Penn Innovation in Suicide Prevention Implementation Research (INSPIRE) Center

宾夕法尼亚大学预防自杀创新实施研究 (INSPIRE) 中心

• 批准号: 10294750
• 负责人: GREGORY K BROWN
• 金额: $ 307.44万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-15 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10294750
• 关键词: 15 year old; Accident and Emergency department; Address; Affect; Behavior; Caring; Cause of Death; Cognitive Therapy; Collaborations; Community Healthcare; Data; Death Rate; Discrimination; Effectiveness; Evidence based intervention; Evidence based practice; Foundations; Funding; General Population; Goals; Hispanics; Home; Homophobia; Individual; Interdisciplinary Study; Intervention; Intervention Studies; Lesbian Gay Bisexual Transgender; Low income; Machine Learning; Marriage; Mentors; Methodology; Methods; Minority Groups; Modeling; NCI Scholars Program; Not Hispanic or Latino; Organizational Culture; Patients; Pennsylvania; Pilot Projects; Policies; Population; Populations at Risk; Prevention Research; Provider; Psychiatry; Psychology; Public Health; Recording of previous events; Research; Research Design; Research Personnel; Resources; Risk; Safety; Science; Scientist; Services; Sexual and Gender Minorities; Suicide; Suicide prevention; Testing; Training; Underrepresented Populations; Underserved Population; Universities; Vulnerable Populations; Work; Youth; age group; aged; base; behavior change; cost effective; cost effective intervention; design; disadvantaged population; disenfranchised population; effective intervention; ethnic minority population; evidence base; experience; follow-up; health care settings; health economics; health information technology; high risk; implementation research; implementation science; implementation strategy; innovation; interdisciplinary approach; novel; novel strategies; practice setting; preventive intervention; racial and ethnic; racism; reducing suicide; same-sex marriage; scale up; sex; suicidal individual; suicidal morbidity; suicidal risk; telehealth

This proposal is to develop the University of Pennsylvania’s Innovation in Suicide Prevention Implementation Research (INSPIRE) Center. Suicide is a leading cause of death in the US that disproportionately affects minority and disenfranchised populations, including Blacks, Hispanics and sexual/gender minorities. Yet, these groups often are not included in suicide prevention research. Guided by a conceptual model based on the Integrated Behavior Model, which posits that organizational culture, policies, and resources (or lack thereof) impact the provider’s attributes and behaviors, INSPIRE brings together psychology, implementation science, health economics, machine learning, health information technology, psychiatry and participatory research experts to apply innovative interdisciplinary approaches to suicide prevention. INSPIRE’s overarching goals are to develop and adapt practice-based and other suicide prevention interventions for underserved groups and to design and test implementation strategies to optimize how evidence-based practices can be brought to scale efficiently and with high fidelity, for optimal effectiveness. INSPIRE will prioritize strategies that can be rapidly deployed in a range of practice settings, including those with limited resources, thereby increasing their reach and public health impact. Penn INSPIRE will use state-of-the-science methods from participatory research to actively engage stakeholders from many sectors – including patients, providers, and payers – at every level of its work to accomplish its Specific Aims. INSPIRE will apply innovative, interdisciplinary behavior change and implementation science methods to develop, adapt, and evaluate cost effective interventions. A Signature Project will use a stepped wedge study design to test an innovative organizational strategy that leverages telehealth to deliver high quality Safety Planning Intervention and follow-up services in Emergency Departments. Three Exploratory Projects will test novel strategies for suicide prevention across individual, clinician, and organizational levels and with specific vulnerable populations that will lay the foundation for more definitive studies. INSPIRE will also support 10 pilot projects and an innovative Methods Core that will develop and test new methods to advance research at the intersection of suicide prevention and implementation science. The Suicide Prevention Scholars Program will expand the cadre of suicide prevention researchers by engaging both emerging investigators and established scientists who do not currently work on suicide prevention – particularly those from groups under-represented in research – through content, design. and methodological mentoring and capacity-building. By catalyzing interdisciplinary, cross-sector collaborations and advancing suicide prevention research, care, and policy both locally and nationally, we will develop cost-effective, practical, and efficient ways to implement evidence-based suicide prevention interventions. INSPIRE is poised to be transformational for suicide prevention.

这项建议是为了发展宾夕法尼亚大学的自杀预防实施创新 INSPIRE研究中心。自杀是美国的主要死亡原因， 少数群体和被剥夺公民权的人口，包括黑人、西班牙裔和性/性别少数群体。然而这些 自杀预防研究通常不包括群体。以基于 综合行为模型，假定组织文化、政策和资源（或缺乏） 影响供应商的属性和行为，INSPIRE汇集了心理学，实施科学， 卫生经济学、机器学习、卫生信息技术、精神病学和参与性研究 专家将创新的跨学科方法应用于预防自杀。INSPIRE的总体目标是 为服务不足的群体制定和调整基于实践的自杀预防干预措施和其他自杀预防干预措施， 设计和测试实施策略，以优化如何将循证实践推广到大规模 高效率和高保真度，以获得最佳效果。INSPIRE将优先考虑能够迅速 在一系列实践环境中部署，包括在资源有限的环境中部署，从而扩大其覆盖面 和公共卫生影响。Penn INSPIRE将使用从参与性研究到 积极参与来自许多部门的利益相关者-包括患者，提供者和付款人-在各个层面， 其工作是为了实现其具体目标。INSPIRE将应用创新的、跨学科的行为改变， 实施科学方法，以制定、调整和评估具有成本效益的干预措施。签名 项目将使用一个阶梯式楔形研究设计来测试一个创新的组织战略， 远程医疗为急诊科提供高质量的安全规划干预和后续服务。 三个探索性项目将测试自杀预防的新策略，包括个人、临床医生和 组织层面和特定的弱势群体，这将奠定基础， 问题研究INSPIRE还将支持10个试点项目和一个创新的方法核心， 在自杀预防和实施科学的交叉点推进研究的新方法。的 自杀预防学者计划将扩大自杀预防研究人员的干部， 新兴的调查人员和现有的科学家目前不从事自杀预防工作，特别是 那些来自研究中代表性不足的群体的人-通过内容，设计。和方法指导， 能力建设。通过促进跨学科，跨部门的合作和推进自杀预防 在地方和国家的研究、护理和政策方面，我们将开发具有成本效益、实用和有效的方法， 实施循证自杀预防干预措施。INSPIRE准备转型， 自杀预防