# NATIVE RISE-Risk Identification for Suicide and Enhanced care for Native Americans

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 2024 · $648,763

## Abstract

PROJECT SUMMARY
The Johns Hopkins Center for American Indian Health and its partners, the White Mountain Apache Tribe and
Navajo Nation are uniquely positioned and prepared to advance suicide prevention science through the
funding opportunity “Service-Ready Tools for Identification, Prevention and Treatment of Individuals at Risk for
Suicide” (RFA-MH-21-110). Native American populations experience substantially higher rates of suicide and
the sharpest increases over time of any racial group. These disparities are the legacy of colonization,
attempted genocide, historical trauma, and ongoing injustices, including chronic underfunding of health care
and mental health services. Despite these adversities, NAs have exercised tribal sovereignty to support some
of the most innovative, practical, and effective approaches to suicide prevention. One such model, the
Celebrating Life program (CL), a community-based suicide surveillance and case management system,
developed originally by the White Mountain Apache Tribe (WMAT) and shown to help contribute to reductions
in suicide attempts and deaths over time. The CL program is now being scaled through the Southwest Hub for
Youth Suicide Prevention (U19MH113136). As this program has scaled, our pilot work has revealed barriers to
implementation, including 1) challenges to risk identification, and 2) difficulties matching individuals’ level of
risk to evidence-based interventions as a means to improve scarce resource efficiencies. To help overcome
these barriers to implementation, NIMH funded our team to develop and pilot test NATIVE-RISE
(U19MH113136-02S3). NATIVE-RISE is a systems-level strategy that leverages predictive analytics to
enhance risk identification and integrates and improves the efficiency of local NA case managers who deliver
brief contact interventions. The proposed project will leverage our team’s historic MOU with Indian Health
Service (IHS) and decades-long trust-relationships with tribal partners to test NATIVE-RISE and its integration
in partnership with three NA-serving health care settings through a Hybrid Type III stepped-wedge cluster
randomized implementation trial. Specifically, this project aims to 1) optimize the implementation of NATIVE-
RISE across three NA-serving health care settings, 2) determine the effectiveness of NATIVE-RISE at
improving the reach of evidence-based suicide prevention services, and 3) describe the costs associated with
implementing NATIVE-RISE to inform scale-up and sustainability. Our application address key priority
populations for NIMH (NOT-MH-21-090) and is in line with NIMH’s strategic plan Objective 4.3. If results are
achieved, NATIVE-RISE will become an effective and scalable approach that improves services to prevent
suicide among NA populations and advances our understanding of how to implement predictive analytics and
more personalized care for suicide prevention.

## Key facts

- **NIH application ID:** 10832708
- **Project number:** 5R01MH128518-02
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **Principal Investigator:** Emily Haroz
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $648,763
- **Award type:** 5
- **Project period:** 2023-04-25 → 2028-03-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10832708

## Citation

> US National Institutes of Health, RePORTER application 10832708, NATIVE RISE-Risk Identification for Suicide and Enhanced care for Native Americans (5R01MH128518-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10832708. Licensed CC0.

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