SPIRIT - Suicide Prevention & Implementation Research Initiative

勇气号项目总结 许多自杀预防干预措施单独证明了效果，但没有。 实施或转化为有意义的护理成果，可在 多个上下文。研究实施过程是确定一个 如果在更大范围内实施，综合干预是可持续的。该项目旨在 通过实施综合自杀预防干预措施缩小实施差距 并评估干预在改变古吉拉特邦人行为方面的成功 社区接受干预导致自杀事件减少，自杀行为使用 REAIM框架。这项研究的第二个目的是培训专业人员进行 实施研究并生成有关增强或阻碍的关键因素的知识 扩大我们的方法，以便提出推广到其他地区和 印度和邻国孟加拉国的各州。该项目的最终目标是 使区域政策制定者能够整合已实施的研究产生的证据 古吉拉特邦政策制定中的自杀预防。该项目提出，集成的 干预措施将在一个地区以整群随机对照试验的形式实施 古吉拉特邦(Meheana)，该邦约有203万人口，74%的人口 该地区的人口被归类为居住在农村地区。干预措施的组成部分 包括：(A)发展复杂、多层次、多学科、多人口自杀 古吉拉特邦的预防干预(B)评估覆盖范围、有效性、采用率和 这一干预措施的一致性和成本效益(C)培训公共卫生工作者开展 自杀意念和行为识别的实现研究，并在建立 保健工作者提供初步支持的能力，包括建立复原力的战略 并促进应对策略，并将社区成员转介到服务中。终极的 结果是成年人的自杀和自杀未遂人数减少，此外， 在青少年中的自杀行为。

SPIRIT Project Summary Many suicide prevention interventions have demonstrated efficacy individually, but are not implemented or translated into meaningful care outcomes that can be implemented across multiple contexts. Researching the implementation process is a key to determine whether an integrated intervention is sustainable when implemented on a wider scale. This project aims to close the implementation gap by implementing an integrated suicide prevention intervention in a rural area of Gujarat and assess the success of the intervention in changing behavior of community recipients of the intervention leading to reduced suicides, suicidal behavior using RE-AIM framework. The second aim of the study is to train professionals to conduct implementation research and generate knowledge about key factors that enhance or hamper scaling-up our approach in order to make recommendations for spread to other regions and states in India and in the neighboring country of Bangladesh. A final aim of the project is to empower regional policy makers to integrate evidence generated from implemented research on suicide prevention in policy making in Gujarat. The project proposes that the integrated intervention will be implemented as a cluster randomized controlled trial, in one district (Mehesana) of the state of Gujarat, which has a population of about 2.03 million, with 74% of the district’s population classified as living in rural areas. The components of the intervention include (a) developing a complex multi-level, multi-disciplinary, multi-population suicide prevention intervention for the state of Gujarat (b) assess reach, effectiveness, adoption, and consistency and cost effectiveness of this intervention (c) train public health workers to conduct implementation research for recognizing suicidal ideation and behaviors, and in building the capacity of health workers to provide initial support, including strategies for building resilience and fostering coping strategies, and referring community members to services. The ultimate outcome is reduction in suicides and attempted suicides among adults and in addition, reduction in suicidal behavior among adolescents.