The development of a family navigator intervention and prevention protocol to reduce risk of suicide and self-injurious behavior for youth aged 10 to 14 years.

制定家庭导航干预和预防方案，以降低 10 至 14 岁青少年自杀和自残行为的风险。

• 批准号: 10980759
• 负责人: Mary Kathryn Melonio Cancilliere
• 金额: $ 20.42万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-01 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10980759
• 关键词: development; family; navigator; intervention; prevention

Pandemic-period changes have been observed in recent rates for youth aged 10 to 14 on suicidal and non-suicidal self-injurious behavior (hereinafter referred to as SSIB), where they are now presenting with SSIB at rapidly increasing rates. This unique group of youth is of great interest, because SSIB prevention protocols are needed to reduce SSIB risk as well as decrease prevalence rates. Pediatric emergency departments (EDs) have become an essential and often routine mental health service for youth. EDs are optimal sites to initiate youth SSIB prevention protocol, as they are often the first point of entry for youth into the mental health system. Despite high rates of youth seen in the ED for SSIB, effective ED interventions to reduce SSIB risk and increase attendance and adherence to subsequent community-based mental health care are lacking. The purpose of this pilot study is to develop and pilot a Family Navigator (FN) with technology-enhanced information sharing via texting intervention for families with youth who were discharged from the ED after an admission for SSIB. This intervention aims to reduce SSIB risk and prevalence rates, as well as increase engagement in community-based mental health services for youth aged 10 to 14. This intervention is informed by the literature, evidence-based hospital intervention protocols, a family-based approach for youth development stages, and developed to directly target three mechanisms. This study will develop a brief FN modeling enhanced with technology-delivered information shared (automated sharing of information with families via text). Thus, qualitative methods will be employed to assist in the refinement of the intervention, thus maximizing ecological validity. At the outcome of this study, FN acceptability and feasibility as well as manual development will be completed. Balanced randomization will occur to either the treatment as usual (TAU) condition or the Family Navigator (FN) with information sharing condition. Primary outcomes, measured at 4- and 6-month follow-ups, include reduce SSIB risk and prevalence rates, increased attendance and adherence to youth community-based mental health care, and the engagement of the purported therapeutic mechanisms. This pilot study will set the stage for a NIMH R01 application via a Type I Hybrid Effectiveness-Implementation trial to speed translation of research findings to practice.

在自杀和10至14岁的年轻人的近期发生率和 非自杀的自我伤害行为（以下称为SSIB），现在他们正在呈现 SSIB以快速增加的速率。这个独特的年轻人非常感兴趣，因为SSIB预防 需要协议来降低SSIB风险并降低患病率。小儿紧急情况 部门（ED）已成为青年人的必不可少且常常的心理健康服务。埃德斯是 启动青年预防协议的最佳站点，因为它们通常是青年的第一个入境点 进入心理健康系统。尽管SSIB的ED中看到的年轻人率很高，但有效的ED 降低SSIB风险并增加出勤率和遵守的干预措施 缺乏基于社区的心理保健。这项试验研究的目的是开发和试点A 家庭导航员（FN），通过针对家庭发短信干预进行技术增强信息共享 SSIB入学后，年轻人从ED出院。这种干预旨在 降低SSIB风险和患病率，并增加参与社区心理的参与 10至14岁的青年卫生服务。这种干预措施由文献，循证 医院干预方案，一种基于家庭的青年发展阶段的方法，并发展为 直接针对三种机制。这项研究将通过使用简短的FN建模来增强 共享技术传递的信息（通过文本与家人自动共享信息）。因此， 将采用定性方法来协助进行干预，从而最大化 生态有效性。根据这项研究的结果，FN可接受性和可行性以及手册 开发将完成。平衡的随机分组将像往常一样（TAU）发生 条件或具有信息共享条件的家庭导航器（FN）。主要结果，测量 在4个月和6个月的随访中，包括降低SSIB风险和患病率，增加出勤率和 遵守青年社区的心理保健和所谓的参与 治疗机制。这项试点研究将通过I型混合动力车为NIMH R01应用奠定基础 有效实施试验，以加快研究结果为实践的转化。