Strengths-Based Assessment for Suicide Prevention: Reasons for Life as a Protective Factor From Yup'ik Alaska Native Youth Suicide.

Strengths-Based Assessment for Suicide Prevention: Reasons for Life as a Protective Factor From Yup'ik Alaska Native Youth Suicide.
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DOI:
10.1177/1073191119875789
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发表时间:
2021-04
期刊:
影响因子:
3.8
通讯作者:
the Qungasvik Team
the Qungasvik Team
中科院分区:
心理学2区
文献类型:
--
作者:
Allen J;Rasmus SM;Fok CCT;Charles B;Trimble J;Lee K;the Qungasvik Team

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自杀是美国印第安人和阿拉斯加原住民青年的第二大死因,也是阿拉斯加原住民青年亚群的主要死因。为了应对这场公共卫生危机,美洲印第安人和阿拉斯加原住民社区制定了战略,通过利用当地原住民福祉框架和文化优势来建立复原力,以保护他们的年轻人。这些预防自杀的方法强调促进保护因素而不是降低风险。基于文化的自杀风险保护因素的措施有可能评估这些基于实力,基于文化的自杀预防工作的结果,并可能解决有关直接评估自杀风险的几个实质性问题。我们报告的原因生活(RFL)规模,自杀的保护因素的措施,测试心理测量特性,包括内部结构与302农村阿拉斯加原住民Yupik青年。验证性因素分析显示,RFL是最好的描述,通过三个不同的一阶因素下组织一个更高的二阶因素。项目反应理论分析确定了11个令人满意的功能项目。RFL与更一般的保护因素的其他措施相关。这些研究结果的影响进行了描述,包括其他美洲印第安人和阿拉斯加原住民,其他土著,和其他文化上不同的自杀差异群体的普遍性。
Suicide is the second leading cause of death among American Indian and Alaska Native youth, and within the Alaska Native youth subpopulation, the leading cause of death. In response to this public health crisis, American Indian and Alaska Native communities have created strategies to protect their young people by building resilience using localized Indigenous well-being frameworks and cultural strengths. These approaches to suicide prevention emphasize promotion of protective factors over risk reduction. A measure of culturally-based protective factors from suicide risk has potential to assess outcomes from these strengths-based, culturally grounded suicide prevention efforts, and can potentially address several substantive concerns regarding direct assessment of suicide risk. We report on the Reasons for Life (RFL) scale, a measure of protective factors from suicide, testing psychometric properties including internal structure with 302 rural Alaska Native Yup’ik youth. Confirmatory factor analyses revealed the RFL is best described through three distinct first-order factors organized under one higher second-order factor. Item response theory analyses identified eleven satisfactorily functioning items. The RFL correlates with other measures of more general protective factors. Implications of these findings are described, including generalizability to other American Indian and Alaska Native, other Indigenous, and other culturally distinct suicide disparities groups.
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