Screening and Brief Intervention for Suicidality and Nonsuicidal Self-Injury Among Youth in the Juvenile Justice System

少年司法系统中青少年自杀和非自杀自残的筛查和短期干预

基本信息

批准号：
9923764
负责人：
Kathleen Kemp
金额：
$ 24.34万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-15 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9923764
关键词：
Accident and Emergency department Address Administrator Adolescent American Appointment Attitude Behavior Caregivers Client Collaborations Communities Community Practice Consumer Satisfaction Contracts Data Effectiveness of Interventions Evidence based intervention Family Feeling suicidal Foundations Future General Population Goals Grant Health Professional Healthcare Healthy People 2020 Hearing Home environment Imprisonment Intercept Intervention Interview Jail Justice Mental Health Modeling Modification Motivation National Institute of Mental Health Outcome Outpatients Parents Participant Partnership Practice Penetration Phase Process Professional counselor Protocols documentation Provider Psychiatric Hospitals Randomized Registries Research Resources Risk Safety Sampling Self-Injurious Behavior Series Service delivery model Services Strategic Planning Suicide Suicide attempt Suicide prevention Supervision System Teenagers Testing Time Training Underserved Population Withdrawal Work Youth adjudication base brief intervention care coordination cost court data modeling design effectiveness trial evidence base experience follow-up high risk implementation trial improved innovation interest juvenile justice system mental health center non-suicidal self injury phase 2 study practice setting probation programs recidivism reducing suicide response safety testing screening screening and brief intervention skills standard care standard of care suicidal behavior suicidal risk uptake

Accident and Emergency department Address Administrator Adolescent American Appointment Attitude Behavior Caregivers Client Collaborations Communities Community Practice Consumer Satisfaction Contracts Data Effectiveness of Interventions Evidence based intervention Family Feeling suicidal Foundations Future General Population Goals Grant Health Professional Healthcare Healthy People 2020 Hearing Home environment Imprisonment Intercept Intervention Interview Jail Justice Mental Health Modeling Modification Motivation National Institute of Mental Health Outcome Outpatients Parents Participant Partnership Practice Penetration Phase Process Professional counselor Protocols documentation Provider Psychiatric Hospitals Randomized Registries Research Resources Risk Safety Sampling Self-Injurious Behavior Series Service delivery model Services Strategic Planning Suicide Suicide attempt Suicide prevention Supervision System Teenagers Testing Time Training Underserved Population Withdrawal Work Youth adjudication base brief intervention care coordination cost court data modeling design effectiveness trial evidence base experience follow-up high risk implementation trial improved innovation interest juvenile justice system mental health center non-suicidal self injury phase 2 study practice setting probation programs recidivism reducing suicide response safety testing screening screening and brief intervention skills standard care standard of care suicidal behavior suicidal risk uptake

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项目摘要

Project Summary The Juvenile Justice System (JJS) has not implemented any evidenced-based interventions that address suicidal behavior or nonsuicidal self-injury, hereafter referred collectively to as self- injury, with JJS-involved youth. This application proposes to test a scalable intervention, safety planning, that aims to reduce self-injury in adolescents involved in the JJS. Safety planning, which can be a stand-alone brief intervention, was cited as a best practice by the Suicide Prevention Resource Center/American Foundation for Suicide Prevention Best Practices Registry for Suicide Prevention. This study will have two phases. In Phase I, we will conduct an open trial with 10 adolescents which will allow us to make any modifications necessary for using the protocol in a Probation Department. We will then randomize 60 youth on Probation who screen positive for recent self-injury into standard care or the safety planning intervention. Counselors with community mental health experience embedded in Probation will conduct the intervention, consistent with the co-responder model found across JJS in the U.S. in which a Probation Officer works collaboratively with a mental health professional to coordinate care. In order to further conduct the study under conditions most relevant to a future implementation trial, we will also employ a training approach that we have successfully implemented in a psychiatric hospital with Bachelors and Masters level staff. In Phase II, of the study, we will: a) conduct qualitative interviews in Probation about attitudes toward the intervention as well as barriers to a future, larger implementation trial; and b) contract with the National Center for Mental Health and Juvenile Justice to conduct a Sequential Intercept Model (SIM) Mapping. The SIM is a conceptual framework to outline a series of “points of interception” along the JJS continuum in a state where screening and brief intervention may be implemented. In the Mapping, we will examine the JJS continuum from arrest; to an initial hearing; to jail awaiting trial or adjudication; incarceration; to release or reentry; and finally, to community supervision. We believe this data will provide a working framework to help assess current views within the statewide JJS as a starting point to proposing a future, larger trial. This research also has the potential to directly inform treatment practices in JJ settings and has significant implications for scalability and dissemination in order to build a stronger, more effective system of mental health/JJS collaboration around self-injury screening and intervention.

项目摘要少年司法系统（JJS）尚未实施任何基于证据的干预措施这种解决自杀行为或非杀伤性自我伤害，以下是共同称为自我受伤，与JJS涉及青年。该申请提案以测试可扩展干预，安全性计划，旨在减少参与JJS的青少年的自我伤害。安全计划，这可以是独立的简短干预，自杀将其视为最佳做法预防资源中心/美国自杀预防基金会最佳实践预防自杀登记处。这项研究将有两个阶段。在第一阶段，我们将进行与10个青少年进行开放试验，这将使我们能够进行任何修改试用部的协议。然后，我们将在缓刑中随机将60名青年随机筛选出最近的自我伤害呈阳性的标准护理或安全计划干预措施。具有缓刑中嵌入社区心理健康经验的辅导员将进行干预措施，与美国JJ的共同响应模型一致缓刑官与心理健康专家合作协调护理。在为了在与未来实施最相关的条件下进一步进行研究审判，我们还将采用一种我们成功实施的培训方法精神病医院拥有学士和硕士水平员工。在第二阶段，我们将：a）对参加者进行缓刑的定性访谈以及未来，更大的实施试验的障碍； b）与国家中心的合同心理健康和少年司法以进行顺序拦截模型（SIM）映射。这 SIM是一个概念框架，用于概述JJS的一系列“拦截点” 在可以实施筛查和简短干预的状态下进行连续体。在映射，我们将从被捕中检查JJS连续体；进行初次听证会；监狱等待试用或调整；发生;释放或再入；最后，进行社区监督。我们认为这些数据将提供一个工作框架，以帮助评估当前观点全州JJS是提出未来，更大的试验的起点。这项研究也有有可能在JJ环境中直接告知治疗方法，并对可伸缩性和传播，以建立更强，更有效的心理体系健康/JJS围绕自我伤害筛查和干预的合作。