SCHOOL ENVIRONMENT: EFFECT ON SUICIDE PREVENTION PROGRAM

描述（由申请人提供）：预防青少年自杀是国家卫生优先事项，学校自杀预防计划是国家应对青少年自杀危机战略的关键组成部分。然而，我们对影响学校系统中这些项目的实施和修改的因素知之甚少。这项探索性研究将使用定性和定量研究方法来检查LAUSD青少年自杀预防计划（YSPP）的当前实施情况，这是一个全区范围的计划，提供预防和危机干预服务，与疾病预防控制中心推荐的学校自杀预防看门人一致。我们将使用YSPP在该地区所有高中产生的最近2年的记录来检查对自杀学生实施危机干预的差异。我们将采访关键信息提供者（如学校管理人员、危机干预人员和教师），以更深入地了解该项目在整个学区的高中是如何实施的，模型实施存在哪些障碍，以及如何进行修改。具体目标包括：

DESCRIPTION (provided by applicant): Prevention of youth suicide is a national health priority, and school suicide prevention programs are a key component of the nation's strategy to address the crisis of youth suicide. Yet, little is known about the factors that affect the implementation and modification of these programs in school systems. This exploratory study will use qualitative and quantitative research methodologies to examine the current implementation of the LAUSD Youth Suicide Prevention Program (YSPP), a district-wide program that provides prevention and crisis intervention services consistent with the CDC's recommended School Gatekeeper for Suicide Prevention in Schools. We will use the most recent 2 years of records generated by the YSPP across all high schools in the district to examine variations in the implementation of crisis interventions with suicidal students. We will interview key informants (e.g. school administrators, crisis intervention staff, and teachers) to develop a richer understanding of how this program is being implemented in high schools across the district, what barriers to model implementation exist, and how it is being modified. The specific aims include: 1. Identifying the variation of YSPP implementation across high schools in the LAUSD. 2. Examining how variation in YSPP implementation is related to the key dimensions of the school environment. 3. Exploring how contextual factors in the school facilitate and impede the implementation of the YSPP. 4. Exploring how schools are modifying the YSPP, and the relationship between these modifications and school environment. This exploratory study will result in a better understanding of which, in the multitude of potential factors, are the key factors that most greatly influence the actual implementation of the YSPP in LAUSD, and serves as our first step in a new line of research designed to improve youth suicide preventions efforts by developing programs that can be effectively implemented in today's schools.