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Screening and Brief Intervention for Suicidality and Nonsuicidal Self-Injury Among Youth in the Juvenile Justice System

少年司法系统中青少年自杀和非自杀自残的筛查和短期干预

基本信息

批准号：
9923764
负责人：
Kathleen Kemp
金额：
$ 24.34万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-07-15 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9923764
关键词：
Accident and Emergency department Address Administrator Adolescent American Appointment Attitude Behavior Caregivers Client Collaborations Communities Community Practice Consumer Satisfaction Contracts Data Effectiveness of Interventions Evidence based intervention Family Feeling suicidal Foundations Future General Population Goals Grant Health Professional Healthcare Healthy People 2020 Hearing Home environment Imprisonment Intercept Intervention Interview Jail Justice Mental Health Modeling Modification Motivation National Institute of Mental Health Outcome Outpatients Parents Participant Partnership Practice Penetration Phase Process Professional counselor Protocols documentation Provider Psychiatric Hospitals Randomized Registries Research Resources Risk Safety Sampling Self-Injurious Behavior Series Service delivery model Services Strategic Planning Suicide Suicide attempt Suicide prevention Supervision System Teenagers Testing Time Training Underserved Population Withdrawal Work Youth adjudication base brief intervention care coordination cost court data modeling design effectiveness trial evidence base experience follow-up high risk implementation trial improved innovation interest juvenile justice system mental health center non-suicidal self injury phase 2 study practice setting probation programs recidivism reducing suicide response safety testing screening screening and brief intervention skills standard care standard of care suicidal behavior suicidal risk uptake

项目摘要

Project Summary The Juvenile Justice System (JJS) has not implemented any evidenced-based interventions that address suicidal behavior or nonsuicidal self-injury, hereafter referred collectively to as self- injury, with JJS-involved youth. This application proposes to test a scalable intervention, safety planning, that aims to reduce self-injury in adolescents involved in the JJS. Safety planning, which can be a stand-alone brief intervention, was cited as a best practice by the Suicide Prevention Resource Center/American Foundation for Suicide Prevention Best Practices Registry for Suicide Prevention. This study will have two phases. In Phase I, we will conduct an open trial with 10 adolescents which will allow us to make any modifications necessary for using the protocol in a Probation Department. We will then randomize 60 youth on Probation who screen positive for recent self-injury into standard care or the safety planning intervention. Counselors with community mental health experience embedded in Probation will conduct the intervention, consistent with the co-responder model found across JJS in the U.S. in which a Probation Officer works collaboratively with a mental health professional to coordinate care. In order to further conduct the study under conditions most relevant to a future implementation trial, we will also employ a training approach that we have successfully implemented in a psychiatric hospital with Bachelors and Masters level staff. In Phase II, of the study, we will: a) conduct qualitative interviews in Probation about attitudes toward the intervention as well as barriers to a future, larger implementation trial; and b) contract with the National Center for Mental Health and Juvenile Justice to conduct a Sequential Intercept Model (SIM) Mapping. The SIM is a conceptual framework to outline a series of “points of interception” along the JJS continuum in a state where screening and brief intervention may be implemented. In the Mapping, we will examine the JJS continuum from arrest; to an initial hearing; to jail awaiting trial or adjudication; incarceration; to release or reentry; and finally, to community supervision. We believe this data will provide a working framework to help assess current views within the statewide JJS as a starting point to proposing a future, larger trial. This research also has the potential to directly inform treatment practices in JJ settings and has significant implications for scalability and dissemination in order to build a stronger, more effective system of mental health/JJS collaboration around self-injury screening and intervention.

项目总结