Suicide Screening Among Youth at First Court Contact.

Suicide Screening Among Youth at First Court Contact.
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第一次法庭接触时对青少年进行自杀筛查。

DOI:
10.1080/13811118.2020.1833795
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发表时间:
2022-04
期刊:
Archives of suicide research : official journal of the International Academy for Suicide Research
影响因子:
--
通讯作者:
Tolou-Shams M
Tolou-Shams M
中科院分区:
其他
文献类型:
--
作者:
Kemp K;Yurasek AM;Poindexter B;Webb M;Tolou-Shams M

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青少年司法系统中的青少年自杀和同时出现心理健康症状的风险更高。本研究旨在探讨自杀的风险和治疗需求的法院参与,非监禁(CINI)的青年,并了解在第一次接触法院时实施心理健康筛查程序的可接受性和有效性。通过将法医心理健康筛查工具嵌入到家庭法院分流程序的摄入过程中,使用马萨诸塞州青年筛查工具-2(MAYSI-2)对891名青年(12-18岁)进行了评估。对筛查答复的分析显示,12.5%的青年表示有自杀风险,风险水平按青年性别、种族和民族区分。自杀意念也与MAYSI-2的所有其他量表上的标记(临床风险的指示)以及随后的转诊治疗显著相关。在现有的转移计划中,在法庭接触的第一点进行自杀筛查,可以作为有需要的青少年的关键和有效的干预点。
Youth involved in the juvenile justice system are at elevated risk for suicide and co-occurring mental health symptoms. This study aims to examine the suicide risk and treatment needs of court-involved, non-incarcerated (CINI) youth, and to understand the acceptability and effectiveness of implementing a mental health screening procedure at time of first court contact. By embedding a forensic mental health screening tool into the intake process of a family court diversionary program, a total of 891 youth (aged 12–18) were assessed using the Massachusetts Youth Screening Instrument-2 (MAYSI-2). Analysis of screening responses revealed 12.5% of youth indicated risk for suicide with risk levels differentiated by youth sex, race and ethnicity. Suicide ideation was also significantly associated with flagging, an indication of clinical risk, on all other scales of the MAYSI-2, as well as subsequent referrals to treatment. Screening for suicide at first point of court contact within an existing diversionary program may serve as a critical and effective point of intervention for youth in need.
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