Continuity of Mental Health Care after Youth Hospitalization for Suicide Attempt - Administrative Supplement

青少年因自杀未遂住院后继续接受心理保健 - 行政补充

• 批准号: 10166342
• 负责人: Stephanie Doupnik
• 金额: $ 5.34万
• 依托单位: CHILDREN'S HOSP OF PHILADELPHIA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10166342
• 关键词: Administrative Supplement; Area; Cause of Death; Clinical effectiveness; Communities; Data; Ensure; Evaluation; Evidence based practice; Extramural Activities; Funding; Future; Goals; Health Policy; Healthcare; Hospital Units; Hospitalization; Hospitals; Inpatients; Medical; Mental Health; Mental Health Services; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; National Institute of Mental Health; Operations Research; Outcome; Outpatients; Performance; Population; Psyche structure; Randomized Controlled Trials; Research; Research Methodology; Research Personnel; Resources; Review Literature; Safety; Service delivery model; Structure; Suicide; Suicide attempt; Suicide prevention; Testing; Training; Work; Youth; career; career development; design; experience; follow-up; hospitalization rates; improved; innovation; large datasets; medical specialties; patient safety; research and development; research study; suicidal risk

PROJECT SUMMARY/ABSTRACT The purpose of this Mentored Patient-Oriented Research Career Development Award is to prepare Stephanie K. Doupnik, MD, MSHP for a career as an independent investigator focused on reducing youth suicide attempts and suicides. Dr. Doupnik’s immediate goals are to obtain the training, mentorship, and research experience necessary to successfully obtain extramural funding to support multicenter clinical effectiveness and dissemination studies in this area. To meet these goals, Dr. Doupnik and her mentors have developed a comprehensive career development and research plan. The plan’s 3 components include: (a) intensive mentorship from a team of mentors and advisors, (b) advanced training in health policy evaluation, qualitative and mixed methods research, and healthcare operations research methods, and (c) an innovative research plan designed to develop and test a toolkit of evidence- based practices to support suicide prevention for young people after medical hospitalization for suicide attempt. Although youth suicide attempts result in approximately 60,000 hospitalizations annually, most inpatient medical hospital units do not currently implement practices to ensure patients’ safety and continuity of mental healthcare after hospital discharge. The research studies outlined in Dr. Doupnik’s K23 develop and pilot test a toolkit to guide implementation of effective suicide prevention practices for youth discharged from inpatient medical hospital units who are at risk of suicide. Aim 1, which Dr. Doupnik has completed, used large dataset analyses to determine which hospital, outpatient, and community structures are associated with higher rates of youth attendance at mental health follow-up after suicide attempt hospitalization and to identify hospitals with higher performance on mental health follow-up. Aim 2, also completed, relied on literature review and qualitative inquiry to develop a suicide prevention toolkit to disseminate effective suicide prevention practices. The proposed administrative supplement will support work on Aim 3, a pilot test of the youth suicide prevention toolkit developed in Aims 1 and 2. The Aim 3 pilot test will provide data critical to preparing for a future multi-center cluster randomized controlled trial. The proposed research is closely aligned with the National Institute of Mental Health Strategic Priority 4.3 to develop “service delivery models to improve dramatically the outcomes of mental health services received in diverse communities and populations.”

项目总结/摘要 这个指导病人为导向的研究职业发展奖的目的是 准备斯蒂芬妮·K Doupnik，医学博士，MSHP作为独立调查员的职业生涯 重点是减少青年自杀未遂和自杀。杜普尼克博士的近期目标是 获得成功获得所需的培训，指导和研究经验 校外资助，以支持多中心临床有效性和传播研究， 区为了实现这些目标，杜普尼克博士和她的导师们制定了一个全面的 职业发展和研究计划。该计划的三个组成部分包括： 导师和顾问团队提供的指导，（B）卫生政策高级培训 评估，定性和混合方法研究，以及医疗保健业务研究 方法，以及（c）旨在开发和测试证据工具包的创新研究计划- 基于实践，以支持预防自杀的年轻人后，医疗住院， 企图自杀。尽管青年自杀未遂导致大约6万人住院治疗， 每年，大多数住院医疗医院单位目前没有实施确保 患者出院后心理保健的安全性和连续性。研究 Doupnik博士的K23中概述的研究开发和试点测试了一个工具包，以指导实施 预防青少年自杀的有效措施 有自杀风险的人Doupnik博士已经完成的目标1使用了大型数据集 分析以确定哪些医院，门诊和社区结构与 自杀未遂住院后接受心理健康随访的青年比例较高 并确定在心理健康随访方面表现更好的医院。目标2， 完成，依靠文献综述和定性调查，制定自杀预防 宣传有效预防自杀的方法。拟议行政 补充将支持目标3的工作，即预防青少年自杀工具包的试点测试 在目标1和2中制定的。Aim 3的试点测试将为未来的准备工作提供关键数据 多中心随机对照试验。拟议的研究与 国家精神卫生研究所战略优先事项4.3，以开发“服务提供模式 显著改善不同社区接受的精神卫生服务的结果 人口”。