Suicidal Ideation
Conditions
Keywords
American Indian, Alaska Native, Suicide prevention
Brief summary
The overall goal of this research is to better understand if and how the Elders' Resilience Curriculum (ERC), a culturally grounded, school-based upstream suicide prevention program taught by White Mountain Apache Tribe (WMAT) Elders to youth, promotes connectedness, cultural strengths, and reasons for living among American Indian youth.
Detailed description
The overall goal of this research is to better understand if and how the Elders' Resilience Curriculum (ERC), a culturally grounded, school-based upstream suicide prevention program taught by White Mountain Apache Tribe (WMAT) Elders to youth, promotes connectedness, cultural strengths, and reasons for living among American Indian youth. Prior to this trial, the investigators collaborated with WMAT research partners to gather qualitative data to identify key protective factors and core components of the ERC. After identifying key protective factors and core components of the ERC, the investigators developed a culturally adapted assessment battery and theoretical model to assess the ERC. This study works with White Mountain Apache tribal community partners to collaboratively pilot test a rigorous evaluation of the ERC.
Interventions
BEHAVIORALElders' Resilience Curriculum
The Elders' Resilience Curriculum (ERC) is a culturally grounded, school-based program taught by White Mountain Apache Tribe (WMAT) Elders to youth. It is designed to prevent suicide ideation and behaviors for American Indian youth
Sponsors
National Institute of Mental Health (NIMH)
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Ages 9-14 years * Enrolled in a school where the Elders' Resilience Curriculum is delivered * Participating in the Elders' Resilience Curriculum Program
Exclusion criteria
* Parent/Guardian objection to youth participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Reasons for Life as Assessed by the Reasons for Life Scale | Baseline, 26 weeks | 11 self-report items from the Reasons for Life scale, measures beliefs and experiences that make youth feel like life is enjoyable, worthwhile, and meaningful. Responses range from 1 (not at all) to 3 (a lot) with higher scores indicating more reasons for life. Total scores range from 11-33 with higher scores indicating more reasons for life. Change was calculated from the difference between endline and baseline responses. |
| Change in Cultural Connectedness as Assessed by the Cultural Connectedness Scale - Short Form | Baseline, 26 weeks | The Cultural Connectedness Scale-short version is a 9-item self-report measure that assesses connection to cultural identity, traditions, and spirituality among First Nations youth. Responses vary - five questions are yes/no, three questions range from 0 (disagree) to 1 (agree) and the last question ask about frequency, ranging from 0 (never) to 4 (every day). Higher agreement (i.e., yes or agree responses) indicate greater levels of cultural connectedness. Total scores range from 0-12 with higher scores indicating greater levels of cultural connectedness. Change was calculated from the difference between endline and baseline responses. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Awareness of Connectedness as Assessed by the Awareness of Connectedness Scale | Baseline, 26 weeks | The Awareness of Connectedness Scale is a 12-item self-report measure that evaluates awareness of connection with self, family, community, and the natural environment. Responses range from 0 (not at all) to 2 (a lot) with higher scores representing greater levels of awareness of connectedness. Total scores range from 0-24 with higher scores representing greater levels of awareness of connectedness. Change was calculated from the difference between endline and baseline responses. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Elders' Resilience Curriculum Recipients Youth aged 9-14 who receive the Elders' Resilience Curriculum
Elders' Resilience Curriculum: The Elders' Resilience Curriculum (ERC) is a culturally grounded, school-based program taught by White Mountain Apache Tribe (WMAT) Elders to youth. It is designed to prevent suicide ideation and behaviors for American Indian youth | 72 |
| Total | 72 |
Baseline characteristics
| Characteristic | Elders' Resilience Curriculum Recipients |
|---|---|
| Age, Categorical <=18 years | 72 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Age, Continuous | 11 years STANDARD_DEVIATION 1.02 |
| Race (NIH/OMB) American Indian or Alaska Native | 72 Participants |
| Race (NIH/OMB) Asian | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) White | 0 Participants |
| Region of Enrollment United States | 72 Participants |
| Sex: Female, Male Female | 36 Participants |
| Sex: Female, Male Male | 36 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 72 |
| other Total, other adverse events | 0 / 72 |
| serious Total, serious adverse events | 0 / 72 |
Outcome results
Primary
Change in Cultural Connectedness as Assessed by the Cultural Connectedness Scale - Short Form
The Cultural Connectedness Scale-short version is a 9-item self-report measure that assesses connection to cultural identity, traditions, and spirituality among First Nations youth. Responses vary - five questions are yes/no, three questions range from 0 (disagree) to 1 (agree) and the last question ask about frequency, ranging from 0 (never) to 4 (every day). Higher agreement (i.e., yes or agree responses) indicate greater levels of cultural connectedness. Total scores range from 0-12 with higher scores indicating greater levels of cultural connectedness. Change was calculated from the difference between endline and baseline responses.
Time frame: Baseline, 26 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Elders' Resilience Curriculum Recipients | Change in Cultural Connectedness as Assessed by the Cultural Connectedness Scale - Short Form | 0.756 score on a scale | Standard Error 0.0217 |
p-value: 0.0504Satterthwaite approximations
Primary
Change in Reasons for Life as Assessed by the Reasons for Life Scale
11 self-report items from the Reasons for Life scale, measures beliefs and experiences that make youth feel like life is enjoyable, worthwhile, and meaningful. Responses range from 1 (not at all) to 3 (a lot) with higher scores indicating more reasons for life. Total scores range from 11-33 with higher scores indicating more reasons for life. Change was calculated from the difference between endline and baseline responses.
Time frame: Baseline, 26 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Elders' Resilience Curriculum Recipients | Change in Reasons for Life as Assessed by the Reasons for Life Scale | 2.36 score on a scale | Standard Error 0.0351 |
p-value: 0.0006Satterthwaite approximations
Secondary
Change in Awareness of Connectedness as Assessed by the Awareness of Connectedness Scale
The Awareness of Connectedness Scale is a 12-item self-report measure that evaluates awareness of connection with self, family, community, and the natural environment. Responses range from 0 (not at all) to 2 (a lot) with higher scores representing greater levels of awareness of connectedness. Total scores range from 0-24 with higher scores representing greater levels of awareness of connectedness. Change was calculated from the difference between endline and baseline responses.
Time frame: Baseline, 26 weeks
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Elders' Resilience Curriculum Recipients | Change in Awareness of Connectedness as Assessed by the Awareness of Connectedness Scale | 1.04 score on a scale | Standard Error 0.0394 |
p-value: 0.00134Satterthwaite approximations