SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings

项目总结 自杀是一个重大的公共卫生问题，美国总人口的自杀率在以下几年逐渐上升 时间到了。自杀的负担在许多美洲印第安人部落中更加明显，特别是在年轻人中， 据估计，平均失业率大约是美国总人口的四倍。的影响 这些死亡事件在整个社区都能感受到。旨在防止自杀的计划在 这些环境是国家精神卫生研究所的最优先事项之一。然而，即使是 当我们知道预防方案有效时，维持它们及其效果被证明是具有挑战性的。这个 本次K01指导研究职业发展奖的总体目标是拓宽候选人的 可持续发展科学方面的专业知识。通过课程作业、有组织的指导活动和应用 在学习过程中，候选人将在(1)传播和实施(D&I)科学方面培养新的能力 注重维持；(2)美洲印第安人健康研究；(3)创新方法的使用 方法，包括混合方法和系统动态方法；和(4)专业发展，以 成为NIMH资助的独立调查员。约瑟夫·加洛博士、香农·威尔西-斯蒂尔曼博士和艾莉森博士 巴洛将提供主要指导，并由一支专注的跨学科顾问团队加入 导师包括Takeru Igusa博士、Sonja Schoenwald博士、Lawrence Palinkas博士、Lindsey Zimmerman博士和Teresa博士 布罗基。这项研究将利用NIMH U19西南自杀预防中心进行。这个 候选人将结合混合方法和系统动态科学，创新地识别、排序和 最终，测试战略以加强庆祝生命青年自杀预防方案的可持续性，如 它被传播到其他部落背景下。在当地，这项研究将帮助我们的社区合作伙伴设计 在他们的环境中维持有效的自杀预防计划的解决方案。更广泛地说，这项研究 解决在传播和实施(D&I)科学中可持续发展的研究方面的一个重大差距 领域，重点是来自低资源和代表性不足群体的人口，代表了 D&I科学的核心价值观！这项研究的结果将为R01提案的制定提供参考，重点是 测试系统动态方法作为适当支持的实施中的维持策略 审判。研究目标推进了NIMH战略目标#4加强NIMH对公共健康的影响 通过制定和验证“实施、持续和持续的战略”来支持研究 改进循证实践“(4.2a)，并与美国国立卫生研究院的研发科学优先事项相一致，重点是 “研究测试扩大和维持有效干预措施的方法。”

PROJECT SUMMARY Suicide is a significant public health problem with rates in the US general population gradually increasing over time. The burden of suicide is even more pronounced in many American Indian tribes, especially among youth, with average rates estimated to be about four times higher than the US general population. The effects of these deaths are felt throughout communities. Programs aimed at preventing suicide are critically important in these settings and represent one of the top priorities of the National Institute of Mental Health. However, even when we know prevention programs work, sustaining them and their effects has proved challenging. The overall goal of this K01 Mentored Research Career Development Award is to broaden the candidate’s expertise in the science of sustainment. Through coursework, structured mentorship activities and applied learning, the candidate will develop new competencies in (1) Dissemination and Implementation (D&I) science with a focus on sustainment; (2) American Indian health research; (3) use of innovative methodologic approaches, including mixed-methods and systems dynamic approaches; and (4) professional development, to become an independent NIMH-funded investigator. Drs. Joseph Gallo, Shannon Wiltsey-Stirman, and Allison Barlow will provide primary mentorship, and are joined by a team of dedicated and interdisciplinary consultant mentors including Drs. Takeru Igusa, Sonja Schoenwald, Lawrence Palinkas, Lindsey Zimmerman and Teresa Brockie. The research will be conducted by leveraging the NIMH U19 Southwest Suicide Prevention Hub. The candidate will combine mixed-methods and systems dynamic science, to innovatively identify, prioritize and ultimately, test strategies to enhance sustainment of the Celebrating Life youth suicide prevention program as it is disseminated to other tribal contexts. Locally, this research will help our community partners to devise solutions for sustaining effective suicide prevention programs in their settings. More broadly, this study addresses a critical gap in research on sustainment in the Dissemination and Implementation (D&I) science field, and focuses on populations from low-resource and underrepresented groups, representing one of the core values of D&I science.!Results from this study will inform development of an R01 proposal focused on testing systems dynamic approaches as sustainment strategies in an appropriately powered implementation trial. The study goals advance NIMH strategic objective #4 strengthening the public health impact of NIMH supported research by developing and validating “strategies for implementing, sustaining and continuously improving evidence-based practices” (4.2a) and is consistent with NIH’s Priorities for D&I science, focusing on “research testing approaches to scaling up and sustaining effective interventions.”