Optimizing the Zero Suicide Model for Juvenile Detention

优化青少年看守所零自杀模式

基本信息

批准号：
10818718
负责人：
Brittany N Rudd
金额：
$ 2.24万
依托单位：
UNIVERSITY OF ILLINOIS AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-07-01 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10818718
关键词：
Address Adolescent African American Black race Caring Chicago Clinical Clinical Sciences Complement Complex Data Data Collection Early identification Elements Ensure Environment Evidence based practice Faculty Feeling suicidal Funding Future Goals Hybrids Illinois Intervention Interview Justice K-Series Research Career Programs Knowledge Legal Mental Health Mentorship Methods National Institute of Mental Health Pathway interactions Prevention Prevention Research Procedures Public Health Research Research Activity Research Personnel Risk Safety Suicide Suicide attempt Suicide prevention Training Training Activity Translational Research United States National Institutes of Health Universities Work Youth brief intervention career career development clinical center design detention center effectiveness/implementation trial evidence base experience health equity implementation research improved interest peer prevent prevention practice recruit reducing suicide screening skills suicidal suicidal behavior suicidal risk suicide model suicide rate young adult

项目摘要

PROJECT SUMMARY/ABSTRACT This K23 Career Development Award will prepare the applicant to launch her career as an independent investi- gator with expertise in research at the intersection of implementation and mental health equity research, with a specialization in legal settings that serve youth, consistent with NIMH Strategic Objective 4. The University of Illinois at Chicago (UIC), under the expert mentorship of Drs. Marc Atkins, Jaleel Abdul-Adil, Lisa Saldana, and Greg Brown, is the ideal environment for the applicant’s career development. Faculty conduct extensive imple- mentation research with the goal of promoting youth mental health equity and have strong connections to the Chicago Department of Public Health and the NIH-funded UIC Center for Clinical and Translational Sciences. Training goals include: (a) foundational mental health equity research, (b) advanced implementation research, and (c) specialized training in suicide prevention research and practice. The research component of this appli- cation was developed to complement the training goals and provide opportunities to execute and refine newly developed skills. The research plan addresses the critical need to prevent suicide among youth in juvenile jus- tice settings. Youth in juvenile detention centers experience suicidal ideation at higher rates than their peers, and juvenile detention centers disproportionately serve African American and Black youth, a group experienc- ing an increase in suicide attempts nationally. Aligned with the Zero Suicide model, the applicant will optimize the clinical and implementation elements used within juvenile detention centers (i.e., screening, pathways of care, and brief treatment of suicidality via the Safety Planning Intervention). As the applicant’s goal is to be- come an expert in the implementation of a range of evidence-based practices for legal settings that serve youth, studying suicide prevention, given its large research base of evidence-based practices and its complex regulatory concerns, provides the ideal training platform. In Aim 1, formerly detained young adults (n=35) who identify as Black will be interviewed to understand their lived experiences and identify key barriers to and facili- tators of suicide prevention in juvenile detention. In Aim 2, using data from the applicant’s prior work and Aim 1, the applicant will refine the Zero Suicide clinical elements for detention to ensure they are culturally respon- sive and contextually appropriate and select and operationalize the implementation elements. In Aim 3, the ap- plicant will pilot the feasibility of the Zero Suicide model and R01 method in two local detention centers using a stepped wedge design and a convergent mixed method. The aim is to demonstrate the feasibility of the clinical and implementation elements as well as the recruitment, retention, and data collection procedures. This project will provide the necessary data and skills for the applicant’s future R01 hybrid type 2 effectiveness-implementa- tion trial of the Zero Suicide model for juvenile detention. The timing of this proposed study is critical. Prevent- ing youth suicide is a national priority, and NIMH has pledged to reduce the suicide rate by 20% by 2025 and has a special interest in research on risk and prevention of Black youth suicide (NOT-MH-20-055).

项目摘要/摘要这项K23职业发展奖将使申请人启动她作为独立投资的职业生涯 - 在实施和心理健康公平研究交集方面具有研究专业知识的鳄鱼，专门针对年轻人的法律环境，与NIMH战略目标一致。伊利诺伊州的芝加哥（UIC），在博士的专家心态下。马克·阿特金斯（Marc Atkins），贾莱尔·阿卜杜勒·阿迪尔（Jaleel Abdul-Adil），丽莎·萨尔达娜（Lisa Saldana）和格雷格·布朗（Greg Brown）是申请人职业发展的理想环境。教师进行广泛的实施提及研究，目的是促进青年心理健康公平并与芝加哥公共卫生部和NIH资助的UIC临床和转化科学中心。培训目标包括：（a）基础心理健康公平研究，（b）高级实施研究，（c）预防自杀研究和实践的专门培训。该应用的研究组成部分开发阳离子是为了完成培训目标，并提供了执行和完善新的机会的机会发展的技能。该研究计划解决了防止青少年少年自杀的关键需求 - TICE设置。青少年拘留中心的青年以比同龄人高的自杀想法，少年拘留中心不成比例地为非裔美国人和黑人青年服务，这是一种团体经验 - 在全国范围内增加自杀企图。与零自杀模型保持一致，申请人将优化少年拘留中心内使用的临床和实施元素（即筛查，途径护理和通过安全计划干预对自杀性进行简要处理）。申请人的目标是成为实施服务的一系列基于证据的实践的专家鉴于其循证实践及其复杂的研究基础，青年人研究自杀的预防基础监管问题，提供了理想的培训平台。在AIM 1中，以前定义的年轻人（n = 35）认同为黑色的人将接受采访以了解他们的现场经验，并确定关键的障碍和促进预防自杀的少年拘留。在AIM 2中，使用申请人先前工作的数据并AIM 1，申请人将完善零自杀临床元素以进行检测，以确保它们对文化做出反应 - 适当的和上下文适当，然后选择和操作实现元素。在AIM 3中，AP- Plicant将使用A的两个局部拘留中心中零自杀模型和R01方法的可行性梯级楔形设计和收敛的混合方法。目的是证明临床的可行性以及实施要素以及招聘，保留和数据收集程序。这个项目将为申请人的未来R01 Hybrid 2型有效性 - 实现 - 零自杀模型的幼年拘留试验。这项拟议的研究的时机至关重要。防止- ING青年自杀是国家的优先事项，NIMH到2025年将自杀率降低了20％，而人们对黑人青年自杀的风险和预防研究特别感兴趣（NOT-MH-20-055）。