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，并与大量发病率相关。此外，自杀行为是自杀的主要危险因素，自杀是该年龄组的第三大死亡原因。尽管自杀行为和自杀的公共卫生意义，很少有证据为基础的预防策略已开发的青少年，甚至更少有集中在预防自杀行为的首次发生。为响应RFA- CE-10-006“通过增强连通性预防自杀行为”，本申请建议在一项随机对照预防试验中严格评估增强青少年连通性链接（LET's RECT）的有效性。LET的自杀行为测试是为那些由于人际联系低、最近有欺凌他人的历史和/或最近有被欺凌的历史而导致自杀行为风险升高的青少年设计的。它将青少年与社区提名的“自然”导师和社区导师组成一个团队，积极促进和支持青少年参与社区组织和活动。具体目标是确定相对于对照条件下的青少年（仅限社区资源信息），处于LET的自杀状态的青少年是否：（1）报告个人连通性和社区连通性的改善更大，（2）不太可能参与自杀行为。 公共卫生相关性：尽管青少年自杀行为的高发率和自杀悲剧的发生率太高，但很少有基于证据的自杀预防策略被开发出来。这项申请旨在严格评估"增强青少年连通性链接“的有效性。这项战略旨在加强家庭和社区的联系，防止因受害史或接触人际暴力而处于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.