Southwest Hub for American Indian Youth Suicide Prevention Research

美国印第安青年自杀预防研究西南中心（西南中心）的总体目标是， * 建立部落领导人、调查人员、干预人员、服务提供者和服务使用者的协作网络， 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，以克服美洲印第安人和阿拉斯加 原住民（AIAN）青少年自杀差异。主要目标是：1）制定和测试预防战略， 减少青少年自杀的负担，促进土著社区的复原力; 2）开展外展活动， 传播以促进更多的部落社区参与研究活动; 3）使部落领袖， 提供者和政策制定者使用基于科学的信息来制定心理健康政策和计划， 减少自杀。具体目标是：目标1）发展一个行政核心，以支持沟通、协调 开展活动和能力建设，以促进、制作和分享预防青少年自杀的证据，并促进 恢复力，并将相关研究结果应用于中心合作伙伴的环境（白色山阿帕奇，纳瓦霍，圣卡洛斯阿帕奇， Hualapai和切罗基族），并通过与其他有关部落社区的合作， 区域中心和国家联盟。目的2）进行严格的自杀预防研究，以测试一系列新的 部落可以使用的预防策略，以可持续地减少AI青年自杀的负担，并促进 resilience.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， 文化嵌入的准专业社区精神卫生工作者（CMHWs）。在白色山阿帕奇 设置，为这个枢纽的主要研究网站，我们将建立在一个青少年自杀预防研究，部落 和CAIH自1994年以来进行的。它包括一个强大的部落授权的自杀监视和后续系统 由Apache CMHWs运行，处于Navajo Nation复制的早期阶段，Navajo Nation是该中心的二级研究站点。 部落特定的监测系统将帮助研究小组监测自我伤害的趋势和模式， 提供一种独特的手段，以招募自杀的土著青年的社区为基础的样本; 并提供一个平台，以测试预防青少年自杀和促进复原力的战略。对于合作者来说， 三个卫星站点（圣卡洛斯阿帕奇、华拉派和切罗基民族），发展并行监视 将根据当地政策和服务优先事项确定系统、研究技能和预防干预措施。目的 3)为部落首领和盟友伙伴，包括其他伙伴，开展外联活动，传播科学信息 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。的 西南枢纽建立在约翰霍普金斯CAIH，白色 山地阿帕奇部落和纳瓦霍族。这些合作伙伴准备将可信赖的研究关系扩展到新的 部落伙伴，提出新的证据，行使部落主权，以改善公共卫生，并利用广泛的国家 建立网络，分享减少青年自杀差异的方法，并促进对青年复原力的新理解。

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.