Opportunities for suicide prevention integration into task-shifted mental health interventions in low-resourced contexts

在资源匮乏的情况下将自杀预防纳入任务转移的心理健康干预措施的机会

• 批准号: 10816837
• 负责人: Ashley K Hagaman
• 金额: $ 3.14万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-19 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10816837
• 关键词: Advisory Committees; Age; Asia; Award; Cause of Death; Cessation of life; Child; Clinical Trials; Communities; Competence; Detection; Disadvantaged; Educational workshop; Epidemiology; Ethics; Event; Feeling suicidal; Funding; Future; Goals; Health; Individual; Intervention; Maternal Mortality; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Mentors; Mentorship; Modeling; Mothers; Pakistan; Prevention; Prevention Research; Prevention strategy; Public Health; Recurrence; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Resource-limited setting; Resources; Risk Factors; Rural; South Asian; Structure; Suicide; Suicide prevention; Time; Training; United States National Institutes of Health; Violence; Woman; acceptability and feasibility; clinical care; design; experience; implementation science; implementation strategy; improved; longitudinal analysis; low and middle-income countries; member; mortality; motherhood; peer; perinatal period; population health; prevention practice; preventive intervention; programs; protective factors; public health relevance; reproductive; response; skills; suicidal behavior; suicidal risk; suicide rate; symposium; volunteer

ABSTRACT Suicide is a leading contributor to global mortality and rates have remained steady, or increased, in low- resourced settings. Motherhood is both a protective and risk factor for suicidal thoughts and behaviors. In the perinatal period, women have increased risk for suicidal ideation and experience higher rates of violence and violent death. Given rising suicide rates, the importance of the perinatal period for both mother and child, and growing dissemination of task-shifting programs to treat common mental disorders, there is critical and urgent need to incorporate implementation strategies for suicide detection and referral within these programs. While task-shifted mental health interventions have trained peer community members to successfully deliver low intensity interventions where access to clinical care is limited, peers remain an untapped resource to provide suicide prevention support in settings where it is needed most. The goal of this award is to broaden the candidate’s expertise to conduct independent clinical trials related to suicide prevention research focused on the integration of community-delivered detection and response in low-resourced, high need, settings. Through structured mentorship from an expert team, coursework, workshop, and conference attendance, the candidate will develop new competencies in suicide prevention research, including: (1) quantitative training in longitudinal analysis for rare events (2) implementation science methods and research design to apply to suicide prevention interventions; and (3) clinical trial management skills, including ethical conduct of suicide prevention research in resource strained contexts, to become a NIH-funded independent investigator. Drs. Donna Spiegelman, Joanna Maselko, Atif Rahman, Paul Pfeiffer, and Byron Powell (alongside a Pakistani advisory committee) will mentor and advise the candidate to meet these objectives. The proposed research will (1) examine the epidemiology and health impacts of recurrent suicidal ideation on mothers over time, (2) characterize key features of suicidal ideation and finalize intervention package components for the study context, and (3) conduct a pilot clinical trial to assess the feasibility and acceptability of implementing a Suicide Prevention Package (SuPP) within an existing task-shifted depression intervention. This K01 lays the groundwork for a future R01 to scale a package for multi-level suicide prevention strategies that can be integrated into community based mental health programs, particularly targeting individuals living in low- resourced settings. As the model is designed to be easily adapted and integrated, we anticipate the findings will be valuable for all researchers looking to improve population health and mental health services in disadvantaged settings.

摘要

项目成果

What Does Social Support Sound Like? Challenges and Opportunities for Using Passive Episodic Audio Collection to Assess the Social Environment.

• DOI: 10.3389/fpubh.2021.633606
• 发表时间: 2021
• 期刊: Frontiers in public health
• 影响因子: 5.2
• 作者: Poudyal A;van Heerden A;Hagaman A;Islam C;Thapa A;Maharjan SM;Byanjankar P;Kohrt BA
• 通讯作者: Kohrt BA

How are qualitative methods used in implementation science research? A scoping review protocol.

如何在实施科学研究中使用定性方法？

• DOI: 10.11124/jbies-20-00120
• 发表时间: 2021
• 期刊: JBI evidence synthesis
• 影响因子: 2.7
• 作者: Hagaman,Ashley;Rhodes,ElizabethC;Nyhan,Kate;Katague,Marina;Schwartz,Anna;Spiegelman,Donna
• 通讯作者: Spiegelman,Donna

Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability.

• DOI: 10.1186/s12911-021-01473-2
• 发表时间: 2021-04-07
• 期刊: BMC medical informatics and decision making
• 影响因子: 3.5
• 作者: Maharjan SM;Poudyal A;van Heerden A;Byanjankar P;Thapa A;Islam C;Kohrt BA;Hagaman A
• 通讯作者: Hagaman A