在预防方案中，43名成年护理人员或青少年赞助商在干预前、干预期间和干预后的4个时间点完成了对青少年自杀和酗酒的社区保护因素的行为评估。参与预防计划的54名青年在干预前、干预中和干预后的4个时间点完成了社区保护因素评估。评估的社区自杀保护因素包括安全、禁酒令的执行、榜样、对青年的支持和机会。社区对预防工作的准备增加到干预后准备的新发展阶段，数据中的趋势表明，社区保护因素增加了成年人采取的保护行为（斜率估计值=0.0162，95% CI-0.0028-0.0351，d= 0.55）和青年人的看法（斜率估计值=0.0148，95% CI-0.0004-0.0291，d= 0.45），与成人和青少年参加的预防项目次数呈剂量反应关系。使用可行性研究的数据，本文证明了方法的可行性和潜在的效用，使用社区层面的变量超越个人层面的结果，在极地自杀预防研究。
Community-based models have become increasingly prominent in prevention, and have special relevance for suicide prevention in circumpolar Indigenous communities. It follows that outcomes from circumpolar suicide prevention programs might be more completely understood at the community level. We present here a methodology for analysis at this level. This paper seeks to understand a cultural prevention program for rural Yup'ik youth in Alaska targeting suicide and co-occurring alcohol abuse as a community development process through changes at the community level. Quasi-experimental design with assessment at pre- and post-intervention or at 4 time points. The community development process for this project began in October 2004. The first program baseline assessment began in November 2006, prior to prevention activities with youth and parents, and the post-intervention assessment concluded in March 2008. Five key informants pre- and post-intervention completed a community readiness assessment, which is a structured procedure assessing a community's awareness of suicide as an issue and its organizational readiness for prevention programming. Forty-three adult caregivers or sponsors of youth in the prevention program completed an assessment of behaviours that contributed to community protective factors from youth suicide and alcohol abuse at 4 time points before, during and after the intervention. The 54 youth who participated in the prevention program completed an assessment of community protective factors, also at 4 time points before, during and after the intervention. The community protective factors from suicide that were assessed included safety, enforcement of alcohol prohibitions, role models, support and opportunities for youth. Community readiness for the prevention efforts increased to new developmental stages of readiness post-intervention, and a trend in the data suggested community protective factors increased in the amount of protective behaviours performed by adults (slope estimate=0.0162, 95% CI-0.0028–0.0351, d=.55) and in the perceptions of youth (slope estimate=0.0148, 95% CI-0.0004–0.0291, d=.45), in a dose response relationship to the number of prevention program sessions attended by adults and youth. Using data from a feasibility study, this paper demonstrates the feasibility and potential utility of methodological approaches that use community-level variables beyond individual level outcomes in circumpolar suicide prevention research.
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影响因子：
2
作者：
Oetting, ER;Jumper-Thurman, P;Edwards, RW
通讯作者：
Edwards, RW
DOI：
10.3109/10826089509048752
发表时间：
1995-01-01
期刊：
INTERNATIONAL JOURNAL OF THE ADDICTIONS
影响因子：
--
作者：
OETTING, ER;DONNERMEYER, JF;BEAUVAIS, F
通讯作者：
BEAUVAIS, F
影响因子：
3.3
作者：
Hawe, P;Noort, M;Jordens, C
通讯作者：
Jordens, C
影响因子：
5.9
作者：
Slater, MD;Edwards, RW;Keefe, TJ
通讯作者：
Keefe, TJ
DOI：
10.1300/j005v32n01_04
发表时间：
2006-01-01
影响因子：
1.1
作者：
Allen, James;Mohatt, Gerald V.;Lindley, Sharon
通讯作者：
Lindley, Sharon