Optimizing the Zero Suicide Model for Juvenile Detention

优化青少年看守所零自杀模式

• 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
• 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

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职业发展奖将为申请者作为独立投资者开始其职业生涯做好准备- 在实施和心理健康公平研究的交叉点拥有研究专业知识的Gator，具有 为青年服务的法律环境的专业化，符合NIMH战略目标4。 伊利诺伊州芝加哥大学(UIC)，在Marc Atkins博士、Jaleel Abdul-Adil博士、Lisa Saldana博士和 格雷格·布朗是申请人职业发展的理想环境。教职员工进行广泛的实施- 旨在促进青年心理健康公平的心理研究，并与 芝加哥公共卫生部和美国国立卫生研究院资助的UIC临床和翻译科学中心。 培训目标包括：(A)基础心理健康公平研究；(B)高级执行研究； 以及(C)自杀预防研究和实践方面的专门培训。本应用程序的研究部分- 开发阳离子是为了补充培训目标，并提供执行和改进新的机会 练就了一些技能。该研究计划针对预防青少年青少年自杀的迫切需要-- Tice设置。少年拘留中心的青少年比同龄人有更高的自杀意念， 青少年拘留中心不成比例地服务于非裔美国人和黑人青年，这是一个群体经历- 全国范围内自杀未遂事件的增加。与零自杀模式保持一致，申请者将优化 少年拘留中心内使用的临床和实施要素(即筛查、途径 通过安全计划干预对自杀行为进行护理和简短治疗)。由于申请人的目标是- 成为在法律环境中实施一系列基于证据的实践的专家 青年，研究自杀预防，考虑到其庞大的循证做法研究基础及其复杂性 监管关注，提供了理想的培训平台。在目标1中，以前被拘留的年轻人(n=35) 将面谈身份为黑人的人，以了解他们的生活体验，并找出阻碍和促进- 少年拘留中防止自杀的工作人员。在目标2中，使用来自申请者先前工作和目标的数据 1，申请人将细化拘留的零自杀临床要素，以确保它们符合文化反应- 具有关联性和上下文适当性，并选择和实施实施要素。在目标3中，AP- Plicant将在两个当地拘留中心试验零自杀模式和R01方法的可行性，使用 阶梯式楔形设计和一种收敛的混合方法。其目的是为了证明临床应用的可行性。 和实施要素以及征聘、保留和数据收集程序。这个项目 将为申请人未来的R01混合类型2有效性实施提供必要的数据和技能- 少年拘留零自杀模式的审判。这项拟议研究的时机至关重要。防止- ING青少年自杀是国家的优先事项，NIMH承诺到2025年将自杀率降低20%，并 对黑人青年自杀风险和预防的研究特别感兴趣(非-MH-20-055)。