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Effective Brief Interventions for American Indian Youth At Risk for Suicide

Evaluating the Impact with a Sequential Multiple Assignment Randomized Trial (SMART)

About the Course:

The primary aim of this study was to evaluate which brief interventions, alone or in combination, have the greater effect on suicide ideation (primary outcome) and resilience (secondary outcome) among AI youth ages 10–24 ascertained for suicide-related behaviors by the tribal surveillance system.

This course is based on the reading-based online article, Employing a Sequential Multiple Assignment Randomized Trial (SMART) to Evaluate the Impact of Brief Risk and Protective Factor Prevention Interventions for American Indian Youth Suicide created by Victoria M. O’Keefe, PhD., MS.,et al. in 2019.

Publication Date:

BMC Public Health (2019) 19:1675 Jul 2019

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Victoria M. O’Keefe, PhD., MS.
Dr. O'Keefe is a member of the Cherokee and Seminole Nations of Oklahoma, and is dedicated to working collaboratively with tribal communities to eradicate health inequities. She is an Associate Director at the Johns Hopkins Center for American Indian Health, where she also conducts research. Her community-based participatory research (CBPR) with Native communities focuses on strengths-based and culturally-informed suicide prevention, mental health promotion, and wellness. Her work has been published in multiple peer reviewed journals.
Emily E. Haroz, Ph.D
Dr. Haroz joined the Center for American Indian Health at Johns Hopkins Bloomberg School of Public Health as an Assistant Scientist in July, 2016. She is trained in psychiatric epidemiology, with a background in advanced methodological approaches and research design. Her research focuses on mental health services for low-resource and underserved populations both globally and domestically, with a focus on the nexus of implementation science and prevention programming, particularly around suicide. Her work is published in multiple peer reviewed journals.
Novalene Goklish, MS
Mrs. Goklish is a member of the White Mountain Apache Tribe.  Mrs. Goklish is currently a Research Associate at Johns Hopkins Center for American Indian Health. She has worked as a behavioral interventionist for the Apache Tribe for over 20 years. She has worked on all behavioral intervention projects including teaching parenting to young Apache women who are pregnant, as well as coping skills for Apache youth who have made a recent suicide attempt. She oversees day-to-day activities of Case Managers, as well as facilitates local community advisory board meetings and Elders Council activities. She has been certified as an ASIST trainer and conducts regular ASIST trainings in her community. Mrs. Goklish is also the Center’s primary liaison to the Tribal Council and Tribal Health Board.

Course Creator

David M. Lutkemeier
David Lutkemeier holds a BA degree in psychology, a master’s degree in developmental psychology, and a doctorate degree from the University of Cincinnati in Special Education and Psychology. He is certified as a psychologist by the Arizona Board of Psychologist Examiners, as well as holding public school superintendent certification in Arizona and California. Dr. Lutkemeier has worked as an assistant professor at Arizona State University, a school psychologist, special education director, assistant superintendent, and superintendent in both Arizona and California. David, working as a consultant with a national curriculum management group (CMSi) has completed over two dozen comprehensive district-wide curriculum audits in 15 states over the past 20 years and has worked as a test developer for CE Learning Systems for the past ten years.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Describe how the promotion of connectedness, self-esteem, and cultural identity/values in general enhance resilience among Native Americal youth.
  2. Identify specific approaches used in this study to reduce suicide ideation.
  3. Assess or determine the comparitive efficacy of the two major interventions used in this study.


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Authors

The authors have disclosed any disclosures within the material.

Course Creator: David M. Lutkemeier

No relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Number 103193
1 CE credit hour
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  • Reading-Based Online
Exam Fee $5.97
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