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ABSTRACT: Purpose
We aimed to identify actionable, effective sustainment strategies for a community-based suicide prevention program implemented in Tribal contexts through a participatory process of system dynamics modeling.Methods
Through a series of workshops with teams implementing a suicide prevention program, we prioritized strategies for sustaining implementation and related health outcomes. We used system dynamics modeling and microsimulations to assess the impact of key strategies (increased funding, enhanced program management, and leadership development) on program sustainment outcomes and suicidal behavior among youth.Results
Enhanced program management impacted sustainment by increasing simulated levels of community trust by 31 % and community and external collabo
SUBMITTER: Yan L
PROVIDER: S-EPMC12744210 | biostudies-literature | 2025 Dec
REPOSITORIES: biostudies-literature