Disseminating CAST - A Suicide Prevention Intervention

说明(申请人提供：自杀是15-19岁青少年的主要死亡原因。文献中呼吁为有自杀和抑郁风险的年轻人制定有针对性的计划。其中一项计划是应对和支持培训(CAST)。它是为青少年设计的，他们证明了自杀的风险因素，包括抑郁的情绪和愤怒控制问题。研究证据表明，CAST可以减少自杀行为、抑郁和愤怒。该计划已准备好广泛分发，其中包括对现实世界采用者的必要培训，获得支持和材料的机会，以及环境干预措施，以维持对CAST的忠实采用。 在第一阶段，我们建议开发和评估广泛传播CAST所需的产品。将使用重点小组和专家小组作为评价者。在第二阶段，我们将使用这些产品进行实验，确定实现实施保真度和计划可持续性所必需的要素。在第一阶段，我们会： 目标1：制定进行CAST培训的方法、材料和模式，这些方法、材料和模式要符合潜在消费者(如学校、社区精神卫生中心)的需求/要求，并与CAST培训模式保持一致。产品：CAST培训师指南。 目的2.制定评估和确定学校/社区自杀预防准备情况的方法、材料和模式，以便寻求实施CAST或其他自杀预防活动的收养人能够为开展预防工作提供安全、支持的环境。产品：预防自杀准备在线工具包。 目标3.创建应对和支持培训(CAST)的网络访问，以确保广泛提供和支持CAST预防计划。产品：CAST网站。 这一应用具有创新性，因为它试图阐明对传播经过经验检验的、表明的预防方案的关键因素，该方案旨在解决一个主要的公共卫生问题，即青少年自杀问题。

DESCRIPTION (provided by applicant: Suicide is a leading cause of death among youth aged 15-19 years. Indicated programs, for young people at risk of suicide and depression, are called for in the literature. One such program is Coping and Support Training (CAST). It is designed for teens who evidence risk factors for suicide including depressed mood and anger control problems. The research evidence shows that CAST produces decreases in suicidal behaviors, depression and anger. The program is ready for broad distribution, which includes required training for real world adopters, access to support and materials, and environmental interventions to sustain adoption of CAST with fidelity. In Phase I we propose the development and evaluation of products necessary to broad dissemination of CAST. Focus groups and experts panels will be used as evaluators. During Phase II we will use these products to conduct an experiment, identifying those elements essential to achieving implementation fidelity and program sustainability. During Phase I we will: Aim 1: Develop the methods, materials, and modalities for conducting CAST training that are cost-effective, compatible with potential consumers' (e.g. schools, community mental health centers) demands/requirements, and consistent with the CAST training model. Product: A CAST Trainer Guide. Aim 2. Develop the methods, materials and modalities to assess and establish school/community suicide prevention readiness so that adopters seeking to implement CAST or other suicide prevention activities can provide a safe, supportive environment for the conduct of prevention efforts. Product: Suicide Prevention Readiness Online Toolkit. Aim 3. Create Web access for Coping and Support Training (CAST) to ensure widespread availability of and support for the CAST prevention program. Product: CAST Web site. This application is innovative in that it seeks to explicate factors critical to the dissemination of empirically tested, indicated prevention programming designed to address a major public heath problem, that of youth suicide.