兰德-洛杉矶县公共卫生部青少年自杀预防试点项目评估（英）

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-PACHECOLos Angeles County Department of Public Health Youth Suicide Prevention Pilot Program EvaluationThe 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 Report2and community partners to identify any barriers and facilitators of program implementation. We also developed a logic model and evaluation strategies to support YSPP’s future evaluations, when program components are fully operational. Specific tasks we undertook in this work included conducting a sys-tematic search and scoping review of relevant empiri-cal literature to identify measures that could be used to operationalize program implementation and out-comes. Through these approaches, we aimed to pro-vide critical insights into the program’s operational strengths and areas for improvement, thus contribut-ing to more-effective public health responses to youth suicide in LA County. KEY FINDINGS AND RECOMMENDATIONSTh