Suicide Clinical Trial
Official title:
New Hope and the Elders' Resilience Interventions for the Prevention of Suicide and Promotion of Resilience in Suicidal American Indian Youth
This study will employ a SMART design to evaluate the effectiveness of New Hope (NH), Elders' Resilience intervention (ER), Case Management (CM) and the combination of these approaches on reducing suicidal thoughts and promoting resilience among AI youth ages 10-24 who are identified by a surveillance system as having recent suicide ideation or behaviors or binge substance use. This five-year study tests a sequence of novel preventive strategies that American Indian (AI) tribes can use to sustainably reduce the burden of AI youth suicide and promote resilience. The study will evaluate the effectiveness of task-shifting the administration of interventions to culturally embedded paraprofessionals. The Johns Hopkins Center for American Indian Health (CAIH) will provide research oversight and the White Mountain Apache Tribe (WMAT) will be the primary study site. Navajo Nation (NN) will participate as a secondary site in years 4-5. The study investigators hypothesize that: a) New Hope vs. Case Management alone will significantly reduce participant suicidal ideation; b) Elders Resilience vs. Case Management alone will significantly improve participant resilience; c) New Hope followed by Elders Resilience will have the strongest effects on suicidal ideation and resilience; and d) Case Management alone will have the weakest effects of all combinations.
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