National Research Strategy for the President's Roadmap To Empower Veterans and End the National Tragedy of Suicide (PREVENTS), 31933-31934 [2019-14138]
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[FR Doc. 2019–14256 Filed 7–2–19; 8:45 am]
BILLING CODE 7710–FW–P
OFFICE OF SCIENCE AND
TECHNOLOGY POLICY
National Research Strategy for the
President’s Roadmap To Empower
Veterans and End the National Tragedy
of Suicide (PREVENTS)
Office of Science and
Technology Policy (OSTP), Executive
Office of the President.
ACTION: Request for information.
AGENCY:
To advance the President’s
vision of a National Roadmap to
Empower Veterans and End Suicide,
OSTP and VA will lead development of
a National Research Strategy to improve
the coordination, monitoring,
benchmarking, and execution of publicand private-sector research related to
the factors that contribute to veteran
suicide. Through this RFI, we seek input
on ways to increase knowledge about
factors influencing suicidal behaviors
and ways to prevent suicide; inform the
development of a robust and forward
looking research agenda; coordinate
relevant research efforts across the
Nation; and measure progress on these
efforts. The public input provided in
response to this RFI will inform the
Veteran Wellness, Empowerment, and
Suicide Prevention Task Force, who
will develop and implement the
National Research Strategy.
DATES: Response Deadline: August 5,
2019.
ADDRESSES: Responses may be
submitted online at https://
jspears on DSK30JT082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
19:23 Jul 02, 2019
Jkt 247001
www.research.va.gov/PREVENTS/ or via
email to RFIresearchresponse@va.gov.
FOR FURTHER INFORMATION CONTACT:
Tracie Lattimore at 202–456–4444.
Emails may be addressed to
RFIresearchresponse@va.gov. Questions,
comments or RFI submissions via email
should include ‘‘RFI Response: National
Research Strategy for the President’s
Roadmap to Empower Veterans and End
the National Tragedy of Suicide
(PREVENTS)’’ in the subject line of the
message. Please designate the
question(s) you are answering by
providing the letter and number of the
specific question(s) below prior to
providing your answer(s).
SUPPLEMENTARY INFORMATION: On March
5, 2019, President Trump signed
Executive Order (E.O.) 13861 mandating
the development of the President’s
Roadmap to Empower Veterans and End
the National Tragedy of Suicide
(PREVENTS). The Roadmap will
include a National Research Strategy to
advance efforts to improve quality of life
and reduce the rate of suicide among
veterans by better coordinating research
within and beyond the Federal
government, and enhancing the
integration of research across the social,
behavioral, and biological determinants
of wellness and brain health.
We aim to understand the full
spectrum of factors influencing veteran
suicide. Efforts are needed that would
allow early detection of trauma in the
brains of living people and improve our
understanding and ability to prevent
conditions or factors that contribute to
suicide. We aim to incorporate public
health approaches that target prevention
strategies and address intervention for
individuals, communities, and the
broader population.
Reducing the rate of suicide in the
veteran population will require an
innovative, concerted approach to
public health, with wide stakeholder
input. The Federal government alone
cannot address these challenges;
therefore, we seek to involve the
Nation’s full research and development
(R&D) ecosystem, and collaborate with
state, local, territorial, and tribal
governments, as well as community
members, industry, non-profit
organizations, and academic institutions
to ensure that veterans have access to
effective suicide prevention services.
Our collective efforts begin with the
common understanding that suicide is
preventable, and that prevention
requires ongoing support prior to and
beyond intervention at the point of
crisis. To end veteran suicide, we must
develop a holistic understanding of the
underlying factors that determine the
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
31933
overall health and well-being of our
Nation’s veterans.
The National Research Strategy shall
include milestones and metrics
designed to:
i. Improve our ability to identify
individual veterans and groups of
veterans at greater risk of suicide;
ii. Develop and improve individual
interventions that increase overall
veteran quality of life and decrease the
veteran suicide rate;
iii. Develop strategies to better ensure
the latest research discoveries are
translated into practical applications
and implemented quickly;
iv. Establish relevant data-sharing
protocols across Federal agencies that
align with community collaborators;
v. Draw upon technology to capture
and use health data from non-clinical
settings to advance behavioral and
mental health research to the extent
practicable;
vi. Improve coordination among
research efforts, prevent unnecessarily
duplicative efforts, identify barriers to
or gaps in research, and facilitate
opportunities for improved
consolidation, integration, and
alignment; and
vii. Develop public-private
collaboration models to foster
innovative and effective research that
accelerates these efforts.
Further Instructions: All public
comments are welcome and should be
submitted by August 5, 2019 in order to
ensure they are considered in the
National Research Strategy. Responses
may be submitted online at https://
www.research.va.gov/PREVENTS/.
Response to this RFI is voluntary, and
respondents need not reply to all
questions. Each individual or institution
is requested to submit only one
response, and to indicate whether it is
an individual or organizational
response. Comments containing
references, studies, research, and other
empirical data that are not widely
published should include copies or
electronic links of the referenced
materials. Comments containing
profanity, vulgarity, threats, or other
inappropriate language or content will
not be considered.
All submissions, including
attachments and other supporting
materials, will become part of the public
record and are subject to public
disclosure. Responses to this RFI,
without change, may be posted on a
Federal website. Therefore, no business
proprietary information, copyrighted
information, or personally identifiable
information should be submitted in
response to this RFI. Please note that the
U.S. Government will not pay for
E:\FR\FM\03JYN1.SGM
03JYN1
31934
Federal Register / Vol. 84, No. 128 / Wednesday, July 3, 2019 / Notices
response preparation, or for the use of
any information contained in the
response.
technologies that identify suicide risk
factors or provide effective
interventions?
Questions To Inform Development of
the National Research Strategy
C. How can we develop strategies to
better ensure the latest research
discoveries are translated into practical
applications and implemented quickly?
8. What types of organizations should
be engaged in developing and
implementing the National Research
Strategy? Which existing consortia or
partnerships should be involved, and
why? Are there existing organizations
that have been effective in identifying
and mitigating veteran suicide risks?
Are there programs and resources
within communities that have been
successful? What factors made these
programs successful?
9. How can the Federal government
strengthen the public health system,
including mental health and crisis
intervention education and training
programs, to ensure an adequate, welltrained medical workforce that is wellequipped to respond to the challenge of
veteran suicide?
10. What are the primary barriers to
adoption of current best practices for the
assessment, evaluation and
implementation of public health
approaches targeting suicide
prevention?
11. What are effective methods to
quickly transition promising practices
into clinical and community practice?
Where have these methods been
demonstrated to work previously?
12. What are methods and models to
evaluate and measure outcomes and
effectiveness of interventions?
13. What are the key elements in
building a robust and forward looking
research agenda, in addition to
translating research outcomes?
jspears on DSK30JT082PROD with NOTICES
A. How can we improve our ability to
identify individual veterans and groups
of veterans at greater risk of suicide?
1. What are the most critical near-term
and long-term areas for research into
factors influencing veteran suicide and
methods to assess an individual’s risk of
suicide?
2. What are the biggest gaps in
capability to identify and address the
social, behavioral, and biological
determinants of health leading to
suicidal behavior in veterans? Consider
associated conditions such as mental
illness, traumatic brain injury (TBI),
chronic traumatic encephalopathy
(CTE), posttraumatic stress disorder
(PTSD), and depression, as well as
social determinants of health and
research in intervention and postintervention strategies.
3. How can various disciplines (e.g.,
neurology, endocrinology, psychology)
work together to better understand and
address individual risk factors that lead
to veteran suicide? How can different
disciplines work together to develop
individual intervention strategies?
B. How can we develop and improve
individual interventions that increase
overall veteran quality of life and
decrease the veteran suicide rate?
4. How might we better understand
the progression of veterans as they
transition from military to civilian life
in a way that supports identification of
suicide risk factors, protective factors,
and opportunities for intervention that
addresses veterans at various stages of
transition, before the point of crisis?
5. What are currently known effective
and promising or emerging practices for
suicide prevention? What factors make
these practices effective? What
additional research is needed to
demonstrate the effectiveness of
promising practices?
6. What tools, platforms, methods, or
technologies are needed to advance:
• Understanding of suicide risk factors
• Assessment of individuals most likely
to be at risk of suicide
• Evaluation of protective factors
leading to the prevention of suicide
• Improvements in social connection
and community engagement of
veterans
• Identification of opportunities for
intervention far before the point of
crisis
7. What are barriers to the adoption of
existing tools, platforms, methods, or
VerDate Sep<11>2014
19:23 Jul 02, 2019
Jkt 247001
D. How best to establish relevant datasharing protocols across Federal
partners that align with community
partners?
14. How can Federal data, such as that
from the Federal Interagency Traumatic
Brain Injury Research (FITBIR)
informatics system, be best leveraged in
combination with local or regional data
to provide new insights into trauma or
the progression of disease? Are there
technological limitations that prevent
use of Federal data from generating
information to predict outcomes?
15. What data or types of data are
required to advance research efforts?
Are there existing sources of data or
validated datasets related to veteran
suicide, mental health, risk
determination, brain injury, or other
relevant areas that have been previously
underutilized in Federal efforts?
PO 00000
Frm 00103
Fmt 4703
Sfmt 9990
E. How should we draw upon
technology to capture and use health
data from non-clinical settings to
advance behavioral and mental health
research to the extent practicable?
16. How can both clinical and nonclinical data be better used to inform
research efforts, and enhance current
models of predictive analytics?
17. Are social determinants or risk
factors being used to target services or
provide outreach? If so, how? How are
the beneficiaries with social risk
identified?
18. Are there especially promising
strategies for improving care of patients
with social risk?
19. How are costs for targeting and
providing those services evaluated?
What are the additional costs to
services, such as case management, and
to provide additional services (e.g.,
transportation)? What is the return on
investment in improved outcomes or
reduced healthcare concern?
F. How can we improve coordination
among research efforts, prevent
unnecessarily duplicative efforts,
identify barriers to or gaps in research,
and facilitate opportunities for
improved consolidation, integration,
and alignment?
G. How can we develop a public-private
collaboration model to foster innovative
and effective research that accelerates
these efforts?
H. Please provide any additional
information not addressed by previous
questions that is crucial to the creation,
implementation, and success of a
National Research Strategy to improve
the coordination, monitoring,
benchmarking, and execution of publicand private-sector research related to
the factors that contribute to service
member and veteran suicide.
Thank you sincerely for contributing
to efforts to end Veteran suicide.
Stacy Murphy,
Operations Manager.
[FR Doc. 2019–14138 Filed 7–2–19; 8:45 am]
BILLING CODE 3270–F9–P
E:\FR\FM\03JYN1.SGM
03JYN1
]]>Agencies
[Federal Register Volume 84, Number 128 (Wednesday, July 3, 2019)]
[Notices]
[Pages 31933-31934]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-14138]
=======================================================================
-----------------------------------------------------------------------
OFFICE OF SCIENCE AND TECHNOLOGY POLICY
National Research Strategy for the President's Roadmap To Empower
Veterans and End the National Tragedy of Suicide (PREVENTS)
AGENCY: Office of Science and Technology Policy (OSTP), Executive
Office of the President.
ACTION: Request for information.
-----------------------------------------------------------------------
SUMMARY: To advance the President's vision of a National Roadmap to
Empower Veterans and End Suicide, OSTP and VA will lead development of
a National Research Strategy to improve the coordination, monitoring,
benchmarking, and execution of public- and private-sector research
related to the factors that contribute to veteran suicide. Through this
RFI, we seek input on ways to increase knowledge about factors
influencing suicidal behaviors and ways to prevent suicide; inform the
development of a robust and forward looking research agenda; coordinate
relevant research efforts across the Nation; and measure progress on
these efforts. The public input provided in response to this RFI will
inform the Veteran Wellness, Empowerment, and Suicide Prevention Task
Force, who will develop and implement the National Research Strategy.
DATES: Response Deadline: August 5, 2019.
ADDRESSES: Responses may be submitted online at https://www.research.va.gov/PREVENTS/ or via email to
[email protected].
FOR FURTHER INFORMATION CONTACT: Tracie Lattimore at 202-456-4444.
Emails may be addressed to [email protected]. Questions,
comments or RFI submissions via email should include ``RFI Response:
National Research Strategy for the President's Roadmap to Empower
Veterans and End the National Tragedy of Suicide (PREVENTS)'' in the
subject line of the message. Please designate the question(s) you are
answering by providing the letter and number of the specific
question(s) below prior to providing your answer(s).
SUPPLEMENTARY INFORMATION: On March 5, 2019, President Trump signed
Executive Order (E.O.) 13861 mandating the development of the
President's Roadmap to Empower Veterans and End the National Tragedy of
Suicide (PREVENTS). The Roadmap will include a National Research
Strategy to advance efforts to improve quality of life and reduce the
rate of suicide among veterans by better coordinating research within
and beyond the Federal government, and enhancing the integration of
research across the social, behavioral, and biological determinants of
wellness and brain health.
We aim to understand the full spectrum of factors influencing
veteran suicide. Efforts are needed that would allow early detection of
trauma in the brains of living people and improve our understanding and
ability to prevent conditions or factors that contribute to suicide. We
aim to incorporate public health approaches that target prevention
strategies and address intervention for individuals, communities, and
the broader population.
Reducing the rate of suicide in the veteran population will require
an innovative, concerted approach to public health, with wide
stakeholder input. The Federal government alone cannot address these
challenges; therefore, we seek to involve the Nation's full research
and development (R&D) ecosystem, and collaborate with state, local,
territorial, and tribal governments, as well as community members,
industry, non-profit organizations, and academic institutions to ensure
that veterans have access to effective suicide prevention services. Our
collective efforts begin with the common understanding that suicide is
preventable, and that prevention requires ongoing support prior to and
beyond intervention at the point of crisis. To end veteran suicide, we
must develop a holistic understanding of the underlying factors that
determine the overall health and well-being of our Nation's veterans.
The National Research Strategy shall include milestones and metrics
designed to:
i. Improve our ability to identify individual veterans and groups
of veterans at greater risk of suicide;
ii. Develop and improve individual interventions that increase
overall veteran quality of life and decrease the veteran suicide rate;
iii. Develop strategies to better ensure the latest research
discoveries are translated into practical applications and implemented
quickly;
iv. Establish relevant data-sharing protocols across Federal
agencies that align with community collaborators;
v. Draw upon technology to capture and use health data from non-
clinical settings to advance behavioral and mental health research to
the extent practicable;
vi. Improve coordination among research efforts, prevent
unnecessarily duplicative efforts, identify barriers to or gaps in
research, and facilitate opportunities for improved consolidation,
integration, and alignment; and
vii. Develop public-private collaboration models to foster
innovative and effective research that accelerates these efforts.
Further Instructions: All public comments are welcome and should be
submitted by August 5, 2019 in order to ensure they are considered in
the National Research Strategy. Responses may be submitted online at
https://www.research.va.gov/PREVENTS/.
Response to this RFI is voluntary, and respondents need not reply
to all questions. Each individual or institution is requested to submit
only one response, and to indicate whether it is an individual or
organizational response. Comments containing references, studies,
research, and other empirical data that are not widely published should
include copies or electronic links of the referenced materials.
Comments containing profanity, vulgarity, threats, or other
inappropriate language or content will not be considered.
All submissions, including attachments and other supporting
materials, will become part of the public record and are subject to
public disclosure. Responses to this RFI, without change, may be posted
on a Federal website. Therefore, no business proprietary information,
copyrighted information, or personally identifiable information should
be submitted in response to this RFI. Please note that the U.S.
Government will not pay for
[[Page 31934]]
response preparation, or for the use of any information contained in
the response.
Questions To Inform Development of the National Research Strategy
A. How can we improve our ability to identify individual veterans and
groups of veterans at greater risk of suicide?
1. What are the most critical near-term and long-term areas for
research into factors influencing veteran suicide and methods to assess
an individual's risk of suicide?
2. What are the biggest gaps in capability to identify and address
the social, behavioral, and biological determinants of health leading
to suicidal behavior in veterans? Consider associated conditions such
as mental illness, traumatic brain injury (TBI), chronic traumatic
encephalopathy (CTE), posttraumatic stress disorder (PTSD), and
depression, as well as social determinants of health and research in
intervention and post-intervention strategies.
3. How can various disciplines (e.g., neurology, endocrinology,
psychology) work together to better understand and address individual
risk factors that lead to veteran suicide? How can different
disciplines work together to develop individual intervention
strategies?
B. How can we develop and improve individual interventions that
increase overall veteran quality of life and decrease the veteran
suicide rate?
4. How might we better understand the progression of veterans as
they transition from military to civilian life in a way that supports
identification of suicide risk factors, protective factors, and
opportunities for intervention that addresses veterans at various
stages of transition, before the point of crisis?
5. What are currently known effective and promising or emerging
practices for suicide prevention? What factors make these practices
effective? What additional research is needed to demonstrate the
effectiveness of promising practices?
6. What tools, platforms, methods, or technologies are needed to
advance:
Understanding of suicide risk factors
Assessment of individuals most likely to be at risk of suicide
Evaluation of protective factors leading to the prevention of
suicide
Improvements in social connection and community engagement of
veterans
Identification of opportunities for intervention far before
the point of crisis
7. What are barriers to the adoption of existing tools, platforms,
methods, or technologies that identify suicide risk factors or provide
effective interventions?
C. How can we develop strategies to better ensure the latest research
discoveries are translated into practical applications and implemented
quickly?
8. What types of organizations should be engaged in developing and
implementing the National Research Strategy? Which existing consortia
or partnerships should be involved, and why? Are there existing
organizations that have been effective in identifying and mitigating
veteran suicide risks? Are there programs and resources within
communities that have been successful? What factors made these programs
successful?
9. How can the Federal government strengthen the public health
system, including mental health and crisis intervention education and
training programs, to ensure an adequate, well-trained medical
workforce that is well-equipped to respond to the challenge of veteran
suicide?
10. What are the primary barriers to adoption of current best
practices for the assessment, evaluation and implementation of public
health approaches targeting suicide prevention?
11. What are effective methods to quickly transition promising
practices into clinical and community practice? Where have these
methods been demonstrated to work previously?
12. What are methods and models to evaluate and measure outcomes
and effectiveness of interventions?
13. What are the key elements in building a robust and forward
looking research agenda, in addition to translating research outcomes?
D. How best to establish relevant data-sharing protocols across Federal
partners that align with community partners?
14. How can Federal data, such as that from the Federal Interagency
Traumatic Brain Injury Research (FITBIR) informatics system, be best
leveraged in combination with local or regional data to provide new
insights into trauma or the progression of disease? Are there
technological limitations that prevent use of Federal data from
generating information to predict outcomes?
15. What data or types of data are required to advance research
efforts? Are there existing sources of data or validated datasets
related to veteran suicide, mental health, risk determination, brain
injury, or other relevant areas that have been previously underutilized
in Federal efforts?
E. How should we draw upon technology to capture and use health data
from non-clinical settings to advance behavioral and mental health
research to the extent practicable?
16. How can both clinical and non-clinical data be better used to
inform research efforts, and enhance current models of predictive
analytics?
17. Are social determinants or risk factors being used to target
services or provide outreach? If so, how? How are the beneficiaries
with social risk identified?
18. Are there especially promising strategies for improving care of
patients with social risk?
19. How are costs for targeting and providing those services
evaluated? What are the additional costs to services, such as case
management, and to provide additional services (e.g., transportation)?
What is the return on investment in improved outcomes or reduced
healthcare concern?
F. How can we improve coordination among research efforts, prevent
unnecessarily duplicative efforts, identify barriers to or gaps in
research, and facilitate opportunities for improved consolidation,
integration, and alignment?
G. How can we develop a public-private collaboration model to foster
innovative and effective research that accelerates these efforts?
H. Please provide any additional information not addressed by previous
questions that is crucial to the creation, implementation, and success
of a National Research Strategy to improve the coordination,
monitoring, benchmarking, and execution of public- and private-sector
research related to the factors that contribute to service member and
veteran suicide.
Thank you sincerely for contributing to efforts to end Veteran
suicide.
Stacy Murphy,
Operations Manager.
[FR Doc. 2019-14138 Filed 7-2-19; 8:45 am]
BILLING CODE 3270-F9-P
