Cwik Mary F, Tingey Lauren, Lee Angelita, Suttle Rosemarie, Lake Kristin, Walkup John T, Barlow Allison
Am Indian Alsk Native Ment Health Res. 2016;23(1):105-124. doi: 10.5820/aian.2301.2016.105.
American Indian (AI) adolescents have the highest suicide death and attempt rates of any U.S. group, yet few interventions have been developed or evaluated for this population. This paper presents the first adaptation of a brief evidence-based intervention for AI adolescents from one reservation who made a suicide attempt. We describe our community-driven approach to intervention development and a small pilot study (n = 13). Preliminary findings indicate reductions in adolescents' negative thinking, depression, and suicidal ideation, and an increase in psychological service utilization. Key innovations include delivery by AI paraprofessionals and potential to strengthen the continuum of care between emergency department and outpatient settings.
美国印第安（AI）青少年的自杀死亡率和自杀未遂率在美国所有群体中是最高的，但针对这一人群开发或评估的干预措施却很少。本文介绍了针对来自一个保留地且有自杀未遂经历的AI青少年，对一种基于证据的简短干预措施进行的首次改编。我们描述了我们以社区为导向的干预措施开发方法以及一项小型试点研究（n = 13）。初步研究结果表明，青少年的消极思维、抑郁和自杀意念有所减少，心理服务利用率有所提高。关键创新点包括由AI辅助专业人员提供服务，以及有潜力加强急诊科和门诊环境之间的连续护理。
