Southwest Hub for American Indian Youth Suicide Prevention Research

美国印第安人青少年自杀预防研究西南中心

基本信息

批准号：
10076912
负责人：
Mary Allison Barlow
金额：
$ 16.22万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-06-20 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10076912
关键词：
Address Alaska Native Ally American Indians Apache Baltimore Belief Case Management Cherokee Indian Church Clinic Collaborations Communication Communities Community Mental Health Services Data Data Analyses Development Effectiveness Elderly Exercise Goals Grant Health Health Policy Health Professional Health behavior Hospitals Institution Intervention Knowledge Learning Mental Health Methods Modeling Monitor Navajo Pattern Pharmacotherapy Policies Policy Maker Prevention Research Prevention strategy Preventive Intervention Preventive Medicine Provider Public Health Public Health Schools Research Research Activity Research Design Research Infrastructure Research Personnel Reservations Resources Risk Reduction Running Sampling Schools Science Self-Injurious Behavior Services Site Social Work Structure Suicide Suicide prevention System Testing Time Training Translating Transportation Tribes Trust United States National Institutes of Health White Mountain Apache Work Writing Youth alcohol abuse therapy base clinical care data management design experience follow-up healing health disparity human subject protection implementation research improved insight interest journal article native youth novel outreach prevent prevention service programs public health research recruit reducing suicide resilience service providers skills suicidal suicidal adolescent suicidal risk systems research treatment center trend tribal college tribal community tribal health tribal leader

项目摘要

The overall goal of the Southwest Hub for American Indian Youth Suicide Prevention Research (Southwest Hub) is to establish a collaborative network of tribal leaders, investigators, interventionists, service providers and service users in the Southwest region that will be managed by trusted scientific partner--Johns Hopkins Center for American Indian Health (CAIH)--to pool intellectual resources, cultural assets and experience to overcome American Indian and Alaska Native (AIAN) youth suicide disparity. Primary goals are to: 1) develop and test preventive strategies that can sustainably reduce the burden of youth suicide and promote resilience in Native communities; 2) conduct outreach and dissemination to promote additional tribal community engagement in research activities; and, 3) enable tribal leaders, providers and policy makers to used science-based information to formulate mental health policies and programs to reduce suicide. Specific aims are: Aim 1) Develop an Administrative Core to support communication, coordination of activities and capacity building to facilitate, produce and share evidence to prevent youth suicide and promote resilience, and apply relevant findings in Hub partners’ settings (White Mountain Apache, Navajo, San Carlos Apache, Hualapai and Cherokee Nations), and in additional interested tribal communities through collaboration with other regional Hubs and national allies. Aim 2) Undertake a rigorous Suicide Prevention Study to test a sequence of novel preventive strategies that can be used by tribes to sustainably reduce the burden of AI youth suicide and promote resilience. A key priority will be to demonstrate the effectiveness of task-shifting intervention administration to culturally embedded paraprofessional community mental health workers (CMHWs). In the White Mountain Apache setting, the primary research site for this Hub, we will build on a line of youth suicide prevention research that the Tribe and CAIH have undertaken since 1994. It includes a robust tribally-mandated suicide surveillance and follow-up system run by Apache CMHWs that is in early stages of replication by Navajo Nation, the secondary research site for this Hub. The tribal-specific surveillance systems will aid the research teams in monitoring trends and patterns in self-harm prior to, during and after the grant period; offer a unique means to recruit community-based samples of suicidal Native youth; and provide a platform for testing strategies to prevent youth suicide and promote resilience. For collaborators in the three satellite sites (San Carlos Apache, Hualapai, and Cherokee Nations), the development of parallel surveillance systems, research skills and prevention interventions will be determined based on local policy and service priorities. Aim 3) Conduct outreach and disseminate science-based information for tribal leaders and allied partners, including other Hubs, to formulate mental health policies and programs to reduce youth suicide across diverse tribal settings. The Southwest Hub builds on a 30+-year track record of public health research between Johns Hopkins CAIH, the White Mountain Apache Tribe and Navajo Nation. These partners are poised to extend trusted research relationships to new tribal partners, produce novel evidence, exercise tribal sovereignty to improve public health, and tap extensive national networks to share methods to reduce youth suicide disparity and promote new understanding of youth resilience.

西南印第安人青年预防研究（西南枢纽）的总体目标是建立一个由部落领导者，研究人员，干预主义者，服务提供商和服务用户的协作网络由可信赖的科学合作伙伴 - 约翰·霍普金斯（Johns Hopkins）中心管理的西南地区健康（CAIH） - 汇集智力资源，文化资产和经验，以克服美洲印第安人和阿拉斯加原住民（Aian）青年自杀差异。主要目标是：1）制定和测试可以可持续的预防策略减少青年自杀的燃烧并促进当地社区的韧性； 2）进行宣传和传播以促进更多部落社区参与研究活动； 3）启用部落领导人，提供者和政策制定者使用基于科学的信息来制定心理健康政策和计划减少自杀。具体目的是：目标1）建立行政核心以支持沟通，协调促进，产生和共享证据以防止青年自杀和促进的活动和能力建设弹性，并在集线器合作伙伴的设置中应用相关发现（White Mountain Apache，Navajo，San Carlos Apache， Hualapai和Cherokee Nation），以及通过与其他人合作的额外利益部落社区区域枢纽和国家盟友。目标2）进行严格的自杀预防研究，以测试一系列新型部落可以使用的预防策略可持续减少AI青年自杀的伯恩（AI）弹力。关键优先事项是证明任务转移干预管理的有效性具有文化嵌入的专业社区精神卫生工作者（CMHWS）。在白山阿帕奇设置是该枢纽的主要研究站点，我们将以一系列部落的青少年预防自杀研究为基础和Caih自1994年以来就进行了。它包括一个强大的部落规定的自杀监视和随访系统由Apache CMHWS经营，该纳霍国家（Navajo Nation）是该中心的二级研究站点的复制早期阶段。特定部落的监视系统将帮助研究团队监测自我伤害的趋势和模式。在赠款期间和之后；提供一种独特的手段来招募自杀式青年的基于社区的样本；并提供一个测试策略的平台，以防止青年自杀并促进韧性。对于合作者三个卫星站点（San Carlos Apache，Hualapai和Cherokee Nation），平行监视的发展系统，研究技能和预防干预措施将根据当地政策和服务重点确定。目的 3）为部落领导人和盟军合作伙伴（包括其他枢纽，制定心理健康政策和计划，以减少各个部落环境中的青年自杀。西南枢纽建立在约翰·霍普金斯·凯希（Johns Hopkins Caih）的30多年以上的公共卫生研究记录中山阿帕奇部落和纳瓦霍国家。这些合作伙伴被毒死，将可信赖的研究关系扩展到新的部落合作伙伴，提供新的证据，锻炼部落主权以改善公共卫生，并利用广泛的国家网络分享减少青年自杀差异并促进对青年弹性的新理解的方法。