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Caring Texts: A Strength-based, Suicide Prevention Trial in 4 Native Communities

关爱文本：在 4 个原住民社区进行的基于力量的自杀预防试验

基本信息

批准号：
9067044
负责人：
KATHERINE ANNE COMTOIS
金额：
$ 64.43万
依托单位：
WASHINGTON STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-06-01 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9067044
关键词：
Address Adult Age Alaska Alaska Native American Indians Attention Behavior Caring Cause of Death Cessation of life Characteristics Communication Methods Communities Country Data Effectiveness Electronic Mail Environmental Wind Event Evidence based intervention Exhibits Family Feeling suicidal Friends Future Goals Grant Grief reaction Health Health care facility Health system Healthcare Systems Hospitalization Human Individual Intervention Law Enforcement Letters Life Mediating Mental disorders Minority Groups Not Hispanic or Latino Outcome Participant Persons Population Prevention program Prevention strategy Prevention trial Process Randomized Randomized Controlled Trials Research Resources Risk Risk Factors Rivers Role Rural Schools Services Site Site Visit Social isolation Social support Suicide Suicide attempt Suicide prevention Supportive care Surgeon Telephone Text Theoretical model Time Trauma Work Youth aged base cohesion compare effectiveness cost cost effective cultural values design experience follow-up health disparity high risk improved interest intervention effect mortality native youth non-Native northern plains prevent programs racism reducing suicide resilience social social exclusion standard care suicidal behavior suicidal individual suicidal risk suicide rate theories treatment as usual underserved minority young adult

项目摘要

DESCRIPTION (provided by applicant): High rates of suicide are endemic in American Indian and Alaska Native (AI/AN) young adults. A recent study found that rates for young AI/AN adults in the Northern Plains and in Alaska are more than 4 times higher than for Whites of the same age in the same regions. Building social connections is a key goal of suicide prevention. One validated theoretical model asserts that belonging to a group is a fundamental human need. When this need is thwarted by social isolation or inadequate social support, a desire for death emerges. Studies of suicide prevention in AI/ANs underscore the cultural importance of connection to friends, family, caring neighbors, and community leaders. These traditions of community cohesion can be leveraged to protect young AI/AN adults against suicidal ideation and behavior. Caring Contacts is a suicide prevention program that supplements standard care by promoting human connectedness. People at risk for suicide often lose contact with the healthcare system and receive no follow-up care. For 1 year after an initial presentation, Caring Contacts seeks out such individuals to send messages expressing care, concern, and interest. It is the only intervention shown to prevent suicide in any population in a randomized, controlled trial. Based on an almost two year collaborative process with four tribal partners as part of a pilot grant, we have designed a locally feasible, culturally appropriate Caring Contacts intervention that will use text messaging, the dominant communication method for young AI/AN adults. This study uses a randomized, controlled trial (RCT) to evaluate this approach to suicide prevention in 1,200 high-risk AI/ANs aged 18-34 from our four partner communities. Our Specific Aims are to: 1) Compare the effectiveness of usual care (control) to the control condition plus caring text messages (intervention) for reducing suicidal ideation, suicide attempts, and suicide- related hospitalizations. 2) Evaluate social connectedness as a mediating factor for the effect of Caring Contacts via text message on suicidality. The US Surgeon General's National Strategy for Suicide Prevention identifies connectedness to others as the primary protective factor against suicidality.53 By adapting and disseminating the Caring Contacts approach, which has demonstrated effectiveness in non-Native populations, our study will evaluate a low-cost, sustainable intervention for addressing the profound disparity of suicide risk experienced by young adult AI/ANs.