Enhancing Clergy Suicide Prevention and Referral

加强神职人员自杀预防和转介

• 批准号: 8012692
• 负责人: Richard Charles Goldsworthy
• 金额: $ 4.48万
• 依托单位: ACADEMIC EDGE, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8012692
• 关键词: Address; Adoption; Affect; Agreement; Arts; Awareness; Behavior; Belief; Cause of Death; Cessation of life; Clergy; Continuing Education; Data; Development; Diffuse; Diffusion; Educational Curriculum; Educational workshop; Elements; Feeling suicidal; Gatekeeping; Goals; Health Personnel; Health Professional; Indiana; Individual; Industry; Institution; Instruction; Internet; Interview; Joints; Knowledge; Lead; Learning; Marketing; Measures; Mental Health; Modeling; Online Systems; Outcome Measure; Paper; Peer Review; Performance; Persons; Phase; Play; Problem-Based Learning; Process; Public Health; Publishing; Reaction; Religion and Spirituality; Research; Risk; Risk Factors; Risk Reduction; Role; Scanning; Self Efficacy; Simulate; Social Interaction; Solutions; Source; Structure; Suicide; Suicide prevention; Surveys; Technology; Trainers Training; Training; Training Programs; United States; Universities; Validation; Violent injury; Workplace; age group; aged; base; design; evidence base; innovation; interest; male; medical schools; meetings; member; pilot trial; prevent; programs; prototype; public health relevance; research and development; skills; social cognitive theory; suicidal risk; symposium; theories; tool; transmission process; usability; web site; willingness

DESCRIPTION (provided by applicant): Suicide is the 2nd leading cause of death in persons aged 25-34, the 3rd leading cause of death among people in the age groups 10-14 and 15-24, and the 8th leading cause of male deaths. Faith leaders and clergy have been identified in national strategic public health documents as important front-line gatekeepers for suicide prevention. Preliminary research by the Indiana Partnership to Prevent Violent Injury and Death (IPPVID) has identified strong interest among clergy in training materials regarding suicide prevention. However, to date, no evidence-based training materials are available to facilitate adoption of suicide-related risk reduction and mitigation behaviors among faith leaders. The goal of this project is to fill this need by developing and validating evidence-based and theory-driven training materials to increase suicide awareness and suicide prevention skills among faith leaders. Across both phases, a multipronged approach will be used to generate the content of the faith leaders' suicide prevention curriculum: the effort will (1) capitalize on a pilot curriculum developed by our research partner (IPPVID), (2) draw upon emerging suicide prevention training programs for mental health professionals and general audiences that can be tailored to the specific practical and sociocultural needs of faith leaders, and (3) involve stakeholders and subject-matter experts in the articulation and validation of the curriculum outlines, lessons, and learning activities. Design and development of educational lessons and activities will be guided by a constructivist pedagogical theory, an integrated performance support model, and a well- established instructional design process. Phase I will deliver an overall curriculum design document by conducting structured audience analysis regarding faith leaders' needs, barriers, and common situations as well as content analysis of existing suicide training curricula. Interviews (n=20) with clergy will elicit factors affecting engagement in the target behaviors and will gather reactions to existing curricula; a survey (n=200) of identified beliefs will be conducted, and the results of the survey will drive motivational and other elements of the media. Content from IPPVID pilot trials will be further refined through the multipronged approach described above. Phase I will then develop prototype web-based interactive lessons and activities focusing primarily on awareness and risk identification. The resulting lessons and activities will be evaluated in a small scale RCT (n=60). PUBLIC HEALTH RELEVANCE: Suicide prevention is a vital public health concern. A large number of individuals use religious leaders as their first and often primary source of mental health support. Faith leaders have been identified as important points of leverage for addressing suicide through their ability to directly and immediately engage in identification, brief diffusion, and referral of individuals at risk. Yet faith leaders are often not adequately prepared for this role. There currently exist no evidence-based suicide prevention educational programs tailored for faith leaders' particular practical, organizational, and cultural workplace needs. This project will develop a suicide prevention professional development curriculum customized to the unique needs of faith leaders. The curriculum will draw upon existing evidence-based suicide training efforts and state-of-the-art pedagogical theory and technology. It will be deliverable as individualized instruction over the web as well as through facilitator led training. The proposed effort meets an important, recognized, need with an innovative, easily dessiminable, and customizable educational solution. As such, the resulting products should be well-received by faith leaders and their organizations as well as institutions which provide pre-professional and continuing education to them.

自杀是25-34岁人群的第二大死因，是10-14岁和15-24岁人群的第三大死因，是男性死亡的第八大死因。国家战略公共卫生文件已将信仰领袖和神职人员确定为预防自杀的重要前线守门人。印第安纳州防止暴力伤害和死亡伙伴关系（IPPVID）的初步研究发现，神职人员对预防自杀的培训材料有浓厚的兴趣。然而，到目前为止，没有循证培训材料可用于促进宗教领袖采取与自杀相关的风险降低和缓解行为。该项目的目标是通过开发和验证基于证据和理论驱动的培训材料来满足这一需求，以提高宗教领袖的自杀意识和自杀预防技能。在这两个阶段，将采用多管齐下的方法来生成信仰领袖自杀预防课程的内容：这项工作将（1）利用我们的研究合作伙伴（IPPVID）开发的试点课程，（2）借鉴针对心理健康专业人员和普通受众的新兴自杀预防培训计划，这些计划可以针对宗教领袖的具体实际和社会文化需求，以及（3）让利益相关者和学科专家参与课程大纲、课程和学习活动的阐述和验证。教育课程和活动的设计和开发将以建构主义教学理论、综合绩效支持模型和完善的教学设计过程为指导。第一阶段将通过对信仰领袖的需求、障碍和常见情况进行结构化的受众分析，以及对现有自杀培训课程的内容分析，提供一份整体课程设计文件。与神职人员的访谈（n=20）将引出影响参与目标行为的因素，并将收集对现有课程的反应;将进行一项确定信仰的调查（n=200），调查结果将推动媒体的激励和其他元素。IPPVID试点试验的内容将通过上述多管齐下的方法进一步完善。然后，第一阶段将开发基于网络的互动式课程和活动原型，主要侧重于提高认识和风险识别。将在一项小规模随机对照试验（n=60）中评价由此产生的经验教训和活动。 公共卫生相关性：预防自杀是一个至关重要的公共卫生问题。许多人把宗教领袖作为他们获得心理健康支持的第一个、往往是主要的来源。信仰领袖通过直接、立即参与识别、短暂传播和转介高危个人的能力，被认为是解决自杀问题的重要杠杆点。然而，宗教领袖往往没有为这一角色做好充分的准备。目前还没有基于证据的自杀预防教育计划适合信仰领袖的特定实际，组织和文化工作场所的需求。该项目将开发一个自杀预防专业发展课程定制信仰领袖的独特需求。该课程将借鉴现有的循证自杀培训工作和最先进的教学理论和技术。它将作为个性化的指导在网上以及通过主持人领导的培训交付。建议的努力满足了一个重要的，公认的，需要一个创新的，容易dessiminable，和可定制的教育解决方案。因此，由此产生的产品应该受到宗教领袖及其组织以及向他们提供职业前和继续教育的机构的欢迎。