Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide

项目摘要/摘要 将代际文化知识交流与零自杀相结合是一项创新性的研究 将零自杀纳入印度卫生服务(IHS)初级保健的西南部部落国家 设置。这项研究的目标是确定零自杀加文化因素的有效性 (ZS)(实验组)与单纯零自杀(ZS)(对照组)在自杀意念上的比较， 在一项随机对照试验中，138名12-24岁的AI青年在两个农村IHS诊所进行了行为和复原力研究 圣菲利佩的普韦布洛。这项研究的长期目标是确定哪种方法在减少 自杀的念头和行为，以及增强的韧性，ZS或ZS本身。一年级将重点放在培训上 零自杀模式的提供者和卡提什蒂亚代际文化知识的手册 研讨会(KICS)课程在过去三个暑假试行并得到积极评价 文化模块，以提高零自杀的采纳率和可接受性。第2-4年将重点关注参与者 招募、分配到试验组和控制组，以及实施。第5年将专注于数据 分析和传播。数据将于4点从所有试验组和控制组参与者那里收集 积分：基线、12周、6个月和9个月，以探讨随时间推移干预的效果。这个 中心假设是，ZS将比单独使用ZS更有效。我们提出三个目标：(1)具体目标1： 使用基于社区的参与性研究(CBPR)，与部落利益攸关方和研究人员合作 正式为零自杀(ZS)编写KICKS文化模块；(2)具体目标2：确定 在零自杀模型中加入文化因素在减少危险因素和增加 人工智能青年的复原力超过零自杀；以及(3)具体目标3：确定人工智能青年的基本特征 KICKS模块供其他部落适应，并传播该模型。

PROJECT SUMMARY / ABSTRACT Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide is an innovative study in a Southwestern tribal nation that incorporates Zero Suicide into Indian Health Services (IHS) primary care settings. The goal of this study is to determine the effectiveness of Zero Suicide plus a cultural component (ZS+) (experimental group) compared to Zero Suicide (ZS) alone (control group) on suicidal ideation, behaviors, and resiliency in a randomized control trial of 138 AI youth ages 12-24 at two rural IHS clinics on the Pueblo of San Felipe. The long-term goal of this study is to determine which is more effective at reducing suicidal ideation and behaviors and increasing resiliency, ZS+ or ZS alone. Year 1 will focus on training providers on the Zero Suicide model and manualizing the Katishtya Intergenerational Culture Knowledge Seminars (KICKS) curriculum that was piloted and positively evaluated over the past three summers as a cultural module to improve the adoption and acceptability of Zero Suicide. Years 2-4 will focus on participant recruitment, assignment to experimental and control groups, and implementation. Year 5 will focus on data analysis and dissemination. Data will be collected from all experimental and control group participants at 4 time points: baseline, 12-weeks, 6-months and 9-months to explore the effects of the intervention over time. The central hypothesis is that ZS+ will be more effective then ZS alone. We propose three aims: (1) Specific Aim 1: Using Community Based Participatory Research (CBPR), partner with tribal stakeholders and researchers to formally manualize the KICKS cultural module for Zero Suicide (ZS+); (2) Specific Aim 2: To determine if adding a cultural component to the Zero Suicide model is more effective at reducing risk factors and increasing resiliency in AI youth than Zero Suicide alone; and (3) Specific Aim 3: Determine the essential features of the KICKS module for adaptation by other tribes and disseminate the model.