在美洲原住民背景下规划青年自杀预防计划的可持续性:一项建模研究
Lauren Yan1, Zhixi Chen2, Novalene Goklish3
1Johns Hopkins University, Bloomberg School of Public Health, Department of Mental Health, 615 N. Wolfe St., Baltimore, MD 21205, USA.
Annals of epidemiology
|November 12, 2025
概括
加强计划管理是维持部落背景下社区自杀预防的关键. 这一策略改善了信任,资源,并减少了青少年的自杀企图和自我伤害.
科学领域:
- 公共卫生 公共卫生
- 社区心理学 社区心理学
- 系统科学 系统科学
背景情况:
- 在部落背景下,基于社区的自杀预防计划至关重要.
- 维持这些计划需要有效的,特定于环境的战略.
- 系统动态建模为评估维持策略提供了一种新的方法.
研究的目的:
- 在部落环境中确定基于社区的自杀预防计划的可操作和有效的维持策略.
- 利用参与式系统动态建模来评估优先策略的影响.
- 评估关键策略对计划维持和青少年自杀行为的影响.
主要方法:
- 与项目实施团队举行研讨会,以优先考虑维持战略.
- 采用系统动态建模和微模拟来评估战略影响.
- 模拟了增加资金,增强计划管理和领导力发展的影响.
主要成果:
- 改进的项目管理提高了31%的模拟社区信任和10%的合作伙伴参与度.
- 增加的资金导致资源可用性增加了46%,人员增加了13%.
- 增强的计划管理最有效地改善了临床结果,减少了1.4%的非自杀自伤和1.3%的自杀企图.
结论:
- 一个协作模拟模型有效地评估了优先级维持策略的影响.
- 多方面增强的项目管理显示对项目持续性产生最大影响.
- 这种建模方法可以支持部落社区维持基本计划.
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