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预防自杀培训的文化融入课程框架(CICF)。

The Culturally Infused Curricular Framework (CICF) for Suicide Prevention Trainings.

机构信息

Palo Alto University, Palo Alto, CA, USA.

County of Santa Clara Behavioral Health Services, San Jose, CA, USA.

出版信息

Health Promot Pract. 2024 Nov;25(6):1104-1115. doi: 10.1177/15248399241234064. Epub 2024 Mar 5.

Abstract

Although suicide prevention trainings (SPT) have been a standard approach for suicide prevention for years, researchers have noted a need for more clarity in the definition of core competencies for SPTs, particularly in the areas of diversity and culture. Recent research has identified key theoretically- and empirically-based cultural considerations for suicide prevention, but translation is needed to infuse these standards for culture-related competencies into SPTs. This study performed a systematic literature review with a thematic synthesis analytic approach to establish a set of curricular guidelines for infusion of cultural considerations into SPTs. The study also examined the extent to which existing community trainings already incorporate cultural components. Based on the thematic synthesis of 39 SPT studies from 2010 to 2020 and seminal reviews of the cultural and suicide literature, results identified three overarching categories of cultural curricular competencies (suicide knowledge and awareness, suicide intervention skills, and curriculum delivery) and 14 core cultural curricular subthemes for community trainings (e.g., culturally informed risk factors and warning signs, systemic inequities, etc.). These three categories with 14 core cultural curricular competencies comprise the Culturally Infused Curricular Framework (CICF) for Suicide Prevention Trainings. The majority of trainings (62%) included five or less out of 14 total possible core cultural competencies in their training curricula, pointing to insufficient integration of cultural components in existing community trainings. This study's research-based guideline establishes a culture-inclusive framework to strengthen content and approach of community trainings and suicide prevention across cultural groups.

摘要

尽管自杀预防培训 (SPT) 多年来一直是预防自杀的标准方法,但研究人员指出,需要更加明确 SPT 的核心能力定义,特别是在多样性和文化方面。最近的研究确定了预防自杀的关键基于理论和经验的文化考虑因素,但需要进行翻译,将这些与文化相关的能力标准融入 SPT 中。本研究采用系统文献综述和主题综合分析方法,为将文化考虑因素融入 SPT 制定了一套课程指南。该研究还检查了现有社区培训在多大程度上已经纳入了文化因素。基于 2010 年至 2020 年 39 项 SPT 研究的主题综合和文化与自杀文献的重要综述,结果确定了文化课程能力的三个总体类别(自杀知识和意识、自杀干预技能和课程交付)和社区培训的 14 个核心文化课程子主题(例如,文化知情的风险因素和预警信号、系统性不平等等等)。这三个类别和 14 个核心文化课程能力构成了预防自杀培训的文化融入课程框架 (CICF)。大多数培训(62%)在其培训课程中包含了 14 个核心文化能力中的五个或更少,这表明现有社区培训中文化因素的融合程度不足。本研究基于研究的指南建立了一个文化包容的框架,以加强跨文化群体的社区培训和自杀预防的内容和方法。

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