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Leadership Principal Investigators: Dedra S. Buchwald, MD
Hub Activity Sites Seattle Indian Health Board, Seattle, Washington
Project Overview
Urban American Indian/Alaska Native (AI/AN) young adults are at high risk for attempted suicide and for serious mental disorders, substance abuse, gang activity, teen pregnancy, and interpersonal violence. Although many AI/AN youths reside in urban areas, there is limited research to inform the best prevention strategies to address the high rates of suicide among urban AI/AN young adults. Most people who die by suicide have contact with a primary care provider in the prior year, and many are seen in the month before their death. “Screening, Brief Intervention, and Referral to Treatment” (SBIRT) is an evidence-based practice that co-locates behavioral health clinicians in primary care teams and substantially reduces suicide risk through immediate intervention by behavioral health clinicians. However, retention in SBIRT has been a cha