Continuity of Mental Health Care after Youth Hospitalization for Suicide Attempt

项目总结/摘要 这个指导以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作为一名独立调查员的职业生涯，专注于确定健康 促进参与心理健康治疗的系统组织战略和做法 青年人，特别注重减少青年自杀未遂和自杀。杜普尼克医生 直接目标是获得成功获得所需的培训，指导和研究经验。 支持该领域的多中心临床有效性和传播研究的校外资金。满足 为了实现这一目标，杜普尼克博士和她的导师们制定了一项全面的职业发展和研究计划， 计划该计划的三个组成部分包括：（a）由导师和顾问组成的团队提供的密集辅导， Doupnik博士有先前合作的跟踪记录，（B）大型数据集分析的高级培训， 卫生政策评估、定性和混合方法研究以及运筹学方法， 医院流程改进，以及（c）旨在确定卫生系统如何 能够有效利用现有资源，确保青少年患者的安全和精神卫生保健的连续性 在因自杀未遂住院治疗后虽然青少年自杀未遂导致大约 每年有60 000人住院，大多数住院医疗医院单位目前没有实施以下做法： 确保患者出院后心理健康护理的安全性和连续性。拟议研究 研究将制定一套工具包，指导实施有效的预防青少年自杀措施， 住院医疗单位。Aim 1使用大型数据集分析来确定哪家医院、门诊病人和 社区结构与青年参加心理健康随访的比例较高有关， 自杀企图住院治疗，并确定在精神健康随访方面表现更好的医院。 目标2在不同资源配置的医院中使用文献综述和定性调查， 不同的表现，以开发预防自杀的工具包，以传播有效的预防自杀 实践目标3为未来多中心联网进行预防青少年自杀工具包试验 随机对照试验。这项拟议中的研究与美国国家心理研究所（National Institute of Mental 卫生战略优先事项4.3：发展“服务提供模式， 在不同社区和人群中获得的精神卫生服务。”

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.”