目的:过去20年的一些报告为降低美军自杀率提供了建议。尽管他们的真实性,这些建议很少得到充分执行。
方法:在国防部长和美国国会的指导下,自杀预防和应对独立审查委员会成立于2022年,其任务是审查国防部内有关自杀的所有政策和程序。自杀预防和应对独立审查委员会审议了来自各部门办公室的400多项具体建议,参观军事设施,和服务成员焦点组,最终提出127条建议。国防部长随后指示成立执行工作组,评估了这127项建议的可行性,影响,并需要资源。
结果:经过实施工作组的评估,国防部领导层批准了111项总体行动,以在正式预算过程中进行资源考虑。这些行动与5条努力路线相一致,重点是减少整个军队的自杀行为。然后,资源筹措决定确定,这些建议中的83项将从2025财年开始提供资金。
结论:从实施科学的角度来看,整个国防部更广泛的机构关注往往是实施全系统变革的主要障碍。通过深思熟虑地决定优先考虑最有影响力的行动,可通过相关数据直接告知资源配置流程。
结论:实施减少军队自杀死亡的建议必须经过几个深思熟虑的步骤才能被优先考虑,资助,最终被军方采纳。随着研究人员和外部利益相关者对这一过程越来越熟悉,对未来预防活动的建议可以更好地克服实施障碍。
OBJECTIVE: A number of reports over the past 2 decades have provided recommendations for reducing the rate of suicide in the U.S. Armed Forces. Notwithstanding their veracity, few of these recommendations have been fully implemented.
METHODS: At the direction of the Secretary of Defense and the U.S. Congress, a Suicide Prevention and Response Independent Review Committee was formed in 2022, with the mission of reviewing all policies and procedures regarding suicide within the DoD. The Suicide Prevention and Response Independent Review Committee considered over 400 specific recommendations garnered from component offices, military installation visits, and service member focus groups, ultimately making 127 recommendations. The Secretary of Defense then directed the formation of an implementation working group, which assessed these 127 recommendations for feasibility, impact, and required resourcing.
RESULTS: After being assessed by the implementation working group, DoD leadership approved 111 total actions to move forward for resource consideration in the formal budget process. These actions aligned to 5 lines of effort focused on reducing suicide behavior throughout the military. Resourcing decisions then determined that 83 of these recommendations would be funded beginning in fiscal year 2025.
CONCLUSIONS: From an implementation science perspective, broader agency concerns throughout the DoD often are primary barriers to implementing system-wide changes. By making deliberate decisions about prioritizing the most impactful actions, resourcing processes can be informed directly by relevant data.
CONCLUSIONS: Implementation of recommendations to reduce suicide deaths in the military must go through several deliberative steps in order to be prioritized, funded, and ultimately adopted by the military. As researchers and external stakeholders become more familiar with this process, recommendations for future prevention activities can better overcome barriers to implementation.