Abstract GLS 2024
The Wichita and Affiliated Tribe (WAT) will implement Raising Interest in Suicide Education (RISE), a suicide prevention program for Native youth 10-24 of age in the Indian Health Service’s Lawton Service Area in Southwest Oklahoma. Natives have the highest rates of suicide of any race especially among Native male youths. Our project targets gaps in the suicide prevention system and will address unmet need for suicide prevention among Native youth.
The service area is large (9039 square miles) and contains 26,422 Native persons which comprise 8.7% of the total population. Two counties, Caddo, and Comanche, contain the majority of Native Americans (76.9%) in the service area, although we will work throughout the ten counties. Native youth struggle to overcome disparities in health insurance coverage, poverty, understanding the role of mental health in suicide, and lack of mental health training among public health employees. Our project has three main goals:
· Increase the number of youth-serving organizations who can identify, work with and refer Native youth to mental health services who are at risk of suicide,
· Increase the capacity of clinical service providers to assess, manage, and treat youth at risk of suicide within their 10-County catchment, and
· Improve the continuity of care of youth identified to be at risk for suicide, including those who have been discharged from emergency departments and inpatient psychiatric units, in their 10-County catchment.
Numerous strategies will be employed to reach these goals. We will provide trauma-informed, evidence-based, and culturally and linguistically appropriate suicide prevention activities including immediate support and information for high risk Native youth. We will also implement a response system to ensure that timely referrals to a qualified treatment provider are completed. Patients will be provided safety planning as part of WAT GLS. Also central to our services is the provision of post-suicide intervention services, care, and information to families or friends. Although the area is large we will provide evidence-based training, where possible, to educators, childcare professionals, obtain input from individuals with lived experience, and collect and analyze data and report to our funder, the Substance Abuse Mental Health and Substance Abuse Services Administration (SAMHSA). Our project will compile information from youth in crisis in a Native Suicide Surveillance Database to identify risk factors to target.
We will serve a minimum of 450 youth face to face during the five year grant and reach many more through our social media presence. We propose to serve at least 50 youth in the first year and 100 youth in each of succeeding four years.