Social Ecology and the Prevention of Suicide and Aggression in African American Y

描述（由申请人提供）：本预防干预试验采用随机对照设计，对城市低收入非裔美国青少年进行15期、文化定制、认知行为群体预防干预的效果进行检验。PI成功地调整了“应对压力课程”（Clarke et al., 1995），使其具有文化敏感性，适合城市低收入非洲裔美国青少年使用。这种文化适应性干预（即适应性应对压力课程[Robinson & Case， 2003]）将被显著修订，以增强个人能力，以减轻自我导向（即自杀）和人际间攻击的风险。此外，本研究旨在探讨社区和家庭生态特征如何调节文化适应性、认知行为应对压力预防干预对非裔美国青少年自我导向（即自杀）和人际攻击的影响。这项研究有望对减少非裔美国青年健康差距产生广泛的公共卫生影响，并为非洲裔美国青年制定有效的暴力预防干预措施的实践和政策提供信息。预计这项研究将为未来的大规模有效性研究提供信息

DESCRIPTION (provided by applicant): This indicated prevention intervention trial employs a randomized controlled design to examine the efficacy of a 15-session, culturally tailored, cognitive-behavioral group prevention intervention for urban, low income African American adolescents. The PI successfully adapted the Coping with Stress Course (Clarke et al., 1995) to be culturally sensitive and appropriate for use with urban, low-income African American adolescents. This culturally-adapted intervention (i.e., the Adapted-Coping with Stress Course [Robinson & Case, 2003]) will be significantly revised to enhance individual competencies believed to mitigate the risk for self-directed (i.e., suicidality) and inter-personal aggression. n addition, the proposed study aims to examine how neighborhood and family ecological characteristics moderate the effects of a culturally-adapted, cognitive-behavioral coping with stress prevention intervention on African American adolescents' self-directed (i.e., suicidality) and interpersonal aggression. This study is expected to have broad public health implications toward the reduction of African American youth health disparities and inform practice and policy on the development of effective violence prevention interventions for African American youth. It is expected that this study will inform a future large scale effectiveness study that will embed an evidence-based, culturally sensitive violence prevention intervention within a large urban school system.