Disseminating CAST - A Suicide Prevention Intervention

描述（由申请人提供）：自杀是15-19岁青少年死亡的主要原因。针对有自杀和抑郁风险的年轻人，有针对性的项目在文献中被呼吁。其中一个项目是应对和支持培训（CAST）。它是为那些有自杀风险因素的青少年设计的，包括抑郁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的采用者进行必要的培训，获得支持和材料，以及环境干预，以保持对CAST的忠实采用。

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.