Michael Kurt, Fischer Aaron J, Olsen Trevor
The Jed Foundation, New York, New York (Michael); Department of Psychiatry, Huntsman Mental Health Institute, Spencer Fox Eccles School of Medicine (Michael), and Department of Educational Psychology (Fischer), University of Utah, Salt Lake City; San Juan School District, Blanding, Utah (Olsen).
Focus (Am Psychiatr Publ). 2025 Jan;23(1):19-24. doi: 10.1176/appi.focus.20240035. Epub 2025 Jan 15.
Historically, the suicide rates in rural and Indigenous communities have been disproportionately high. Since the COVID-19 pandemic, stigma, mental health workforce shortages, and the diminished health care infrastructure in rural and remote regions have only amplified this trend. Fortunately, several innovative and culturally responsive approaches have been developed in the context of these communities to address these persisting mental health disparities. Two specific approaches, embedded school mental health partnerships and telehealth solutions, are described in detail in this article. Both examples have shown considerable promise in stemming the tide of these sobering epidemiological trends in rural and Indigenous communities.
从历史上看,农村和原住民社区的自杀率一直高得不成比例。自新冠疫情以来,耻辱感、心理健康劳动力短缺以及农村和偏远地区医疗保健基础设施的削弱,只会加剧这一趋势。幸运的是,在这些社区的背景下,已经开发出了几种创新的、具有文化适应性的方法来解决这些持续存在的心理健康差距问题。本文详细介绍了两种具体方法,即嵌入式学校心理健康伙伴关系和远程医疗解决方案。这两个例子在遏制农村和原住民社区这些严峻的流行病学趋势方面都显示出了相当大的前景。