Adaptation and Pilot Test of a Universal School-Based Suicide Prevention Program

普遍的基于学校的自杀预防计划的适应和试点测试

• 批准号: 10206479
• 负责人: Holly C Wilcox
• 金额: $ 1.34万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-03-01 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10206479
• 关键词: Acute; Address; Adolescent; Affect; African American; Age; American; Anxiety; Attention; Benefits and Risks; COVID-19; COVID-19 outbreak; COVID-19 pandemic; Caring; Caucasians; Cessation of life; Characteristics; Child; Cities; Clinical; Code; Color; Communities; Companions; Country; County; Data; Data Aggregation; Data Analyses; Data Linkages; Data Sources; Diagnosis; Disasters; Disease Outbreaks; Economics; Educational process of instructing; Educational workshop; Elderly; Emergency Situation; Environmental Risk Factor; Ethnic Origin; Etiology; Firearms; Funding; Gender; General Population; Goals; Guidelines; Health; Health Insurance; Health Maintenance Organizations; Health Services; Healthcare; Home; Hong Kong; Hospitals; Individual; Information Systems; Insurance; Insurance Carriers; Investigation; Investments; Latinx; Length of Stay; Link; Location; Logistics; Maryland; Measures; Medicaid; Medical Assistance; Medical Records; Mental Depression; Mental Health; Mental Health Services; Morbidity - disease rate; National Institute of Mental Health; Outcome; Pathway interactions; Patients; Policies; Population; Prevention; Prevention program; Private Hospitals; Procedures; Process; Public Health; Race; Research; Residual state; Resource Allocation; Risk; Risk Factors; Rural; Sales; Schools; Services; Severe Acute Respiratory Syndrome; Shelter facility; Social Environment; Social isolation; Statutes and Laws; Strategic Planning; Structural Racism; Suicide; Suicide attempt; Suicide prevention; Telemedicine; Telemental; Testing; Trauma; Uncertainty; United States; United States National Institutes of Health; Vulnerable Populations; Work; World Health Organization; Youth; adolescent suicide; base; contextual factors; coronavirus disease; data interoperability; digital; economic impact; health disparity; innovation; insurance claims; mortality; multiple data sources; novel; outreach; pandemic disease; post-traumatic stress; programs; racial disparity; response; service utilization; social; social cohesion; social health determinants; social structure; socioeconomics; suicidal morbidity; suicide rate; telehealth

Suicide has been a persistent public health problem in the United States. Whereas some other countries have been able to reduce their national rate, there has not been the same level of attention to the emerging evidence, data informed resource allocation, and level of national investment in suicide prevention in the United States. Although we have data collected on multiple potential etiological factors that could be linked and used for action, these data often sit in silos. As was concluded by a National Institutes of Health Pathways to Prevention workshop on youth suicide, data sources can be linked in order to approve surveillance, outreach, and to inform which clinical and community approaches work for whom and under what conditions. Many logistical, data interoperability, and practical issues with data linkage can be overcome. This project will conduct data linkage at the state level in Maryland using individual-level medical records linked with data on community contextual factors to study patient characteristics (e.g., age, gender, race, ethnicity); social determinants of health and socioeconomic context; clinical attributes (e.g., diagnoses, procedures); hospital encounter attributes (e.g., insurance payer, length of stay days); hospital attributes (e.g., urban, rural, teaching, private), and hospital location (county, city, postal zip code) in relation to suicide. We have three co-occurring national challenges/traumas in the United States right now: 1) the deadly COVID-19 pandemic and associated shelter in place order; 2) the economic impact of COVID, 3) civil unrest due to racial injustice. The effects of these national challenges disproportionately have affected people of color and have broadened the social and economic divide. As of June 19, 2020, we have lost approximately 120,000 Americans to COVID-19. This project will link data from multiple sources in Maryland to 1) identify predictors of youth suicide by race/ethnicity 2) study access to and continuity of mental health services before and during COVID-19 among youth by race/ethnicity.

自杀一直是美国持续存在的公共卫生问题。而其他一些国家已经 尽管能够降低其国家税率，但对新兴市场的关注程度却没有得到同等程度的提高。 证据、数据告知资源分配以及国家对预防自杀的投资水平 美国。尽管我们收集了多种可能相互关联的潜在病因的数据， 用于行动时，这些数据通常位于孤岛中。正如美国国立卫生研究院得出的结论： 关于青少年自杀的预防研讨会，可以链接数据源以批准监测、外展、 并告知哪些临床和社区方法对谁以及在什么条件下有效。许多 物流、数据互操作性和数据链接的实际问题都可以得到解决。该项目将 使用与数据相关联的个人级医疗记录在马里兰州进行州级数据链接 研究患者特征的社区背景因素（例如年龄、性别、种族、民族）；社会的 健康和社会经济背景的决定因素；临床属性（例如诊断、手术）；医院 遭遇属性（例如保险付款人、住院天数）；医院属性（例如城市、农村、教学、 私人），以及与自杀相关的医院地点（县、市、邮政编码）。我们有三个同时发生的 美国目前面临的国家挑战/创伤：1) 致命的 COVID-19 大流行及相关 就地避难令； 2) 新冠疫情的经济影响，3) 种族不公正造成的内乱。的影响 这些国家挑战不成比例地影响了有色人种，并扩大了社会和 经济鸿沟。截至 2020 年 6 月 19 日，我们已有约 120,000 名美国人因 COVID-19 死亡。这 项目将连接马里兰州多个来源的数据，以 1) 按种族/民族确定青少年自杀的预测因素 2) 研究青少年在 COVID-19 之前和期间获得心理健康服务的情况和连续性 种族/民族。