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

项目概要 自杀是一个重大的公共卫生问题，美国总人口的自杀率在过去几年中逐渐上升 时间。在许多美洲印第安部落中，自杀的负担更为明显，尤其是在年轻人中， 估计平均比率比美国普通人口高出约四倍。的影响 整个社区都感受到了这些死亡。旨在预防自杀的计划对于以下方面至关重要 这些环境是国家心理健康研究所的首要任务之一。然而，即使 当我们知道预防计划有效时，维持这些计划及其效果就变得具有挑战性。的 K01 指导研究职业发展奖的总体目标是拓宽候选人的视野 维持科学方面的专业知识。通过课程作业、结构化指导活动和应用 通过学习，候选人将在 (1) 传播和实施 (D&I) 科学方面发展新能力 重点关注维持； (2)美洲印第安人健康研究； (3)运用创新方法 方法，包括混合方法和系统动态方法； (4) 专业发展，以 成为 NIMH 资助的独立调查员。博士。约瑟夫·加洛、香农·威尔特西-斯特曼和艾莉森 巴洛将提供主要指导，并由一支敬业的跨学科顾问团队加入 导师包括博士。井草健、索尼娅·修恩瓦尔德、劳伦斯·帕林卡斯、林赛·齐默尔曼和特蕾莎 布罗基。该研究将利用 NIMH U19 西南自杀预防中心进行。的 候选人将结合混合方法和系统动态科学，以创新方式识别、优先考虑和 最终，测试加强“庆祝生命”青少年自杀预防计划的维持的策略 它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 在其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 解决了传播与实施 (D&I) 科学维持研究中的一个关键空白 领域，并重点关注来自资源匮乏和代表性不足的群体的人口，代表了 D&I 科学的核心价值。！这项研究的结果将为 R01 提案的制定提供信息，该提案的重点是 测试系统动态方法作为适当动力实施中的维持策略 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、维持和持续的战略”来支持研究 改善循证实践”（4.2a），并且与 NIH 的 D&I 科学优先事项一致，重点是 “研究测试方法以扩大和维持有效的干预措施。”

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.”