Links to Enhancing Teens' Connectedness (LET's CONNECT)

描述(由申请人提供)：自杀行为在美国青少年中非常普遍，并与相当高的发病率有关。此外，自杀行为是自杀的主要危险因素，是这个年龄段的第三大死亡原因。尽管自杀行为和自杀对公共卫生具有重要意义，但针对青少年制定的循证预防策略很少，更没有侧重于预防自杀行为的初始发生。针对RFA-CE-10-006“通过增强连接性预防自杀行为”，本应用程序建议在一项随机对照预防试验中严格评估链接对增强青少年连接性(让我们连接)的有效性。让我们的连接是为那些由于人际联系较少、最近欺负他人和/或最近被欺负的历史而自杀行为风险较高的青少年而设计的。它将青少年与一名青少年提名的“天然”导师和一名社区导师进行合作，以积极促进和支持青少年参与社区组织和活动。具体目的是确定与对照条件(仅限社区资源信息)相比，处于让我们建立联系状态的青少年是否：(1)报告在个人连接性和社区连接性方面有更大的改善，以及(2)不太可能从事自杀行为。 公共卫生相关性：尽管自杀行为在青少年中非常普遍，自杀悲剧也过于频繁，但几乎没有基于证据的自杀预防策略被制定出来。这个应用程序建议严格评估这些链接对增强青少年连接性的有效性(让我们连接)。这一战略旨在加强家庭和社区的联系，防止因受害或接触人际暴力而处于较高风险的青少年发生自杀行为。

DESCRIPTION (provided by applicant): Suicidal behavior is highly prevalent among adolescents in the United States and associated with substantial morbidity. Moreover, suicidal behavior is a primary risk factor for suicide, which is the third leading cause of death for this age group. Despite the public health significance of suicidal behavior and suicide, few evidence-based prevention strategies have been developed for adolescents and even fewer have focused on preventing the initial occurrence of suicidal behavior. In response to RFA- CE-10-006 "Prevention of Suicidal Behavior through the Enhancement of Connectedness," this application proposes to rigorously assess the effectiveness of Links to Enhancing Teens' Connectedness (LET's CONNECT) in a randomized controlled prevention trial. LET's CONNECT was designed for adolescents who are at elevated risk for suicidal behavior due to low interpersonal connectedness, a recent history of bullying others, and/or a recent history of being bullied. It teams the adolescent with an adolescent-nominated "natural" mentor and a community mentor to actively facilitate and support the adolescent's engagement with community organizations and activities. Specific aims are to determine if adolescents in the LET's CONNECT condition relative to adolescents in the control condition (community resource information only): (1) report greater improvement in individual connectedness and community connectedness, and (2) are less likely to engage in suicidal behavior. PUBLIC HEALTH RELEVANCE: Despite the high prevalence of suicidal behavior among adolescents and the too frequent tragedy of suicide, few evidence-based suicide prevention strategies have been developed. This application proposes to rigorously assess the effectiveness of the Links to Enhancing Teens' Connectedness (LET's CONNECT). This strategy was designed to enhance family and community connectedness and to prevent the onset of suicidal behavior in adolescents who are at elevated risk due to a history of victimization or exposure to interpersonal violence.