Continuity of Mental Health Care after Youth Hospitalization for Suicide Attempt

青少年因自杀未遂住院后继续接受心理保健

• 批准号: 10200636
• 负责人: Stephanie Doupnik
• 金额: $ 18.31万
• 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 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10200636
• 关键词: Acute; Adolescent; Aftercare; Area; Caring; Cause of Death; Characteristics; Clinical; Clinical effectiveness; Cluster randomized trial; Collaborations; Communities; Data; Effectiveness; Ensure; Evaluation; Evidence based intervention; Extramural Activities; Funding; Future; Geography; Goals; Health Policy; Health Service Area; Health system; Healthcare; High School Student; Hospital Units; Hospitalization; Hospitalized Adolescent; Hospitalized Child; Hospitals; Human Resources; Individual; Infrastructure; Injury; Inpatients; Intervention; Interview; Joints; Medicaid; Medical; Mental Health; Mental Health Services; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Monitor; Multicenter Trials; National Institute of Mental Health; Operations Research; Outcome; Outpatients; Patients; Pediatric Hospitals; Performance; Philadelphia; Population; Preparation; Process; Psyche structure; Randomized Controlled Trials; Reporting; Research; Research Methodology; Research Personnel; Resources; Review Literature; Risk; Safety; Sampling; Self-Injurious Behavior; Service delivery model; Structure; Suicide; Suicide attempt; Suicide prevention; Surveys; Testing; Training; Variant; Visit; Youth; adolescent patient; career; career development; design; evidence base; experience; follow-up; health care service utilization; high risk population; hospital services; hospitalization rates; implementation strategy; improved; innovation; large datasets; medical specialties; patient safety; preventive intervention; prospective; research and development; research clinical testing; research study; suicidal risk; suicide rate; systematic review; tool; uptake

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 identifying health systems organizational strategies and practices for promoting engagement in mental health treatment among young people, with a particular focus on reducing youth suicide attempts and suicides. Dr. Doupnik’s immediate goal is 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 this goal, 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 with whom Dr. Doupnik has a track record of prior collaboration, (b) advanced training in large dataset analysis for health policy evaluation, qualitative and mixed methods research, and operations research methods to inform hospital process improvement, and (c) an innovative research plan designed to identify how health systems can effectively use available resources to ensure young patients’ safety and continuity of mental healthcare 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 proposed research studies will develop a toolkit to guide implementation of effective suicide prevention practices for youth on inpatient medical hospital units. Aim 1 uses 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 uses literature review and qualitative inquiry in hospitals with different resource configurations and varying performance to develop a suicide prevention toolkit to disseminate effective suicide prevention practices. Aim 3 pilot tests the youth suicide prevention toolkit in preparation 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/文摘

项目成果

Mental Health and COVID-19 in Pediatric Emergency Departments: Perspectives From Directors.

儿科急诊科的心理健康和 COVID-19：主任的观点。

• DOI: 10.1016/j.jadohealth.2022.03.019
• 发表时间: 2022-09
• 期刊: JOURNAL OF ADOLESCENT HEALTH
• 影响因子: 7.6
• 作者: Bowden, Cadence F.;Worsley, Diana;Doupnik, Stephanie K.
• 通讯作者: Doupnik, Stephanie K.

Assessing Suicide Risk in a Pediatric Outpatient Behavioral Health System: A Quality Improvement Report.

• DOI: 10.1097/pq9.0000000000000571
• 发表时间: 2022-05
• 期刊: Pediatric quality & safety
• 影响因子: 1.1

Hospitalization Outcomes for Rural Children with Mental Health Conditions.

患有精神健康问题的农村儿童的住院结果。

• DOI: 10.1016/j.jpeds.2020.09.067
• 发表时间: 2021-03
• 期刊: The Journal of pediatrics
• 作者: Bettenhausen JL;Hall M;Doupnik SK;Markham JL;Feinstein JA;Berry JG;Gay JC
• 通讯作者: Gay JC

Patient Risk Factors for Violent Restraint Use in a Children's Hospital Medical Unit.

儿童医院医疗单位使用暴力约束的患者风险因素。

• DOI: 10.1542/hpeds.2020-000273
• 发表时间: 2021
• 期刊: Hospital pediatrics
• 作者: Noah,Akaninyene;Andrade,Gabriela;DeBrocco,Dawn;Dunn,Michelle;Herz,Katherine;Worsley,Diana;Camacho,Pete;Doupnik,StephanieK
• 通讯作者: Doupnik,StephanieK

Impact of mental health boarding on clinicians at a children's hospital: A qualitative analysis.

心理健康寄宿对儿童医院临床医生的影响：定性分析。

• DOI: 10.1002/jhm.13300
• 发表时间: 2024
• 期刊: Journal of hospital medicine
• 影响因子: 2.6
• 作者: Worsley,Diana;Bowden,Cadence;Keating,Cameron;Cassidy,Kyla;Doupnik,StephanieK
• 通讯作者: Doupnik,StephanieK