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促进阿拉斯加偏远原住民社区全民预防自杀的关爱包裹:哪些措施有效?

Care packages to promote universal suicide prevention for remote Alaska Native communities: What worked?

作者信息

Kennedy Joshua, Wexler Lisa, Schmidt Tara, Rataj Suzanne, Garnie Josie, Moto Roberta, Tao Zinan, White Lauren, McEachern Diane

机构信息

Department of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.

Center for Research on Families and Psychological and Brain Sciences, University of Massachusetts, Amherst, Massachusetts, USA.

出版信息

J Rural Health. 2025 Mar;41(2):e70032. doi: 10.1111/jrh.70032.

Abstract

PURPOSE

Alaska Native (AN) youth living in remote Alaska suffer disproportionately from suicide when compared to all other American youth. Promoting Community Conversations About Research to End Suicide (PC CARES) is an intervention led by trained community facilitators, which shares scientific best practices to prevent youth suicide with community adults to spark feasible, culturally tailored personal and collective action. After training 34 AN facilitators to implement PC CARES in their home communities in late 2019, COVID-19 precluded in-person PC CARES activities, but the need to help adults support youth mental health during this period of quarantine and social distancing remained.

METHOD

The resulting adapted "PC CARES at Home" intervention delivered mail-based mental wellness and suicide prevention information and resources to adult community members from June 2020 to July 2022. The project sent 1527 care packages to 492 participants.

FINDING

According to short surveys (n = 199) and interviews done with randomly selected recipients (n = 24), adults who received the PC CARES care packages were very satisfied with the contents and found them useful.

CONCLUSION

Both acceptance and utility of mental health and safety promotion care packages has implications for offering information and resources to adults in remote communities to support them in promoting youth mental wellness.

摘要

目的

与所有其他美国青少年相比,生活在阿拉斯加偏远地区的阿拉斯加原住民(AN)青少年自杀率过高。促进社区关于研究以终结自杀的对话(PC CARES)是一项由训练有素的社区协调员主导的干预措施,它与社区成年人分享预防青少年自杀的科学最佳实践,以激发可行的、符合文化特点的个人和集体行动。2019年末,在培训了34名AN协调员以便在其家乡社区实施PC CARES之后,新冠疫情使得PC CARES无法开展面对面活动,但在这段隔离和社交距离期间帮助成年人支持青少年心理健康的需求依然存在。

方法

由此产生的经过调整的“居家PC CARES”干预措施在2020年6月至2022年7月期间,向成年社区成员邮寄了心理健康和自杀预防信息及资源。该项目向492名参与者发送了1527个关爱包裹。

结果

根据对随机挑选的收件人进行的简短调查(n = 199)和访谈(n = 24),收到PC CARES关爱包裹的成年人对包裹内容非常满意,并认为它们很有用。

结论

心理健康和安全促进关爱包裹的可接受性和实用性对于向偏远社区的成年人提供信息和资源,以支持他们促进青少年心理健康具有重要意义。

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