RAND:洛杉矶县公共卫生部青少年自杀预防试点项目评估(2025) 45页

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时间:2025-06-18

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上传者:PASHU
SHANNON D. DONOFRY, LU DONG, NABEEL QURESHI, CHLOE GOMEZ, NINA V. OZBARDAKCI, DEBORAH
KIM, JANE BAI, STACEY YI, MALLIKA BHANDARKAR, AMY L. SHEARER, HELIN HERNANDEZ, JACOBO
PEREIRA-PACHECO
Los Angeles County
Department of Public
Health Youth Suicide
Prevention Pilot Program
Evaluation
T
he Los Angeles (LA) County Office of Violence Prevention (OVP) was established in 2019
within the LA County Department of Public Health (DPH). OVP is charged with advanc-
ing policies and programs aimed at preventing all forms of violence in the community and
promoting healing following violent events. OVP leads efforts to coordinate violence pre-
vention activities across county departments, community-based organizations, private businesses,
and community members to foster collaboration and resource-sharing and to prevent duplicative or
competing efforts, ensuring a more robust county-level strategy for preventing and responding to
community violence (LA County OVP, 2020). OVP collects primary data and analyzes primary and
secondary data to identify and monitor patterns of violence over time, inform decisionmaking about
resource allocation, track evolving or emergent community needs, and evaluate program implemen-
tation and effectiveness. OVP has also undertaken efforts to develop an infrastructure for engaging
community members, particularly those most affected by violence, to incorporate their perspectives
in strategic planning, program development, and implementation. In this report, we focus on the
Youth Suicide Prevention Pilot (YSPP) program, which began in 2023 and ended in 2025.
The California DPH (CDPH) funded YSPP to implement programs and initiatives aimed at
enhancing the state’s ability to effectively respond to and prevent suicides and suicide attempts
among youth under the age of 25. LA County is one of ten California counties selected to participate
in the pilot. OVP is required to evaluate the programs and initiatives implemented during YSPP’s
two-year pilot period, which ended in June 2025. In 2024, OVP selected RAND to provide technical
assistance and evaluation services related to YSPP activities, with a particular emphasis on evalu-
ating any challenges in implementing program components. We interviewed YSPP program staff
Research Report
资源描述:

这篇报告是对洛杉矶县青少年自杀预防试点项目(YSPP)的评估。YSPP由加州公共卫生部资助,旨在提升对25岁以下青少年自杀及自杀未遂的应对和预防能力。 - **项目背景**:自杀是10 - 24岁人群的第二大死因,洛杉矶县因青少年自伤、自杀相关急诊和住院数量等因素,被列为自杀预防重点投资区域。 - **项目活动与目标**:YSPP负责开发和评估监测、报告及应对青少年自杀和自杀未遂的模型,与多部门及组织合作,设立了青少年自杀死亡和自杀未遂监测、快速报告系统开发、为受自杀影响的青少年提供危机应对服务、开展青少年自杀预防活动等四大项目内容。 - **评估方法**:采用混合方法,包括文档回顾、与项目人员和利益相关者的半结构化访谈、SWOT分析、地理信息系统(GIS)绘图,还进行了系统的文献检索和范围审查,以确定评估青少年自杀预防项目的措施。 - **主要发现**:项目虽有进展,但面临诸多障碍,如两年时间不足以有效开展所有计划内容,内部审批流程冗长导致招聘、合同执行等延迟,获取和报告青少年自杀相关数据困难,缺乏持续资金影响项目可持续性及社区信任等。 - **建议**:洛杉矶县暴力预防办公室应寻找其他资金来源,提高内部审批效率,合理安排项目优先级,提前规划项目评估;加州公共卫生部需提供持续资金,推动自杀事件报告及数据共享,制定更现实的试点计划时间表。

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