A Digital Psychoeducational Social Network Intervention for Suicidal Adolescents

针对自杀青少年的数字心理教育社交网络干预

• 批准号: 10705306
• 负责人: Patricia Simon
• 金额: $ 20.59万
• 依托单位: OUI THERAPEUTICS, INC
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-15 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10705306
• 关键词: Acute; Address; Adolescent; Adult; Age; Agreement; Automation; Behavior Therapy; Behavioral; Benchmarking; Businesses; Caring; Case Manager; Cause of Death; Child; Clinical; Clinical Trials; Clinical Trials Cooperative Group; Country; Data; Death Rate; Enrollment; Feeling suicidal; Future; Goals; Grant; Health Professional; Health Services; Health Services Accessibility; Health care facility; Healthcare; Hospitalization; Hospitalized Adolescent; Hospitals; Human Resources; Infrastructure; Intervention; Interview; Knowledge; Learning; Measures; Medicine; Mental Health; Methods; Michigan; Modeling; Morbidity - disease rate; Outcome; Parents; Participant; Patient Selection; Patients; Perception; Persons; Phase; Pilot Projects; Preparation; Process; Provider; Psychiatric Hospitals; Publishing; Research Activity; Research Personnel; Risk; Small Business Innovation Research Grant; Social Network; Social support; Specialist; Suicide; Suicide attempt; Suicide prevention; Sum; System; Testing; Therapeutic; Time; Training; Training Support; United States; Visit; Youth; acceptability and feasibility; adolescent patient; behavioral health; commercialization; design; digital; feasibility testing; health care service utilization; health plan; high risk; implementation framework; improved outcome; member; mortality; open label; pilot test; preventive intervention; programs; psychoeducation; psychoeducational; quality assurance; recruit; scale up; success; suicidal; suicidal adolescent; suicidal behavior; suicidal morbidity; suicidal patient; suicidal risk; suicide rate; support network; telehealth; usability

ABSTRACT Suicide is the second leading cause of death among adolescents in the US. Adolescents hospitalized for SI or SA are at risk for future SAs and early mortality; rates of death by suicide may be as high as 10% by 15 years post discharge. Despite these known risks, many suicidal adolescents do not obtain treatment after hospital discharge because there are not enough providers trained to deliver effective suicide prevention. Thus, there is an urgent need to develop scalable suicide prevention methods. Youth-Nominated Support Team (YST) is a 3- month program that pairs adolescents, who are being discharged from a healthcare facility after a suicide attempt, with adults (known as support adults) whom the patient selects to become their support network. YST decreases the likelihood of suicide attempts by training the support adults to encourage youth to adhere to treatment and make positive behavioral choices. While effective, YST is not readily scalable as it requires significant time commitment from mental health professionals (known as YST intervention specialists) and necessitates engagement and coordination from multiple personnel. To mitigate these limitations, we propose to build eYST, which will streamline YST’s operational processes by 1) digitizing components of the psychoeducational training delivered to youth, parents and support adults and 2) reducing administrative burden on the YST specialists by automating repetitive tasks. Thus, this study has two primary aims: 1) develop eYST, a platform to support more efficient implementation of YST; and 2) test the feasibility and acceptability of eYST in a single-group, open-label trial. An exploratory aim is to examine the range and variability of outcomes associated with YST, including suicidal thoughts and behaviors, healthcare service utilization, and perception of adult social support in a pre/post design of eYST with adolescent patients being discharged from a psychiatric hospital. To develop eYST, we will use implementation science frameworks to understand the needs of stakeholders and system-level. Metrics to be used to measure eYST’s acceptability and feasibility include the sum average score of the System Usability Score scale, percentage of nominated adults agreeing to participate, percentage of youth having 3 or more adults participating in the psychoeducation, etc. Twenty youth, 40 parents/guardians, and 60 supporting adults will be enrolled in the trial. Phase I results will be used to inform preparation of a future SBIR Phase II grant. Commercialization of eYST will occur through health plans. The long-term goal is to markedly increase access to a proven intervention and deliver a digital and scalable solution, eYST, that can be easily integrated with the existing infrastructure of behavioral health programs, ultimately aiding in reducing the likelihood of suicide among youth.

摘要 自杀是美国青少年死亡的第二大原因。因SI住院的青少年或 SA具有未来SA和早期死亡的风险;到15年，自杀死亡率可能高达10% 出院后。尽管有这些已知的风险，许多自杀的青少年在医院后没有得到治疗 因为没有足够的受过培训的提供者提供有效的自杀预防。因此， 迫切需要开发可扩展的自杀预防方法。青年提名支持团队（YST）是一个3- 一个月的计划，配对青少年，谁是从医疗机构出院后，自杀 尝试，与患者选择成为其支持网络的成年人（称为支持成年人）。YST 通过培训支持成年人，鼓励年轻人坚持 治疗并做出积极的行为选择。虽然有效，但YST并不像它需要的那样容易扩展。 心理健康专业人员（称为YST干预专家）的大量时间承诺， 需要多个人员的参与和协调。为了减少这些限制，我们建议 建立eYST，这将简化YST的运营流程，1）数字化的组成部分， 向青年、父母和成年人提供心理教育培训; 2）减轻行政负担 通过自动化重复性的任务来帮助YST专家。因此，本研究有两个主要目的：1）开发eYST， 提供平台，协助更有效率地推行“展翅计划”;及2）测试“展翅计划”的可行性和接受程度 在一个单组开放标签试验中。一个探索性的目的是检查结果的范围和可变性 与YST相关，包括自杀想法和行为，医疗服务利用，以及对 成人社会支持在青少年患者出院前/后的eYST设计中的应用 医院为了开发eYST，我们将使用实施科学框架来了解 利益攸关方和系统层面。用于衡量eYST的可接受性和可行性的指标包括 系统可用性评分量表的总平均分，同意参与的指定成人百分比， 有3名或3名以上成年人参加心理教育等的青年百分比 父母/监护人和60名支持成年人将入组试验。第一阶段结果将用于告知 准备未来的SBIR第二阶段赠款。eYST的商业化将通过健康计划进行。的 长期目标是显著增加获得经验证的干预措施的机会，并提供数字化和可扩展的解决方案， eYST可以很容易地与行为健康计划的现有基础设施相结合， 帮助减少青少年自杀的可能性。