Suicide Prevention with Substance Using Youth Experiencing Homelessness
通过使用无家可归青少年的药物来预防自杀
基本信息
- 批准号:10712445
- 负责人:
- 金额:$ 78.28万
- 依托单位:
- 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 2028-05-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdoptedAdoptionAdvocacyAffectCause of DeathCessation of lifeCognitiveCognitive TherapyCommunitiesCommunity ServicesComplementDangerousnessDataDehumanizationDropsExclusionFeasibility StudiesFeeling suicidalFutureGoalsHealth Services AccessibilityHomelessnessHospitalizationIndividualInterventionIntervention StudiesKnowledgeLiteratureMediatingMediatorMental HealthMental disordersMethodsModelingOutcomeOutcome StudyPilot ProjectsPremature MortalityRaceRandomizedReportingResearchResourcesRisk FactorsRisk ReductionSamplingServicesSex OrientationShelter facilityStressSuicideSuicide attemptSuicide preventionSystemTestingTheoretical modelTherapeutic InterventionTimeVictimizationVulnerable PopulationsYouthadolescent substance usecompleted suicidecostdepressive symptomsdosageeffective interventionevidence baseexperiencefollow up assessmentfollow-uphealth disparityhuman capitalimprovedindividual responsemarginalizationoutreachphysical conditioningpoor health outcomeprematurepreventprevention servicepreventive interventionprimary outcomeprotective factorsrecruitreducing suicidesecondary outcomeservices as usualsexsocialsocial exclusionsubstance usesuicidal risktheoriestreatment effectuptake
项目摘要
Project Summary/Abstract
While research on substance using youth experiencing homelessness (YEH) is increasing, there is a dearth of
information regarding effective prevention interventions for these youth. This is of significant concern because
studies indicate that 66% to 89% of YEH have a mental health disorder (Cauce et al., 2004) and 68% report at
least one suicide attempt (Gewitz et al., 2020). In fact, suicide is the leading cause of death among YEH
(Rotheram-Borus & Milburn, 2004; Yoder et al., 2010). Among those who have attempted suicide, an average
of 6.2 attempts is reported, and lifetime suicidal ideation rates range from 14% to 66.5% (Yoder et al., 2010)
with no clear evidence of effective interventions for YEH. This study uses general cognitive theory (Beck,
1967), complemented with concepts from two suicide specific theoretical models, to guide our intervention and
conceptual change model. Our goal is to test strategies to extend delivery and uptake of a cognitive therapy
intervention for YEH. Prior studies focus on service-connected youth, but research suggests that most street
living YEH do not access services meant to assist them (Kelly & Caputo, 2007). We overcome prior sampling
limitations through engaging service-disconnected youth in addition to service-connected youth through a local
drop-in center. As such, three hundred substance using YEH with recent suicidal ideation or a recent
suicide attempt will be randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Services
as Usual (SAU) (N=150) or to SAU alone (N=150). CTSP has previously shown efficacy for YEH through a
RCT pilot feasibility study (Slesnick et al., 2020; Wu et al., 2020). SAU includes outreach, advocacy and
service linkage which are typical services offered by agencies serving those experiencing homelessness (Ober
et al., 2012). Follow-up assessments will be conducted at 3, 6, 9 and 12-months post-baseline. It is
hypothesized that youth receiving CTSP+SAU will show greater reductions in suicidal ideation (primary
outcome), substance use and depressive symptoms (secondary outcomes) over time compared to SAU alone,
as well as improved risk and protective factors. Theoretically-derived mediators will be tested to shed light on
mechanisms associated with change, and the moderating effects of sex, race, sexual orientation and baseline
service connection will be examined. In order to ease future dissemination of the intervention to agencies
serving YEH, we will rigorously assess acceptability, feasibility, fidelity and cost associated with the delivery of
our intervention approach using a mixed-methods approach. Ultimately, the goal of this research is to provide
support for the use of a suicide prevention intervention for substance using YEH that reduces premature
mortality, hospitalization, and loss of human capital and which can be easily adopted by agencies serving YEH.
项目总结/摘要
虽然对物质使用青年经历无家可归(YEH)的研究正在增加,但缺乏
关于对这些青年采取有效预防干预措施的信息。这是一个重大问题,因为
研究表明66%到89%的YEH有精神健康障碍(Cauce等人,2004年)和68%的报告,
至少一次自杀企图(Gewitz等人,2020年)。事实上,自杀是青年人死亡的主要原因,
(Rotheram-Borus & Milburn,2004; Yoder等人,2010年)。在那些试图自杀的人中,平均
的6.2次尝试,并且终生自杀意念率范围为14%至66.5%(Yoder等人,(2010年)
没有明确的证据表明对YEH进行有效的干预。本研究使用一般认知理论(Beck,
1967年),补充了两个自杀特定理论模型的概念,以指导我们的干预和
概念转变模式我们的目标是测试策略,以扩大交付和吸收的认知疗法
干预YH。先前的研究集中在服务连接的青年,但研究表明,大多数街头
生活在YEH中的人无法获得旨在帮助他们的服务(Kelly & Caputo,2007)。我们克服了先验抽样
除了通过当地的服务联系青年外,
临时接待中心因此,300名最近有自杀想法或最近有自杀倾向的YEH使用物质的人,
自杀未遂者将被随机分配到自杀预防认知疗法(CTSP)+服务
SAU(N=150)或单独SAU(N=150)。CTSP先前已通过以下方式显示出对YEH的疗效:
RCT试点可行性研究(Slesnick等人,2020年; Wu等人,2020年)。战略行动股包括外联、宣传和
服务联系,这是为无家可归者提供服务的机构提供的典型服务(Ober
例如,2012年)。将在基线后3、6、9和12个月进行随访评估。是
假设接受CTSP+SAU的青少年将显示自杀意念(主要
结果),物质使用和抑郁症状(次要结果)随着时间的推移与SAU单独相比,
以及改善的风险和保护因素。理论推导的介质将进行测试,以阐明
与变化相关的机制,以及性别、种族、性取向和基线的调节作用
将检查服务连接。为了便于将来向各机构传播干预措施,
服务于YEH,我们将严格评估与交付相关的可接受性,可行性,保真度和成本,
我们的干预方法采用混合方法。最终,这项研究的目标是提供
支持对使用YEH的物质进行自杀预防干预,
死亡率、住院率和人力资本损失,这些都可以很容易地被为YEH服务的机构所采用。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
NATASHA SLESNICK其他文献
NATASHA SLESNICK的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('NATASHA SLESNICK', 18)}}的其他基金
Suicide Prevention Among Substance Abusing Homeless Youth
滥用药物的无家可归青少年的自杀预防
- 批准号:
8880370 - 财政年份:2015
- 资助金额:
$ 78.28万 - 项目类别:
Suicide Prevention Among Substance Abusing Homeless Youth
滥用药物的无家可归青少年的自杀预防
- 批准号:
9221305 - 财政年份:2015
- 资助金额:
$ 78.28万 - 项目类别:
Suicide Prevention Among Substance Abusing Homeless Youth
滥用药物的无家可归青少年的自杀预防
- 批准号:
9032484 - 财政年份:2015
- 资助金额:
$ 78.28万 - 项目类别:
Reaching non-system connected, substance abusing homeless youth
接触与系统无关、滥用药物的无家可归青少年
- 批准号:
8454418 - 财政年份:2012
- 资助金额:
$ 78.28万 - 项目类别:
Reaching non-system connected, substance abusing homeless youth
接触与系统无关、滥用药物的无家可归青少年
- 批准号:
8299800 - 财政年份:2012
- 资助金额:
$ 78.28万 - 项目类别:
Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT
青少年参与父母药物滥用治疗:EBFT 评估
- 批准号:
8067897 - 财政年份:2009
- 资助金额:
$ 78.28万 - 项目类别:
Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT
青少年参与父母药物滥用治疗:EBFT 评估
- 批准号:
8471459 - 财政年份:2009
- 资助金额:
$ 78.28万 - 项目类别:
Association between Substance Use and Nutritional Vulnerabilities of Young Homeless Mothers and their Children
年轻无家可归母亲及其子女的药物使用与营养脆弱性之间的关联
- 批准号:
9483426 - 财政年份:2009
- 资助金额:
$ 78.28万 - 项目类别:
Adolescent Involvement in Parental Substance Abuse Treatment: Evaluation of EBFT
青少年参与父母药物滥用治疗:EBFT 评估
- 批准号:
8458577 - 财政年份:2009
- 资助金额:
$ 78.28万 - 项目类别:
Evaluation of EBT with Young, Substance Abusing Homeless Mothers
对年轻、滥用药物的无家可归母亲进行 EBT 评估
- 批准号:
9188535 - 财政年份:2009
- 资助金额:
$ 78.28万 - 项目类别:
相似海外基金
How novices write code: discovering best practices and how they can be adopted
新手如何编写代码:发现最佳实践以及如何采用它们
- 批准号:
2315783 - 财政年份:2023
- 资助金额:
$ 78.28万 - 项目类别:
Standard Grant
One or Several Mothers: The Adopted Child as Critical and Clinical Subject
一位或多位母亲:收养的孩子作为关键和临床对象
- 批准号:
2719534 - 财政年份:2022
- 资助金额:
$ 78.28万 - 项目类别:
Studentship
A material investigation of the ceramic shards excavated from the Omuro Ninsei kiln site: Production techniques adopted by Nonomura Ninsei.
对大室仁清窑遗址出土的陶瓷碎片进行材质调查:野野村仁清采用的生产技术。
- 批准号:
20K01113 - 财政年份:2020
- 资助金额:
$ 78.28万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2633211 - 财政年份:2020
- 资助金额:
$ 78.28万 - 项目类别:
Studentship
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2436895 - 财政年份:2020
- 资助金额:
$ 78.28万 - 项目类别:
Studentship
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2633207 - 财政年份:2020
- 资助金额:
$ 78.28万 - 项目类别:
Studentship
A Study on Mutual Funds Adopted for Individual Defined Contribution Pension Plans
个人设定缴存养老金计划采用共同基金的研究
- 批准号:
19K01745 - 财政年份:2019
- 资助金额:
$ 78.28万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
The limits of development: State structural policy, comparing systems adopted in two European mountain regions (1945-1989)
发展的限制:国家结构政策,比较欧洲两个山区采用的制度(1945-1989)
- 批准号:
426559561 - 财政年份:2019
- 资助金额:
$ 78.28万 - 项目类别:
Research Grants
Securing a Sense of Safety for Adopted Children in Middle Childhood
确保被收养儿童的中期安全感
- 批准号:
2236701 - 财政年份:2019
- 资助金额:
$ 78.28万 - 项目类别:
Studentship
Structural and functional analyses of a bacterial protein translocation domain that has adopted diverse pathogenic effector functions within host cells
对宿主细胞内采用多种致病效应功能的细菌蛋白易位结构域进行结构和功能分析
- 批准号:
415543446 - 财政年份:2019
- 资助金额:
$ 78.28万 - 项目类别:
Research Fellowships