# Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide

> **NIH NIH U54** · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · 2020 · $294,450

## Abstract

PROJECT SUMMARY / ABSTRACT
Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide is an innovative study in a
Southwestern tribal nation that incorporates Zero Suicide into Indian Health Services (IHS) primary care
settings. The goal of this study is to determine the effectiveness of Zero Suicide plus a cultural component
(ZS+) (experimental group) compared to Zero Suicide (ZS) alone (control group) on suicidal ideation,
behaviors, and resiliency in a randomized control trial of 138 AI youth ages 12-24 at two rural IHS clinics on the
Pueblo of San Felipe. The long-term goal of this study is to determine which is more effective at reducing
suicidal ideation and behaviors and increasing resiliency, ZS+ or ZS alone. Year 1 will focus on training
providers on the Zero Suicide model and manualizing the Katishtya Intergenerational Culture Knowledge
Seminars (KICKS) curriculum that was piloted and positively evaluated over the past three summers as a
cultural module to improve the adoption and acceptability of Zero Suicide. Years 2-4 will focus on participant
recruitment, assignment to experimental and control groups, and implementation. Year 5 will focus on data
analysis and dissemination. Data will be collected from all experimental and control group participants at 4 time
points: baseline, 12-weeks, 6-months and 9-months to explore the effects of the intervention over time. The
central hypothesis is that ZS+ will be more effective then ZS alone. We propose three aims: (1) Specific Aim 1:
Using Community Based Participatory Research (CBPR), partner with tribal stakeholders and researchers to
formally manualize the KICKS cultural module for Zero Suicide (ZS+); (2) Specific Aim 2: To determine if
adding a cultural component to the Zero Suicide model is more effective at reducing risk factors and increasing
resiliency in AI youth than Zero Suicide alone; and (3) Specific Aim 3: Determine the essential features of the
KICKS module for adaptation by other tribes and disseminate the model.

## Key facts

- **NIH application ID:** 9969099
- **Project number:** 5U54MD004811-09
- **Recipient organization:** UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
- **Principal Investigator:** Deborah Altschul
- **Activity code:** U54 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $294,450
- **Award type:** 5
- **Project period:** 2010-05-01 → 2022-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9969099

## Citation

> US National Institutes of Health, RePORTER application 9969099, Integrating Intergenerational Cultural Knowledge Exchange with Zero Suicide (5U54MD004811-09). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9969099. Licensed CC0.

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