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

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.

项目概要少年司法系统 (JJS) 尚未实施任何基于证据的干预措施解决自杀行为或非自杀性自伤，以下统称为自伤该应用程序建议测试可扩展的干预措施和安全性。计划，旨在减少参与 JJS 安全计划的青少年的自伤。这可以是一个独立的简短干预，被自杀组织引用为最佳实践预防资源中心/美国自杀预防最佳实践基金会自杀预防登记处这项研究将分为两个阶段。对 10 名青少年进行公开试验，这将使我们能够做出使用所需的任何修改然后，我们将随机抽取 60 名缓刑青少年。在标准护理或安全计划干预中筛查近期自伤呈阳性。缓刑期间具有社区心理健康经验的辅导员将进行干预，与美国 JJS 中发现的共同响应者模型一致，其中缓刑官与心理健康专业人士合作协调护理。为了在与未来实施最相关的条件下进一步进行研究试验期间，我们还将采用我们已成功实施的培训方法拥有学士和硕士学位工作人员的精神病医院在研究的第二阶段，我们将： a) 在缓刑期间进行定性访谈，了解对干预的态度以及未来更大规模实施试验的障碍；以及 b) 与国家中心签订合同心理健康和少年司法进行顺序拦截模型 (SIM) 映射。 SIM 是一个概念框架，概述了 JJS 沿线的一系列“拦截点” 连续体处于可以实施筛查和短暂干预的状态。绘制地图，我们将检查 JJS 从逮捕到初步听证会再到入狱的整个过程；审判或判决；释放或重返社会；最后，接受社区监督。我们相信这些数据将提供一个工作框架来帮助评估当前的观点保证 JJS 作为提出未来更大规模试验的起点。有可能直接为 JJ 环境中的治疗实践提供信息，并对可扩展性和传播性，以建立更强大、更有效的心理系统健康/JJS 围绕自伤筛查和干预开展合作。