Implementing a Brief Suicide Intervention for High Risk Youth with Front-Line Juvenile Justice Staff

与一线少年司法人员一起对高危青少年实施短暂的自杀干预

基本信息

批准号：
9350393
负责人：
Kathleen Kemp
金额：
$ 18.22万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-09 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9350393
关键词：
Accident and Emergency department Address Administrator Adolescent Age Appointment Behavioral Caregivers Caring Cause of Death Clinical Clinical Research Communities Community Practice Community of Practice Coordination and Collaboration Data Effectiveness Effectiveness of Interventions Emergency Situation Emergency medical service Evaluation Event Evidence based intervention Family Feeling suicidal Future General Population Goals Health Health system Healthy People 2020 Home environment Hospitalization Individual Intervention Interview Investigational Therapies Justice Knowledge Literature Mental Health Mental Health Services Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Modeling Morbidity - disease rate Motivation National Institute of Mental Health Outpatients Partnership Practice Phase Prevalence Process Protocols documentation Public Health Randomized Recruitment Activity Research Research Methodology Research Project Grants Research Training Risk Factors Role Safety Self-Injurious Behavior Services Strategic Planning Suicide Suicide attempt Suicide prevention System Techniques Testing Time Training Trauma Underserved Population United States Universities Work Youth base behavioral health brief intervention cohort community setting cost court design efficacy trial evidence base experience high risk high risk population improved innovation juvenile justice system learning strategy medical schools novel peer post intervention programs reducing suicide research study routine care screening screening and brief intervention skills standard of care suicidal suicidal adolescent suicidal behavior suicidal risk treatment trial uptake

Accident and Emergency department Address Administrator Adolescent Age Appointment Behavioral Caregivers Caring Cause of Death Clinical Clinical Research Communities Community Practice Community of Practice Coordination and Collaboration Data Effectiveness Effectiveness of Interventions Emergency Situation Emergency medical service Evaluation Event Evidence based intervention Family Feeling suicidal Future General Population Goals Health Health system Healthy People 2020 Home environment Hospitalization Individual Intervention Interview Investigational Therapies Justice Knowledge Literature Mental Health Mental Health Services Mentored Patient-Oriented Research Career Development Award Mentors Mentorship Methods Modeling Morbidity - disease rate Motivation National Institute of Mental Health Outpatients Partnership Practice Phase Prevalence Process Protocols documentation Public Health Randomized Recruitment Activity Research Research Methodology Research Project Grants Research Training Risk Factors Role Safety Self-Injurious Behavior Services Strategic Planning Suicide Suicide attempt Suicide prevention System Techniques Testing Time Training Trauma Underserved Population United States Universities Work Youth base behavioral health brief intervention cohort community setting cost court design efficacy trial evidence base experience high risk high risk population improved innovation juvenile justice system learning strategy medical schools novel peer post intervention programs reducing suicide research study routine care screening screening and brief intervention skills standard of care suicidal suicidal adolescent suicidal behavior suicidal risk treatment trial uptake

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项目摘要

Project Summary/Abstract Suicide and suicidal behaviors among youth in the United States represents a significant public health problem. Youth involved in the juvenile justice system have a greater burden of risk factors associated with suicide ideation and behaviors as compared to their non-justice involved peers, placing these youth at greater risk for suicide. Thus, the overall goal of this Mentored Patient-Oriented Research Career Development Award (K23) is to support the applicant in developing the skills to launch an independent research program focused on the dissemination and implementation of evidence-based interventions for court-involved non-incarcerated (CINI) youth involved in the juvenile justice system to reduce psychiatric morbidity. Specific training goals are: (1) engage in intensive clinical and research training to increase my expertise in conducting brief interventions for adolescent suicide, (2) develop expertise in dissemination and implementation strategies and research in the juvenile justice system, (3) achieve skills in mixed-method research methodology including design and analysis of studies to support causal inference when randomization is not possible. The applicant will pursue these goals through a combination of mentoring, didactics, and practical experience. Specific training goals for this 5-year-period will be achieved under the mentorship of Drs. Anthony Spirito (Brown University), Marina Tolou-Shams (UCSF), Gina Vincent (UMASS Medical School), and Peter Friedmann (Baystate Health). The objective of the proposed research study is to 1) identify individual-, administrative-, and system-level factors that promote or hinder uptake of a brief suicide intervention conducted by front-line juvenile justice staff with CINI youth and 2) implement an evidence-based brief intervention, safety planning, for suicidal CINI youth and evaluate its utility with these youth. In the Treatment Adaptation phase, 12 juvenile justice stakeholders will be interviewed pre- and post-intervention implementation, as well as 24 youth and 24 caregivers 3-months post- intervention, about the acceptability of the brief intervention in the juvenile court setting. In the Treatment Trial phase, we will examine the effectiveness of a safety planning intervention for indicated suicidal youth in reducing suicidal ideation, in reducing suicidal events (suicide attempts as well as emergency evaluations and psychiatric hospitalizations for suicidality), increased engagement in outpatient mental health treatment, and improved youth motivation for treatment. CINI juveniles, ages 12-17, (N=100 for baseline (historical control) cohort; N=100 for efficacy trial; N=100 for alternative causal design) and a caregiver will be recruited from the juvenile court to participate in the current study. CINI juveniles in the efficacy trial will receive the evidenced- based brief suicide intervention as part of standard of care and will be compared to historical control and alternative causal design. Baseline data will be collected as part of routine care. Youth and a caregiver will be re-assessed at 3 months subsequent to the juvenile's initial court appointment.

项目摘要/摘要美国青年的自杀和自杀行为代表着重要的公共卫生问题。参与青少年司法系统的年轻人有更大的风险因素负担与他们的非司法相比，自杀的构想和行为与同龄人相比自杀的风险。因此，这项受过指导的以患者为导向的研究职业发展奖的总体目标（K23）是为了支持申请人开发以独立研究计划的技能关于针对未审查法院的循证干预措施的传播和实施（CINI）参与青少年司法系统的青年，以减少精神病发病率。具体的培训目标是：（1）进行密集的临床和研究培训，以增加我在简短干预措施中的专业知识对于青少年自杀，（2）在传播和实施策略和研究方面发展专业知识少年司法系统，（3）在混合方法研究方法中实现技能，包括设计和在无法进行随机分析时，研究以支持因果推断的研究。申请人将追求通过指导，教学和实践经验的结合来实现这些目标。特定的培训目标在DRS的指导下，将实现这一5年期间。安东尼·斯特维洛（Anthony Spirito）（布朗大学），码头 Tolou-Shams（UCSF），Gina Vincent（UMass医学院）和Peter Friedmann（Baystate Health）。这拟议的研究的目的是1）确定个人，行政和系统级别的因素促进或阻碍了一线少年司法人员进行的简短自杀干预措施 CINI青年和2）实施基于证据的简短干预，安全计划，为自杀的Cini青年和评估其与这些年轻人的效用。在治疗适应阶段，将有12名少年司法利益相关者采访了干预前和干预后的实施，以及24名青年和24名护理人员3个月后干预措施，关于在少年法院设置中简短干预的可接受性。在治疗试验中阶段，我们将研究安全计划干预措施的有效性减少自杀念头，减少自杀事件（自杀企图以及紧急评估和自杀的精神病医院治疗），增加门诊心理健康治疗的参与度和改善了青年治疗动力。 cini少年，年龄12-17岁（基线n = 100（历史控制）队列； n = 100用于功效试验； n = 100用于替代因果设计）和护理人员将从少年法院参加当前的研究。疗效试验中的cini少年将获得证据 - 作为护理标准的一部分，基于简短的自杀干预措施将与历史控制和替代因果设计。基线数据将作为常规护理的一部分收集。青年和照料者将是少年初次法院任命后的3个月重新评估。