SPIRIT - Suicide Prevention & Implementation Research Initiative

SPIRIT项目摘要 许多自杀预防干预措施已经单独证明了有效性，但并没有 实施或转化为有意义的护理成果， 多重背景对实施过程的研究是决定一个 如果在更大范围内实施，综合干预是可持续的。该项目旨在 通过实施综合自杀预防干预措施， 古吉拉特邦的农村地区，并评估干预措施在改变行为的成功， 干预的社区接受者导致自杀率降低，自杀行为使用 RE-AIM框架。研究的第二个目的是培训专业人员进行 执行研究和产生关于提高或妨碍执行的关键因素的知识 扩大我们的方法，以便为推广到其他地区提出建议， 在印度和邻国孟加拉国。该项目的最终目标是 增强区域决策者的能力，将已开展的研究所产生的证据纳入 在古吉拉特邦的政策制定中预防自杀。该项目建议， 干预措施将在一个地区以随机对照试验的形式实施 古吉拉特邦（Mehesana），人口约203万，其中74%的人 该区的人口被归类为居住在农村地区。干预措施的组成部分 包括（a）发展一套复杂、多层面、多学科、多人口的自杀模式， 古吉拉特邦的预防干预（B）评估覆盖面、有效性、采用情况， （c）培训公共卫生工作者， 实施研究，以识别自杀意念和行为，并在建立 卫生工作者提供初步支助的能力，包括建立复原力的战略 培养应对策略，并将社区成员转介到服务机构。最终 结果是成年人自杀和自杀未遂的减少，此外， 青少年的自杀行为。

SPIRIT Project Summary Many suicide prevention interventions have demonstrated efficacy individually, but are not implemented or translated into meaningful care outcomes that can be implemented across multiple contexts. Researching the implementation process is a key to determine whether an integrated intervention is sustainable when implemented on a wider scale. This project aims to close the implementation gap by implementing an integrated suicide prevention intervention in a rural area of Gujarat and assess the success of the intervention in changing behavior of community recipients of the intervention leading to reduced suicides, suicidal behavior using RE-AIM framework. The second aim of the study is to train professionals to conduct implementation research and generate knowledge about key factors that enhance or hamper scaling-up our approach in order to make recommendations for spread to other regions and states in India and in the neighboring country of Bangladesh. A final aim of the project is to empower regional policy makers to integrate evidence generated from implemented research on suicide prevention in policy making in Gujarat. The project proposes that the integrated intervention will be implemented as a cluster randomized controlled trial, in one district (Mehesana) of the state of Gujarat, which has a population of about 2.03 million, with 74% of the district’s population classified as living in rural areas. The components of the intervention include (a) developing a complex multi-level, multi-disciplinary, multi-population suicide prevention intervention for the state of Gujarat (b) assess reach, effectiveness, adoption, and consistency and cost effectiveness of this intervention (c) train public health workers to conduct implementation research for recognizing suicidal ideation and behaviors, and in building the capacity of health workers to provide initial support, including strategies for building resilience and fostering coping strategies, and referring community members to services. The ultimate outcome is reduction in suicides and attempted suicides among adults and in addition, reduction in suicidal behavior among adolescents.