Evidence map›Paper›PMID 40375393›Full record

ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2025

Care packages to promote universal suicide prevention for remote Alaska Native communities: What worked?

Joshua Kennedy, Lisa Wexler, Tara Schmidt, Suzanne Rataj, Josie Garnie, Roberta Moto, Zinan Tao, Lauren White, Diane McEachern

Abstract read
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In one paragraph

Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joshua KennedyDepartment of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-9504-6356
Lisa WexlerDepartment of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-5471-2666
Tara SchmidtDepartment of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Suzanne RatajCenter for Research on Families and Psychological and Brain Sciences, University of Massachusetts, Amherst, Massachusetts, USA.
Josie GarnieNorton Sound Health Corporation, Behavioral Health, Nome, Alaska, USA.
Roberta MotoManiilaq Associaiton, Wellness, Kotzebue, Alaska, USA.
Zinan TaoDepartment of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Lauren WhiteDepartment of Social Work and Research Center for Group Dynamics, Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Diane McEachernCollege of Rural and Community Development, University of Alaska-Fairbanks, Kuskokwim Campus, Bethel, Alaska, USA.

Funding

Promoting Community Conversations about Research to end Native Youth Suicide in Rural Alaska - Diversity SupplementR01MH112458 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WEXLER, LISA M. · 2018 to 2022
$3.4M
Intervention Research to Improve Native American HealthR01MH136768 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lisa M. Wexler · 2024 to 2026
$2.3M
Developing Effective Proximal Care to Prevent Rural Alaska Youth SuicideR34MH096884 · NIMH · UNIVERSITY OF MASSACHUSETTS AMHERST · PI DOMBROWSKI, KIRK, WEXLER, LISA M. · 2014 to 2016
$817k
NIH HHS R01 MH112458NIMH NIH HHS R01 MH112458NIMH NIH HHS R01 MH136768NIMH NIH HHS R34 MH096884
6 · The paper itself

Abstract

purposeAlaska Native (AN) youth living in remote Alaska suffer disproportionately from suicide when compared to all other American youth. Promoting Community Conversations About Research to End Suicide (PC CARES) is an intervention led by trained community facilitators, which shares scientific best practices to prevent youth suicide with community adults to spark feasible, culturally tailored personal and collective action. After training 34 AN facilitators to implement PC CARES in their home communities in late 2019, COVID-19 precluded in-person PC CARES activities, but the need to help adults support youth mental health during this period of quarantine and social distancing remained.

methodThe resulting adapted "PC CARES at Home" intervention delivered mail-based mental wellness and suicide prevention information and resources to adult community members from June 2020 to July 2022. The project sent 1527 care packages to 492 participants. FINDING: According to short surveys (n = 199) and interviews done with randomly selected recipients (n = 24), adults who received the PC CARES care packages were very satisfied with the contents and found them useful.

conclusionBoth acceptance and utility of mental health and safety promotion care packages has implications for offering information and resources to adults in remote communities to support them in promoting youth mental wellness.

Indexed as

Alaska NativesHealth PromotionRural PopulationSuicide PreventionAdolescentAdultAlaskaCOVID-19FemaleHumansMaleMiddle AgedAmerican Indian/Alaska Nativecaring contactsremote deliveryruralsuicide prevention

Identifiers

PMID40375393
PMCPMC12088509

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.