Protective Factors as a Unifying Framework for Strength-Based Intervention and Culturally Responsive American Indian and Alaska Native Suicide Prevention
Protective Factors as a Unifying Framework for Strength-Based Intervention and Culturally Responsive American Indian and Alaska Native Suicide Prevention
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DOI：
10.1007/s11121-021-01265-0
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发表时间：
2021-06-24
影响因子：
3.5
通讯作者：
Rasmus, Stacy
中科院分区：
文献类型：
--
作者：
Allen, James;Wexler, Lisa;Rasmus, Stacy
美国印第安人和阿拉斯加原住民（AIAN）青年自杀的持续挑战是一个相对较新的历史起源的公共卫生危机，当代预防科学没有充分解决。AIAN自杀预防的一个有希望的发展突出了保护因素的作用。保护性因素框架采用社会生态视角和社区层面干预范式。强调保护突出了AIAN在预防青年自杀方面基于实力的文化战略。对多个交叉层面的关注包括促进社区和个人复原力进程的战略，寻求影响更大的背景以及其中的个人。这种做法扩大了自杀预防战略的范围，超越了个人层面和三级预防战略。侧重于保护机制的干预措施为减少风险办法提供了一种严格、可复制和补充性的预防科学替代办法。这篇精选的评论批判性地审视了最近AIAN保护因子自杀预防科学。其目的之一是澄清保护、复原力和文化连续性等关键概念。一个更广泛的目标是描述这个有前途的新框架的演变，以进行有关AIAN自杀的初步研究，并设计和测试更有效的干预措施。建议强调关注机制，多层次的互动，更精确地使用理论和术语，对新干预措施发展的影响，对意外影响的警觉性，以及文化作为AIAN自杀预防保护因素框架的基础。一个保护性因素框架具有推进AIAN自杀预防和与其他文化上不同的自杀差异群体合作的巨大潜力，对预防科学的其他领域具有广泛的影响。
The ongoing challenge of American Indian and Alaska Native (AIAN) youth suicide is a public health crisis of relatively recent historical origin inadequately addressed by contemporary prevention science. A promising development in AIAN suicide prevention highlights the role of protective factors. A protective factor framework adopts a social ecological perspective and community-level intervention paradigm. Emphasis on protection highlights strength-based AIAN cultural strategies in prevention of youth suicide. Attention to multiple intersecting levels incorporates strategies promoting community as well as individual resilience processes, seeking to influence larger contexts as well as individuals within them. This approach expands the scope of suicide prevention strategies beyond the individual level and tertiary prevention strategies. Interventions that focus on mechanisms of protection offer a rigorous, replicable, and complementary prevention science alternative to risk reduction approaches. This selected review critically examines recent AIAN protective factor suicide prevention science. One aim is to clarify key concepts including protection, resilience, and cultural continuity. A broader aim is to describe the evolution of this promising new framework for conducting primary research about AIAN suicide, and for designing and testing more effective intervention. Recommendations emphasize focus on mechanisms, multilevel interactions, more precise use of theory and terms, implications for new intervention development, alertness to unanticipated impacts, and culture as fundamental in a protective factors framework for AIAN suicide prevention. A protective factor framework holds significant potential for advancing AIAN suicide prevention and for work with other culturally distinct suicide disparity groups, with broad implications for other areas of prevention science.