Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide

项目总结/摘要 将代际文化知识交流与零自杀整合是一项创新性的研究， 西南部部落国家将零自杀纳入印度卫生服务（IHS）初级保健 设置.这项研究的目的是确定零自杀加上文化成分的有效性 (ZS+）（实验组）与单独零自杀（ZS）（对照组）相比， 行为，和弹性在两个农村IHS诊所的138个12-24岁的AI青年的随机对照试验中， 圣费利佩的普韦布洛。这项研究的长期目标是确定哪种方法更有效地减少 自杀意念和行为以及增加弹性，ZS+或单独ZS。第一年将侧重于培训 提供者对零自杀模式和手册Katishtya代际文化知识 研讨会（KICKS）课程，在过去三个夏天进行了试点和积极评价， 文化模块，以提高零自杀的采用和接受。第2-4年将侧重于参与者 招募、分配到实验组和对照组以及实施。第五年将专注于数据 分析和传播。将在4个时间点收集所有实验组和对照组参与者的数据 点：基线，12周，6个月和9个月，以探索干预随时间的影响。的 中心假设是ZS+将比单独ZS更有效。我们提出三个目标：（1）具体目标1： 使用基于社区的调查研究（CBPR），与部落利益相关者和研究人员合作， 正式手册化零自杀（ZS+）KICKS文化模块;（2）具体目标2：确定是否 在零自杀模型中加入文化因素，可以更有效地减少风险因素， （3）具体目标3：确定人工智能青年的基本特征， KICKS模块供其他部落改编并推广该模型。

PROJECT SUMMARY / ABSTRACT Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide is an innovative study in a Southwestern tribal nation that incorporates Zero Suicide into Indian Health Services (IHS) primary care settings. The goal of this study is to determine the effectiveness of Zero Suicide plus a cultural component (ZS+) (experimental group) compared to Zero Suicide (ZS) alone (control group) on suicidal ideation, behaviors, and resiliency in a randomized control trial of 138 AI youth ages 12-24 at two rural IHS clinics on the Pueblo of San Felipe. The long-term goal of this study is to determine which is more effective at reducing suicidal ideation and behaviors and increasing resiliency, ZS+ or ZS alone. Year 1 will focus on training providers on the Zero Suicide model and manualizing the Katishtya Intergenerational Culture Knowledge Seminars (KICKS) curriculum that was piloted and positively evaluated over the past three summers as a cultural module to improve the adoption and acceptability of Zero Suicide. Years 2-4 will focus on participant recruitment, assignment to experimental and control groups, and implementation. Year 5 will focus on data analysis and dissemination. Data will be collected from all experimental and control group participants at 4 time points: baseline, 12-weeks, 6-months and 9-months to explore the effects of the intervention over time. The central hypothesis is that ZS+ will be more effective then ZS alone. We propose three aims: (1) Specific Aim 1: Using Community Based Participatory Research (CBPR), partner with tribal stakeholders and researchers to formally manualize the KICKS cultural module for Zero Suicide (ZS+); (2) Specific Aim 2: To determine if adding a cultural component to the Zero Suicide model is more effective at reducing risk factors and increasing resiliency in AI youth than Zero Suicide alone; and (3) Specific Aim 3: Determine the essential features of the KICKS module for adaptation by other tribes and disseminate the model.