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UW Practice-based Suicide Prevention Research Center

华盛顿大学基于实践的自杀预防研究中心

基本信息

批准号：
10575206
负责人：
KATHERINE ANNE COMTOIS
金额：
$ 332.22万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
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/10575206
关键词：
Accident and Emergency department Address Adolescent and Young Adult Advocate Affect Awareness Behavioral Sciences Bioinformatics Caring Childhood Clinic Clinical Collaborations Common Data Element Communication Consultations Crisis Intervention Data Decision Making Detection Diagnosis Discipline Ecological momentary assessment Ecosystem Elderly Electronic Health Record Emergency department visit Environment Evaluation Familiarity Family Family Practice Feeling suicidal Fright Funding Goals Grant Health Personnel Healthcare Healthcare Systems Informatics Information Technology Intervention Joints Longterm Follow-up Medical Medical Education Mental Depression Mental Health Mental Health Services Mentors Methods Modeling Observational Study Outcome Outpatients Pathway interactions Patients Pediatric Hospitals Pediatrics Phase Pilot Projects Policies Prevention Research Process Provider Psychiatry Recommendation Recovery Reporting Research Research Infrastructure Research Personnel Research Project Grants Resources Risk Risk Assessment Risk Management Running Safety Science Scientific Inquiry Self Efficacy Services Source Specialist Suicide Suicide attempt Suicide prevention Surgeon System Technology Therapeutic Time Training Universities Vision Visit Wait Time Washington Work behavioral health clinical decision support clinically actionable collaborative care data repository design evidence base experience follow-up health care settings high risk human centered design implementation intervention improved improved outcome innovation medical schools medical specialties model design point of care prevent preventive intervention primary care clinic primary care provider programs psychologic response safety assessment suicidal suicidal adolescent suicidal behavior suicidal patient suicidal risk support tools therapy design tool translational health science treatment optimization usability young adult

项目摘要

In his proclamation for National Mental Health Awareness Month 2021, President Biden emphasized “My Administration is committed to advancing suicide prevention best practices and improving non-punitive crisis response.” The University of Washington Practice-Based Suicide Prevention Research Center directly answers the President's call to action in outpatient medical settings through enhancing therapeutic alliance and increased self-efficacy of adolescent and young adult patients, their providers, and their families to manage suicide risk. The Center's approach to improving outcomes across the suicide care pathway from identification of suicide risk through assessment to decision making and risk management, crisis response, treatment of suicidality, and long-term surveillance and follow-up is consistent with the recommendations of the Joint Commission, Zero Suicide, National Action Alliance for Suicide Prevention, and the Surgeon General. The Center, led by clinical researchers who treat suicidal patients in partnership with informatics researchers and operational experts, takes a stakeholder-based co-design approach integrating human centered design (HCD) and multi-phasic optimization (MOST) to develop interventions for the outpatient medical setting. The Center represents a unique partnership between the School of Medicine's Departments of Psychiatry and Behavioral Sciences, Pediatrics and Family Medicine with Bioinformatics and Medical Education. The Center also bridges UW's many resources: the Center for Suicide Prevention and Recovery, the Institute for Translational Health Sciences (the UW CTSA) and its Research Information Technology team, and the AIMS Center (UW implementation and training center for Collaborative Care). The Administrative Core will serve as the communication hub between center cores, our Expert and three stakeholder advisory boards, the R03 pilot grant program through which our Collaborating Scholars from other disciplines who are new to suicide prevention will receive mentoring, training, and experience. The Signature Project (R01) will collaborate with pediatric medical settings to optimize treatment and maximize referrals to a brief outpatient crisis intervention as an alternative to emergency department referral. The AMPERE R34 project will use the principles of HCD to create a clinically actionable pathway for ecological momentary assessment of suicide risk that is acceptable and usable for both young adult patients and their primary care providers. The ISSP R34 project will adapt existing technology to use safety plan data to provide clinical decision support to healthcare providers in pediatric medical settings. The AM-CoCM R34 project will adapt the Aeschi Model – core principles of care advocated by suicide experts – for Collaborative Care for adolescents and young adults in primary care clinics. Research Projects will work with the Methods Core to create point-of-care clinical decision support and electronic health record integration. The Methods Core will provide research infrastructure to the Research Projects, including common data elements and a data repository harmonized with electronic health records. The Center will conclude with a National Policy Briefing on Center findings to maximize dissemination.

拜登总统在宣布 2021 年全国心理健康意识月时强调“我的政府致力于推进自杀预防最佳实践并改善非惩罚性危机回复。”华盛顿大学基于实践的自杀预防研究中心直接给出答案总统呼吁在门诊医疗环境中通过加强治疗联盟和提高青少年和年轻成年患者、其提供者及其家人的自我管理能力自杀风险。该中心从识别开始改善自杀护理途径结果的方法通过评估决策和风险管理、危机应对、治疗来了解自杀风险自杀倾向、长期监测和随访符合联合委员会的建议委员会、零自杀、国家预防自杀行动联盟和外科医生。这该中心由临床研究人员领导，与信息学研究人员合作治疗自杀患者运营专家，采用基于利益相关者的协同设计方法，整合以人为本的设计（HCD）和多阶段优化 (MOST) 来制定门诊医疗环境的干预措施。中心代表了医学院精神病学系和行为学系之间的独特合作关系科学、儿科和家庭医学与生物信息学和医学教育。该中心还架起桥梁华盛顿大学的众多资源：自杀预防和康复中心、转化健康研究所科学（UW CTSA）及其研究信息技术团队，以及 AIMS 中心（UW 协作护理实施和培训中心）。行政核心将作为中心核心、我们的专家和三个利益相关者咨询委员会、R03 试点之间的沟通中心资助计划，通过该计划，我们的来自其他学科的刚接触自杀的合作学者预防将接受指导、培训和经验。签名项目（R01）将与儿科医疗环境，以优化治疗并最大限度地转诊至简短的门诊危机干预作为急诊科转诊的替代方案。 AMPERE R34项目将采用HCD原理为可接受的自杀风险生态瞬时评估创建临床可行的途径适用于年轻的成年患者及其初级保健提供者。 ISSP R34 项目将适应现有技术使用安全计划数据为医疗保健提供者提供临床决策支持儿科医疗机构。 AM-CoCM R34 项目将采用 Aeschi 模型——护理的核心原则由自杀专家倡导——在初级保健诊所为青少年和年轻人提供协作护理。研究项目将与方法核心合作，创建即时临床决策支持和电子健康记录集成。方法核心将为研究提供研究基础设施项目，包括通用数据元素和与电子健康记录协调的数据存储库。该中心将以关于中心调查结果的国家政策简报结束，以最大限度地传播。