Swift Outpatient Alternatives for Rapid Stabilization (SOARS)

快速稳定门诊替代方案 (SOARS)

• 批准号: 10575209
• 负责人: Molly Adrian
• 金额: $ 81.37万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-17 至 2028-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10575209
• 关键词: Acceleration; Acute; Address; Adolescent and Young Adult; Adoption; Age; Behavior; Caregivers; Caring; Cause of Death; Characteristics; Communication; Complex; Data; Decision Making; Development; Distress; Effectiveness; Engineering; Evaluation; Evidence based intervention; Experimental Designs; Family; Feeling suicidal; Health Personnel; Healthcare; Healthcare Systems; Hospitalization; Hybrids; Individual; Intervention; Mediation; Medical; Mental Health Services; Modeling; Outpatients; Parents; Pathway interactions; Patients; Pattern; Prevention; Prevention Research; Process; Proliferating; Provider; Public Health; Recording of previous events; Reporting; Risk Factors; Risk Management; Risk Reduction; Self Efficacy; Suicide; Suicide prevention; Testing; Therapeutic; Time; United States; Youth; barrier to care; behavioral health; care providers; design; evidence base; expectation; human centered design; implementation outcomes; implementation trial; improved; modifiable risk; mortality; multi-component intervention; multiphase optimization strategy; novel; prevent; primary care setting; reducing suicide; referral services; response; skills; skills training; suicidal; suicidal adolescent; suicidal behavior; suicidal morbidity; suicidal risk; treatment optimization; treatment planning; usability

Suicide is a leading cause of death for youth and prevention efforts embedded in healthcare systems have promise for reducing this substantial public health problem. There is a significant gap between the expectations of a suicide care pathway and existing capacity and could be improved with optimized intervention packages that address key stakeholders- youth, patient, behavioral health providers, and outpatient medical providers- needs. Building upon promising pilot results, this project seeks to evaluate components of the Swift Outpatient Alternative for Rapid Stabilization (SOARS) intervention to build the strongest combination to reduce youth suicidal thoughts and behaviors (STB; Aim 1). We will test the impact patient characteristics (Aim 2) and if SOARS components function through their putative mechanisms. The optimized treatment package will be refined through co-design with providers to augment its acceptability and usability (Aim 4). Results will be used to create an optimized intervention package to accelerate the pace of adoption by healthcare systems and reduction of youth STBs. This will result in a youth suicide care intervention package optimized for ecological validity, effectiveness and efficiency, and ready for evaluation in a hybrid implementation trial.

自杀是青少年死亡的主要原因，医疗保健系统中的预防工作 减少这一重大公共卫生问题的承诺。与预期之间有很大差距 自杀护理途径和现有能力，可以通过优化干预方案加以改善 针对关键利益相关者-青年，患者，行为健康提供者和门诊医疗提供者- 需求在有希望的试点结果的基础上，该项目旨在评估斯威夫特门诊的组成部分， 快速稳定替代方案干预措施，以建立最强有力的组合，减少青年 自杀想法和行为（STB;目标1）。我们将测试影响患者特征（目标2），如果 SOARS组件通过其假定的机制发挥作用。优化的治疗方案将是 通过与供应商的共同设计进行改进，以提高其可接受性和可用性（目标4）。结果将 用于创建优化的干预包，以加快医疗保健系统采用的步伐 减少青少年性病。这将导致一个青年自杀护理干预包优化， 生态有效性，有效性和效率，并准备在混合实施试验中进行评估。