Continuity of Mental Health Care after Youth Hospitalization for Suicide Attempt

项目摘要/摘要 这个以患者为导向的导师研究职业发展奖的目的是为了 斯蒂芬妮·K·杜普尼克，医学博士，MSHP，专注于识别健康的独立调查员 促进参与心理健康治疗的系统、组织战略和做法 青年，特别注重减少青年自杀企图和自杀。杜普尼克医生的 近期目标是获得成功所需的培训、指导和研究经验 提供外部资金，支持这一领域的多中心临床有效性和传播研究。相遇 为了实现这一目标，杜普尼克博士和她的导师们制定了全面的职业发展和研究 计划。该计划的3个组成部分包括：(A)来自导师和顾问团队的密集指导，包括 杜普尼克博士有以前合作的记录，(B)在大数据集分析方面的高级培训 卫生政策评估，定性和混合方法研究，以及运筹学研究方法 医院流程改进，以及(C)旨在确定卫生系统如何 能够有效地利用现有资源，确保年轻患者的安全和精神保健的连续性 在因自杀未遂入院治疗后。尽管年轻人自杀未遂导致大约 每年住院6万人次，但大多数住院医疗单位目前并未实施 确保患者出院后心理健康护理的安全性和连续性。拟议的研究 研究将开发一套工具包，指导实施有效的青少年自杀预防做法 住院内科医院单位。目标1使用大型数据集分析来确定哪些医院、门诊和 社区结构与青年参加心理健康随访的比率较高有关 自杀未遂住院，并找出心理健康随访表现较好的医院。 目的2对不同资源配置的医院进行文献回顾和定性调查。 以不同的表现开发自杀预防工具包，以传播有效的自杀预防 练习。AIM 3试点测试青少年自杀预防工具包，为未来的多中心集群做准备 随机对照试验。这项拟议的研究与国家心理研究所密切相关 卫生战略优先事项4.3：开发“服务提供模式”，以显著改善 不同的社区和人口都得到了心理健康服务。

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.”