The BH-Works Suicide Prevention Program for Sexual and Gender Minority Youth

BH-Works 针对性和性别少数青少年的自杀预防计划

• 批准号: 10689666
• 负责人: Jody Moser Russon
• 金额: $ 28.82万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-24 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10689666
• 关键词: Adoption; Caregivers; Caring; Cause of Death; Child; Clinic; Clinical; Communities; Computer software; Consolidated Framework for Implementation Research; Control Groups; Data; Data Analytics; Development; Diamond; Effectiveness; Electronics; Elements; Face; Family; Feeling; Feeling suicidal; Fishes; Future; General Population; Health Personnel; Heterosexuals; Learning; Lesbian Gay Bisexual Transgender Queer; Manuals; Measures; Mental Health Services; Monitor; Outcome; Patients; Philadelphia; Policy Developments; Population; Prevention program; Process; Program Acceptability; Program Effectiveness; Provider; Psychiatry; Readiness; Reporting; Research; Resources; Risk Assessment; Risk Management; Rural; Safety; Sampling; Screening procedure; Self Efficacy; Services; Sexual and Gender Minorities; Sexual and Gender Minority Youth; Site; Standardization; Structure; Suicide; Suicide attempt; Suicide prevention; System; Technology; Testing; Time; Training; Trust; United States; United States Substance Abuse and Mental Health Services Administration; Virginia; Vulnerable Populations; Work; Youth; behavioral health; cisgender; community organizations; comparison group; data management; effectiveness/implementation hybrid; evidence base; gender minority community; high risk; hybrid type 2 design; implementation facilitation; implementation strategy; improved; minority children; minority patient; peer; pilot test; programs; satisfaction; screening; screening, brief intervention, referral, and treatment; secondary outcome; service organization; skills; substance use; suicidal behavior; suicidal risk; suicide rate; treatment as usual; usability; web based software; web platform

PROJECT ABSTRACT Suicide is the second leading cause of death for 15-to-24-year-olds in the United States. Compared to their heterosexual and cisgender peers, sexual and gender minority (SGM) adolescents report significantly higher rates of suicidal ideation and suicide attempts. Unfortunately, many barriers complicate the implementation of suicide prevention in SGM communities. SGM youth often report feeling unwelcome and misunderstood in traditional behavioral health service organizations. Consequently, treatment attendance and retention remain low. Instead, this population generally seeks mental health services in community organizations for lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth. Unfortunately, these organizations are often unprepared for this clinical challenge. The Behavioral Health-Works (BH-Works) suicide risk management system may offer a potential solution to this problem. BH-Works is an evidence-based, comprehensive youth suicide prevention program. It offers support for policy development, staff training, suicide and behavioral health screening, technology-assisted safety planning, an electronic patient referral system, real-time data analytics for program monitoring, and a learning collaborative structure to support sustainability. All functions are supported on a web-based software platform that facilitates implementation, adoption and expansion. BH- Works has been used in both clinical and non-clinical settings. In this project, we will adapt this program for LGBTQ organizations. This project builds upon robust partnerships with two diverse LGBTQ organizations (Mazzoni Center, in Philadelphia and Diversity Camp Inc., in rural Southwest, Virginia) and partnering behavioral health sites. We will use an Effectiveness-Implementation Hybrid Type 2 design (Curran et al., 2013) with a historical comparison group to pilot the BH-Works program within the two LGBTQ organizations. Informed by the Consolidated Framework for Implementation Research, we will pilot test a sequenced implementation strategy. This strategy focuses on promoting engagement, building partnership, , and creating sustainability In Year 1, we will collect treatment as usual data, work with our partners to adapt BH-Works content, practices, and workflow. We will also train staff/providers in suicide risk management, family engagement and affirmative care. In Year 2, we will begin pilot testing the SGM BH-Works screening and referral systems. We will evaluate primary program outcomes (increased suicide identification and successful referrals), secondary outcomes (program acceptability), and explore program mechanisms (training impact, partnership development, software usability and caregiver involvement). The proposed research responds to the growing national need to identify and refer vulnerable youth at risk for suicide. A future R01 will test program effectiveness with a larger sample and different implementation strategies.

项目摘要