SuSt-AInS: Sustainment of suicide prevention programs in American Indian Settings

项目摘要 自杀是一个重大的公共卫生问题，在美国一般人口中，自杀率在过去几年中逐渐上升。 时间自杀的负担在许多美国印第安部落中更为明显，特别是在年轻人中， 据估计，平均发病率约为美国普通人口的四倍。的影响 整个社区都能感受到这些死亡。旨在预防自杀的计划在以下方面至关重要： 这些设置，并代表了国家精神卫生研究所的首要任务之一。但即使 当我们知道预防方案有效时，维持这些方案及其效果已被证明具有挑战性。的 这个K 01指导研究职业发展奖的总体目标是扩大候选人的 在可持续发展科学方面的专业知识。通过课程作业、结构化的导师活动和应用 通过学习，候选人将在（1）传播和实施（D&I）科学方面发展新的能力 重点是可持续性;（2）美国印第安人健康研究;（3）使用创新方法 方法，包括混合方法和系统动态方法;（4）专业发展， 成为NIMH资助的独立调查员。Joseph Gallo博士、Shannon Wiltsey-Stirman博士和Allison博士 巴洛将提供主要的指导，并加入了一个专门的和跨学科的顾问团队 导师包括Takeru Igusa、Sonja Schoenwald、Lawrence Palinkas、Lindsey齐默尔曼和Teresa博士 布罗基该研究将利用NIMH U19西南自杀预防中心进行。的 候选人将结合联合收割机混合方法和系统动态科学，创新地识别，优先考虑， 最终，测试策略，以加强庆祝生命青年自杀预防计划的可持续性， 它被传播到其他部落环境。在当地，这项研究将帮助我们的社区合作伙伴设计 在他们的环境中维持有效的自杀预防计划的解决方案。更广泛地说，这项研究 解决了传播和实施（D&I）科学中可持续性研究的关键空白 重点关注来自资源匮乏和代表性不足群体的人口， D&I科学的核心价值！本研究的结果将为R 01提案的制定提供信息， 测试系统动态方法作为适当动力实施中的维持战略 审判研究目标推进NIMH战略目标#4加强NIMH的公共卫生影响 通过制定和验证“实施、维持和持续发展的战略”来支持研究 改善循证实践”（4.2a），并与NIH的D&I科学优先事项一致，重点是 “研究测试扩大和维持有效干预措施的方法”。

PROJECT SUMMARY Suicide is a significant public health problem with rates in the US general population gradually increasing over time. The burden of suicide is even more pronounced in many American Indian tribes, especially among youth, with average rates estimated to be about four times higher than the US general population. The effects of these deaths are felt throughout communities. Programs aimed at preventing suicide are critically important in these settings and represent one of the top priorities of the National Institute of Mental Health. However, even when we know prevention programs work, sustaining them and their effects has proved challenging. The overall goal of this K01 Mentored Research Career Development Award is to broaden the candidate’s expertise in the science of sustainment. Through coursework, structured mentorship activities and applied learning, the candidate will develop new competencies in (1) Dissemination and Implementation (D&I) science with a focus on sustainment; (2) American Indian health research; (3) use of innovative methodologic approaches, including mixed-methods and systems dynamic approaches; and (4) professional development, to become an independent NIMH-funded investigator. Drs. Joseph Gallo, Shannon Wiltsey-Stirman, and Allison Barlow will provide primary mentorship, and are joined by a team of dedicated and interdisciplinary consultant mentors including Drs. Takeru Igusa, Sonja Schoenwald, Lawrence Palinkas, Lindsey Zimmerman and Teresa Brockie. The research will be conducted by leveraging the NIMH U19 Southwest Suicide Prevention Hub. The candidate will combine mixed-methods and systems dynamic science, to innovatively identify, prioritize and ultimately, test strategies to enhance sustainment of the Celebrating Life youth suicide prevention program as it is disseminated to other tribal contexts. Locally, this research will help our community partners to devise solutions for sustaining effective suicide prevention programs in their settings. More broadly, this study addresses a critical gap in research on sustainment in the Dissemination and Implementation (D&I) science field, and focuses on populations from low-resource and underrepresented groups, representing one of the core values of D&I science.!Results from this study will inform development of an R01 proposal focused on testing systems dynamic approaches as sustainment strategies in an appropriately powered implementation trial. The study goals advance NIMH strategic objective #4 strengthening the public health impact of NIMH supported research by developing and validating “strategies for implementing, sustaining and continuously improving evidence-based practices” (4.2a) and is consistent with NIH’s Priorities for D&I science, focusing on “research testing approaches to scaling up and sustaining effective interventions.”