SCHOOL ENVIRONMENT: EFFECT ON SUICIDE PREVENTION PROGRAM

预防青少年自杀是国家卫生优先事项，学校自杀预防计划是国家解决青少年自杀危机战略的关键组成部分。然而，很少有人知道的因素，影响这些方案在学校系统的实施和修改。这项探索性研究将使用定性和定量的研究方法来检查LAUSD青少年自杀预防计划（YSPP）的当前实施情况，该计划是一个全区范围的计划，提供预防和危机干预服务，符合CDC推荐的学校看门人在学校预防自杀。我们将使用YSPP在该地区所有高中产生的最近2年的记录，以检查实施自杀学生危机干预措施的变化。我们将采访关键的线人（如学校管理人员，危机干预人员和教师），以开发一个更丰富的了解这个程序是如何在整个地区的高中实施，模型实施存在什么障碍，以及它是如何被修改。具体目标包括： 1.确定在LAUSD高中YSPP实施的变化。 2.研究YSPP实施的变化如何与学校环境的关键因素相关。 3.探讨学校的环境因素如何促进和阻碍YSPP的实施。 4.探讨学校如何修订展翅计划，以及这些修订与学校环境的关系。 这一探索性研究将导致更好地了解在众多潜在因素中， 是对LAUSD YSPP实际实施影响最大的关键因素，也是我们新研究的第一步，旨在通过开发可在当今学校有效实施的方案来改善青少年自杀预防工作。

DESCRIPTION (provided by applicant): Prevention of youth suicide is a national health priority, and school suicide prevention programs are a key component of the nation's strategy to address the crisis of youth suicide. Yet, little is known about the factors that affect the implementation and modification of these programs in school systems. This exploratory study will use qualitative and quantitative research methodologies to examine the current implementation of the LAUSD Youth Suicide Prevention Program (YSPP), a district-wide program that provides prevention and crisis intervention services consistent with the CDC's recommended School Gatekeeper for Suicide Prevention in Schools. We will use the most recent 2 years of records generated by the YSPP across all high schools in the district to examine variations in the implementation of crisis interventions with suicidal students. We will interview key informants (e.g. school administrators, crisis intervention staff, and teachers) to develop a richer understanding of how this program is being implemented in high schools across the district, what barriers to model implementation exist, and how it is being modified. The specific aims include: 1. Identifying the variation of YSPP implementation across high schools in the LAUSD. 2. Examining how variation in YSPP implementation is related to the key dimensions of the school environment. 3. Exploring how contextual factors in the school facilitate and impede the implementation of the YSPP. 4. Exploring how schools are modifying the YSPP, and the relationship between these modifications and school environment. This exploratory study will result in a better understanding of which, in the multitude of potential factors, are the key factors that most greatly influence the actual implementation of the YSPP in LAUSD, and serves as our first step in a new line of research designed to improve youth suicide preventions efforts by developing programs that can be effectively implemented in today's schools.