New Collaborative Research on Suicide Prevention, Practice, and Policy With American Indian and Alaska Native Communities Holds Promise for All Peoples.
New Collaborative Research on Suicide Prevention, Practice, and Policy With American Indian and Alaska Native Communities Holds Promise for All Peoples.
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DOI：
10.1177/15248399221116630
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发表时间：
2023-09
影响因子：
1.9
通讯作者：
Cwik M
中科院分区：
文献类型：
--
作者：
Barlow A;Haroz EE;O'Keefe VM;Brockie T;Manson SM;Allen J;Wexler L;Buchwald D;Rasmus S;Goklish N;Ivanich J;Stifter M;Cwik M
在美国，青少年自杀率正在上升，有色人种的年轻人死亡推动了这一上升趋势。四十多年来，美国印第安人和阿拉斯加原住民（AIAN）社区遭受了与美国其他种族相比不成比例的青年自杀率和多年的生产生活损失。美国国家精神卫生研究所（NIMH）最近资助了三个区域合作中心，与阿拉斯加州和美国西南部农村和城市地区的AIAN社区开展自杀预防研究，实践和政策制定。该中心的伙伴关系正在支持各种各样的部落驱动的研究，方法和政策，这些研究，方法和政策对于增加经验驱动的公共卫生战略以解决青年自杀问题具有直接价值。我们讨论了跨中心工作的独特之处，包括：（a）长期的基于社区的前瞻性研究过程，导致了中心的创新设计和自杀预防和评估的新方法，（B）综合生态理论方法，将个人风险和保护因素置于多层次的社会背景中;（c）独特的任务转移和护理方法系统，以扩大对资源匮乏环境中青年自杀问题的影响和影响;（d）优先考虑基于优势的方法。AIAN青年自杀预防合作中心的工作正在产生具体和实质性的影响，实践，政策和研究在这篇文章中提出的时候，青年自杀预防是一个可怕的国家优先事项。这些方法也与世界各地历史上被边缘化的社区有关。
Youth suicide is increasing in the United States, with deaths among younger people of color driving this upward trend. For more than four decades, American Indian and Alaska Native (AIAN) communities have suffered disproportionate rates of youth suicide and years of productive life lost compared to other U.S. Races. The National Institute of Mental Health (NIMH) recently funded three regional Collaborative Hubs to carry out suicide prevention research, practice, and policy development with AIAN communities in Alaska and rural and urban areas of the Southwestern United States. The Hub partnerships are supporting a diverse array of tribally-driven studies, approaches, and policies with immediate value for increasing empirically driven public health strategies to address youth suicide. We discuss unique features of the cross-Hub work, including: (a) long-standing Community-Based Participatory Research processes that led to the Hubs’ innovative designs and novel approaches to suicide prevention and evaluation, (b) comprehensive ecological theoretical approaches that contextualize individual risk and protective factors in multilevel social contexts; (c) unique task-shifting and systems of care approaches to increase reach and impact on youth suicide in low-resource settings; and (d) prioritization of strengths-based approaches. The work of the Collaborative Hubs for AIAN youth suicide prevention is generating specific and substantive implications for practice, policy, and research presented in this article at a time when youth suicide prevention is a dire national priority. Approaches also have relevance for historically marginalized communities worldwide.