Optimizing the Zero Suicide Model for Juvenile Detention

项目总结/摘要 这个K23职业发展奖将准备申请人启动她的职业生涯作为一个独立的投资， 在实施和心理健康公平研究的交叉点研究的专业知识，与一个 在服务青年的法律的环境中进行专业化，这与NIMH战略目标4相一致。大学 伊利诺伊大学芝加哥分校（UIC），在Marc阿特金斯、Jaleel Abdul-Adil、丽莎萨尔达纳和 格雷格·布朗，是申请人职业发展的理想环境。教师进行广泛的实施- 心理研究的目标是促进青年心理健康公平，并与 芝加哥公共卫生部和NIH资助的UIC临床和转化科学中心。 培训目标包括：（a）基础心理健康公平研究，（B）高级实施研究， 及（c）防止自杀研究及实践的专门训练。该应用程序的研究部分- 阳离子的开发，以补充培训目标，并提供机会，执行和完善新的 发展技能。该研究计划解决了预防青少年自杀的迫切需要， Tice设置。青少年拘留中心的青少年比同龄人有更高的自杀意念， 青少年拘留中心不成比例地为非洲裔美国人和黑人青年服务，这是一种群体体验， 在全国范围内自杀企图的增加。与零自杀模式保持一致，申请人将优化 少年拘留中心内使用的临床和实施要素（即，筛选，途径 护理，并通过安全计划干预对自杀倾向进行简短治疗）。因为申请人的目标是- 成为实施一系列基于证据的法律的实践的专家， 青年，研究自杀预防，鉴于其庞大的研究基础，以证据为基础的做法和复杂的 监管问题，提供了理想的培训平台。在目标1中，曾被拘留的年轻人（n=35） 被认定为黑人将接受采访，以了解他们的生活经历，并确定主要障碍和便利， 青少年拘留所自杀预防的专家。在目标2中，使用申请人先前工作的数据， 1，申请人将完善拘留的零自杀临床要素，以确保它们在文化上是合理的， 选择和操作实施要素。在目标3中，ap- 申请人将在两个当地拘留中心使用一个 阶梯楔形设计和收敛混合法。目的是证明临床的可行性， 和实施要素以及招聘、保留和数据收集程序。这个项目 将提供必要的数据和技能，为申请人的未来R 01混合2型的有效性，实施， 青少年拘留零自杀模式的试验。这项拟议研究的时机至关重要。防止- 减少青少年自杀是国家的优先事项，NIMH承诺到2025年将自杀率降低20%， 对黑人青年自杀的风险和预防研究特别感兴趣（NOT-MH-20-055）。

PROJECT SUMMARY/ABSTRACT This K23 Career Development Award will prepare the applicant to launch her career as an independent investi- gator with expertise in research at the intersection of implementation and mental health equity research, with a specialization in legal settings that serve youth, consistent with NIMH Strategic Objective 4. The University of Illinois at Chicago (UIC), under the expert mentorship of Drs. Marc Atkins, Jaleel Abdul-Adil, Lisa Saldana, and Greg Brown, is the ideal environment for the applicant’s career development. Faculty conduct extensive imple- mentation research with the goal of promoting youth mental health equity and have strong connections to the Chicago Department of Public Health and the NIH-funded UIC Center for Clinical and Translational Sciences. Training goals include: (a) foundational mental health equity research, (b) advanced implementation research, and (c) specialized training in suicide prevention research and practice. The research component of this appli- cation was developed to complement the training goals and provide opportunities to execute and refine newly developed skills. The research plan addresses the critical need to prevent suicide among youth in juvenile jus- tice settings. Youth in juvenile detention centers experience suicidal ideation at higher rates than their peers, and juvenile detention centers disproportionately serve African American and Black youth, a group experienc- ing an increase in suicide attempts nationally. Aligned with the Zero Suicide model, the applicant will optimize the clinical and implementation elements used within juvenile detention centers (i.e., screening, pathways of care, and brief treatment of suicidality via the Safety Planning Intervention). As the applicant’s goal is to be- come an expert in the implementation of a range of evidence-based practices for legal settings that serve youth, studying suicide prevention, given its large research base of evidence-based practices and its complex regulatory concerns, provides the ideal training platform. In Aim 1, formerly detained young adults (n=35) who identify as Black will be interviewed to understand their lived experiences and identify key barriers to and facili- tators of suicide prevention in juvenile detention. In Aim 2, using data from the applicant’s prior work and Aim 1, the applicant will refine the Zero Suicide clinical elements for detention to ensure they are culturally respon- sive and contextually appropriate and select and operationalize the implementation elements. In Aim 3, the ap- plicant will pilot the feasibility of the Zero Suicide model and R01 method in two local detention centers using a stepped wedge design and a convergent mixed method. The aim is to demonstrate the feasibility of the clinical and implementation elements as well as the recruitment, retention, and data collection procedures. This project will provide the necessary data and skills for the applicant’s future R01 hybrid type 2 effectiveness-implementa- tion trial of the Zero Suicide model for juvenile detention. The timing of this proposed study is critical. Prevent- ing youth suicide is a national priority, and NIMH has pledged to reduce the suicide rate by 20% by 2025 and has a special interest in research on risk and prevention of Black youth suicide (NOT-MH-20-055).