iKinnect2.0 for Juvenile Justice Involved Youth at Risk for Suicide

项目概要/摘要 自杀行为（意念，计划，企图）和非自杀性自伤行为（NSSI）是高度 在少年司法涉及的过渡年龄（TA）青年中普遍存在。一半以上的青春在少年 司法（JJ）系统报告自杀意念;三分之一报告有自杀行为史。黑人青年 在少年司法中比例过高，自杀风险也在增加，自杀率 黑人青年的行为和自杀死亡率以惊人的速度上升，比其他人更快。 种族/民族团体。这一增长导致政府采取了一些措施，以增加自杀 为黑人青年做好预防工作。降低JJ参与青年的自杀风险必须与 通过干预措施来解决他们减少外化行为的更广泛需求， 适合黑人青年的文化。 iKinetics是一个配对的移动的应用程序平台，支持父母（在交付）和青年（在接收） 以证据为基础的做法，以减少青年问题行为。基于多系统治疗原则， iKinnect1.0最初是为了帮助有严重行为问题的青少年。结果来自随机 一项随机对照试验（RCT; N=72）证明了它在减少外化行为和改善父母行为方面的疗效。 有效性这项快速通道提案旨在大幅扩大iKinetics，以防止NSSI，自杀 行为（构思，计划，企图），并在JJ涉及TA青年自杀死亡，同时继续 减少外化行为，防止再犯。黑人自杀风险领域的领导者 这些努力将以干预措施在青年和文化方面的适当性为指导。 这一为期33个月的快速通道将包括三个主要评估阶段：（1）概念验证形成评估， 评估阶段，在此期间，我们将迭代设计，测试和构建iKinnect2.0的核心部分， 实现其可用性，可接受性和相关性（1-10个月）;（2）产品设计和构建形成 评估阶段，我们将设计、构建和测试iOS和Android手机的所有剩余功能， 同时还准备用于临床使用的平台（第11-23个月）;以及（3）总结性评价阶段 涉及iKinnect 2.0的初步试验（N=15）和比较iKinnect 2.0与活性对照的RCT（N=120） 条件;然后将分析、报告和传播结果（第24-33个月）。我们预测 iKinnect2.0 TA青少年和父母将报告自杀和NSSI行为的显著减少 以及TA青少年的问题行为。此外，iKinnect2.0参与者（TA青少年和父母） 在应对情绪困扰时， 和其他具有挑战性的情况。iKinnect2.0的父母将报告更多的认识和信心， 应用循证策略预防自杀/NSSI，并通过自杀支持他们的自杀青年 危机

PROJECT SUMMARY/ABSTRACT Suicidal behaviors (ideation, planning, attempts) and non-suicidal self-injurious behaviors (NSSI) are highly prevalent among juvenile justice-involved transition-age (TA) youth. More than half of youth in the juvenile justice (JJ) system report suicidal ideation; one-third report a history of suicidal behavior. Black youth are disproportionately represented in juvenile justice and are also at increased risk of suicide, as rates of suicidal behavioral and death by suicide among Black youth have risen at an alarming rate, faster than other racial/ethnic groups. This increase has resulted in a number of government initiatives to increase suicide prevention efforts for Black youth. Reducing suicide risk among JJ-involved youth must occur in conjunction with interventions addressing their broader needs for reduced externalizing behavior and in ways that are culturally appropriate for Black youth. iKinnect is a paired mobile app platform that supports parents (in delivering) and youth (in receiving) evidence-based practices to reduce youth problem behaviors. Based on Multisystemic Therapy principles, iKinnect1.0 was originally designed to help youth with serious conduct problems. Results from a randomized controlled trial (RCT; N=72) demonstrated its efficacy in reducing externalizing behaviors and improving parent effectiveness. This fast-track proposal seeks to significantly expand iKinnect to prevent NSSI, suicidal behaviors (ideation, planning, attempts), and death by suicide in JJ-involved TA youth while continuing to decrease externalizing behaviors and prevent recidivism. Leaders in the area of suicide risk among Black youth and cultural appropriateness of interventions will guide these efforts. This 33-month fast track will include three primary phases of evaluation: (1) a proof-of-concept formative evaluation phase during which we will iteratively design, test, and build a central portion of iKinnect2.0 to achieve its usability, acceptability, and relevance (Months 1-10); (2) a product design-and-build formative evaluation phase, where we will design, build, and test all remaining features for iOS and Android phones, while also preparing the platform for clinical use (Months 11-23); and (3) a summative evaluation phase involving a pilot test (N=15) of iKinnect2.0 and an RCT (N=120) comparing iKinnect2.0 to an active control condition; and results will then be analyzed, reported, and disseminated (Months 24-33). We predict that iKinnect2.0 TA youth and parents will report a significantly greater decrease in suicidal and NSSI behaviors and in conduct problem behaviors in TA youth. Furthermore, iKinnect2.0 participants (TA youth and parents) will report significantly greater use of behavioral skills, as well as self-efficacy in coping with emotional distress and other challenging situations. iKinnect2.0 parents will report greater awareness of and confidence in applying evidence-based strategies to prevent suicide/NSSI and support their suicidal youth through a suicide crisis.