Actively Recruiting

Phase Not Applicable
Age: 12Years +
All Genders
Healthy Volunteers
ID06658808

Efficacy-Implementation Study for Promoting Community Conversations About Research to End Suicide (PC CARES) in Rural Alaska

Led by University of Michigan · Updated on 2025-06-15

1075

Participants Needed

2

Research Sites

73 weeks

Total Duration

On this page

Sponsors

U

University of Michigan

Lead Sponsor

Y

Yukon Kuskokwim Health Corporation

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the impact of Promoting Community Conversations About Research to End Suicide (PC CARES) in rural Alaska Native communities to understand how this approach affects suicide prevention efforts. The study evaluates participant outcomes in learning circles, community-wide effects on youth, and how to sustainably expand PC CARES to other Alaska Native communities. It focuses on building personal and collective skills and tracking behaviors that support suicide prevention over time. The PC CARES intervention involves training local community health workers to lead up to five 3-hour Learning Circles over about six months. These sessions aim to create a community of practice among trusted adults to learn about, adapt, and apply suicide prevention best practices tailored to their culture and community. Participants attend sessions either virtually or in person, while a comparison group does not participate in the sessions but provides data at similar time points. Participants are involved in multiple assessments throughout the study, including surveys at baseline, after each Learning Circle session, and follow-ups at one and six months after the last session. These assessments measure changes in suicide prevention knowledge, self-efficacy, community collaboration, youth connectedness, social support, protective factors, and prevention behaviors. The study also gathers detailed feedback from student facilitators and community members to understand barriers and enablers to implementing PC CARES in remote communities. The total duration for participant involvement spans several months with multiple data collection points.

CONDITIONS

Brief Title

Efficacy-Implementation Study for PC CARES in Rural Alaska

Who Can Participate

Age: 12Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Anyone aged 12 and over who lives or works in the designated communities may participate in this study.
Not Eligible

You will not qualify if you...

History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or virtual)

Outpatient Treatment

Duration - Approximately 6 months

Participants attend a series of five 3-hour Learning Circles over approximately 6 months, where they learn about suicide prevention best practices, develop community collaboration, and apply new skills to support youth in their daily interactions.

Up to 5 sessions (in-person or virtual)

Follow-up

Duration - Up to 6 months after last session

Participants complete follow-up assessments to measure changes in knowledge, self-efficacy, community connectedness, and prevention behaviors after the Learning Circles end.

Assessments at 1 month and 6 months after last session

Trial Site Locations

Total: 2 locations

1

Rural Human Services Program

Fairbanks, Alaska, United States, 99775

Actively Recruiting

2

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

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Research Team

L

Lisa Wexler, PhD

M

Miriam Midoun, MA, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

What Kinds of Support are Alaska Native Youth and Young Adults Reporting? An Examination of Types, Quantities, Sources, and Frequencies of Support.

Kelly L Markowski, Lauren White, Sela R Harcey...

https://pubmed.ncbi.nlm.nih.gov/36047453

Community mobilization for rural suicide prevention: Process, learning and behavioral outcomes from Promoting Community Conversations About Research to End Suicide (PC CARES) in Northwest Alaska.

Lisa Wexler, Suzanne Rataj, Jerreed Ivanich...

https://pubmed.ncbi.nlm.nih.gov/31151026

Adapting PC CARES to Continue Suicide Prevention in Rural Alaska During the COVID-19 Pandemic: Narrative Overview of an In-Person Community-Based Suicide Prevention Program Moving Online.

Caroline C Wells, Lauren White, Tara Schmidt...

https://pubmed.ncbi.nlm.nih.gov/35881985

Creating a Community of Practice to Prevent Suicide Through Multiple Channels: Describing the Theoretical Foundations and Structured Learning of PC CARES.

Lisa Wexler, Diane McEachern, Gloria DiFulvio...

https://pubmed.ncbi.nlm.nih.gov/26880738

Decoloniality as a Framework for Indigenous Youth Suicide Prevention Pedagogy: Promoting Community Conversations About Research to End Suicide.

Lucas Trout, Diane McEachern, Anna Mullany...

https://pubmed.ncbi.nlm.nih.gov/30561803

Implementation beyond the clinic: Community-driven utilization of research evidence from PC CARES, a suicide prevention program.

Lauren A White, Lisa Wexler, Addie Weaver...

https://pubmed.ncbi.nlm.nih.gov/35762450