Prevention and Assessment of Risk in Teens (PART) Longitudinal Study

青少年风险预防和评估(PART)纵向研究

基本信息

项目摘要

Suicide rates among adolescents have increased dramatically, particularly for Black youth. The majority of suicide decedents have their last clinical contact in primary care. Thus, PPC settings are critical for identifying and treating suicidal youth, but there are challenges with respect to identification, intervention, and implementation. Annual screening for depression using self-report may miss identifying many high-risk youth, as many suicide attempters, particular Black youth, do not report ideation prior to their suicidal behavior and suicidal crises in youth can develop quickly. A second challenge is that once high-risk youth are identified, PPC providers lack a reliable service delivery strategy to effectively treat these youth. A third challenge is that are many barriers for identifying or intervening with Black youth at risk for suicide. Our Signature R01 addresses these challenges as follows: In the first component of the R01, we will develop a predictive analytic platform for PPC based on the electronic health record (EHR), mobile sensing, ecological momentary activity (EMA) assessments of mood and suicidal thoughts and behaviors and self-reports to identify who is at risk and when they are at imminent risk for suicide-related events. To accomplish this, we will recruit 2000 youth from PPC, enriched for those at high suicidal risk, and the sample will be 35% Black. These youth will be followed with interviews and self-reports at 1, 3, and 6 months following baseline and will have 6 months of data from mobile sensing and daily and weekly EMA. We will: (1) develop a predictive algorithm using EHR of adolescents in PPC settings; (2) identify dynamic changes in mobile sensing and EMA measures predicting imminent risk for suicide- related events; (3) develop a data-fusion algorithm combining mobile sensing, EMA, self-reports, and EHR to improve prediction; and (4) test and optimize its performance among Black youth. In the 2nd component, we will conduct a randomized clinical trial (RCT) on a subset of this cohort, namely 900 youth at high suicidal risk. We will compare treatment as usual (TAU) to a suite of tools developed in the current project period to guide the pediatric provider in assessing suicidal risk, making a treatment recommendation, generating a safety plan that is loaded on the patient’s smartphone, and launching an automated texting intervention to increase treatment engagement. Based on our previous work, we hypothesize that this combined intervention, integrated Care to Help At-Risk Teens (iCHART) will decrease suicidal events (suicidal behavior or ideation that results in an emergency referral) by 50%, and the effects will be mediated by increases in referrals, treatment engagement, and safety planning. We will use implementation science methods to assess barriers, facilitators, feasibility, and acceptability of PART predictive analytics and the iCHART intervention to inform future implementation efforts and to promote health equity and ensure that our methods of identification and intervention will be effective and acceptable to Black youth. This study can improve identification and monitoring of youth at risk, reduce suicidal events, and advance health equity for Black youth.
青少年的自杀率急剧上升,尤其是黑人青年。大多数

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

Nadine M. Melhem其他文献

11.2 PLACENTAL INFLAMMATION AND ITS ASSOCIATION WITH CHILDHOOD MENTAL DISEASE
  • DOI:
    10.1016/j.jaac.2020.08.166
  • 发表时间:
    2020-10-01
  • 期刊:
  • 影响因子:
  • 作者:
    Blake A. Gibson;Nadine M. Melhem
  • 通讯作者:
    Nadine M. Melhem

Nadine M. Melhem的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('Nadine M. Melhem', 18)}}的其他基金

COVID-19, Inflammation and HPA axis activity, and Risk for Psychopathology in Youth
COVID-19、炎症和 HPA 轴活动以及青少年精神病理学风险
  • 批准号:
    10753189
  • 财政年份:
    2023
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biological Substrates of Maladaptive Stress Response in Early Childhood
幼儿期适应不良应激反应的生物基础
  • 批准号:
    10406368
  • 财政年份:
    2020
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biological Substrates of Maladaptive Stress Response in Early Childhood
幼儿期适应不良应激反应的生物基础
  • 批准号:
    10250530
  • 财政年份:
    2020
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biological Substrates of Maladaptive Stress Response in Early Childhood
幼儿期适应不良应激反应的生物基础
  • 批准号:
    10885448
  • 财政年份:
    2020
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biological Substrates of Maladaptive Stress Response in Early Childhood
幼儿期适应不良应激反应的生物基础
  • 批准号:
    10661926
  • 财政年份:
    2020
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biological Substrates of Maladaptive Stress Response in Early Childhood
幼儿期适应不良应激反应的生物基础
  • 批准号:
    10626021
  • 财政年份:
    2020
  • 资助金额:
    $ 59.56万
  • 项目类别:
Prevention and Assessment of Risk in Teens (PART) Longitudinal Study
青少年风险预防和评估(PART)纵向研究
  • 批准号:
    10631226
  • 财政年份:
    2018
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biomarkers in the HPA axis and inflammatory pathways for maladaptive stress response in children
HPA 轴的生物标志物和儿童适应不良应激反应的炎症通路
  • 批准号:
    9896866
  • 财政年份:
    2017
  • 资助金额:
    $ 59.56万
  • 项目类别:
Biomarkers in the HPA axis and inflammatory pathways for maladaptive stress response in children
HPA 轴的生物标志物和儿童适应不良应激反应的炎症通路
  • 批准号:
    9475313
  • 财政年份:
    2017
  • 资助金额:
    $ 59.56万
  • 项目类别:
Identifying Predictors in the HPA Axis and Inflammatory Pathways for Suicidal Behavior in Youth
确定 HPA 轴和炎症通路中青少年自杀行为的预测因素
  • 批准号:
    9234320
  • 财政年份:
    2017
  • 资助金额:
    $ 59.56万
  • 项目类别:

相似海外基金

Understanding How Adolescent Bullying Experiences Affect Traumatic Stress,Sexual Health and STI Risk among Men Who Have Sex with Men (MSM)
了解青少年欺凌经历如何影响男男性行为者 (MSM) 的创伤性压力、性健康和性传播感染风险
  • 批准号:
    10553263
  • 财政年份:
    2022
  • 资助金额:
    $ 59.56万
  • 项目类别:
Understanding How Adolescent Bullying Experiences Affect Traumatic Stress,Sexual Health and STI Risk among Men Who Have Sex with Men (MSM)
了解青少年欺凌经历如何影响男男性行为者 (MSM) 的创伤性压力、性健康和性传播感染风险
  • 批准号:
    10347813
  • 财政年份:
    2022
  • 资助金额:
    $ 59.56万
  • 项目类别:
Visuocortical Dynamics of Affect-Biased Attention in the Development of Adolescent Depression
青少年抑郁症发展过程中情感偏向注意力的视觉皮层动力学
  • 批准号:
    10380686
  • 财政年份:
    2019
  • 资助金额:
    $ 59.56万
  • 项目类别:
Visuocortical Dynamics of Affect-Biased Attention in the Development of Adolescent Depression
青少年抑郁症发展过程中情感偏向注意力的视觉皮层动力学
  • 批准号:
    9888437
  • 财政年份:
    2019
  • 资助金额:
    $ 59.56万
  • 项目类别:
Visuocortical Dynamics of Affect-Biased Attention in the Development of Adolescent Depression
青少年抑郁症发展过程中情感偏向注意力的视觉皮层动力学
  • 批准号:
    10597082
  • 财政年份:
    2019
  • 资助金额:
    $ 59.56万
  • 项目类别:
Targeting maladaptive responding to negative affect in adolescent cannabis users
针对青少年大麻使用者的负面影响的适应不良反应
  • 批准号:
    9371970
  • 财政年份:
    2017
  • 资助金额:
    $ 59.56万
  • 项目类别:
Childhood positive affect and anger as predictors of adolescent risky behavior
童年积极影响和愤怒是青少年危险行为的预测因素
  • 批准号:
    9139461
  • 财政年份:
    2015
  • 资助金额:
    $ 59.56万
  • 项目类别:
Do State Marijuana Policies Affect Adolescent Marijuana and Alcohol Use?
州大麻政策会影响青少年大麻和酒精的使用吗?
  • 批准号:
    8783159
  • 财政年份:
    2014
  • 资助金额:
    $ 59.56万
  • 项目类别:
Do State Marijuana Policies Affect Adolescent Marijuana and Alcohol Use?
州大麻政策会影响青少年大麻和酒精的使用吗?
  • 批准号:
    8853783
  • 财政年份:
    2014
  • 资助金额:
    $ 59.56万
  • 项目类别:
Assessment of Affect Instability in Adolescent Girls with BPD Features
具有 BPD 特征的青春期女孩的情绪不稳定评估
  • 批准号:
    8122499
  • 财政年份:
    2011
  • 资助金额:
    $ 59.56万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了