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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2021年全国心理健康宣传月的宣言中强调，政府致力于推进预防自杀的最佳做法和改善非惩罚性危机回应。“华盛顿大学基于实践的自杀预防研究中心直接回答总统呼吁通过加强治疗联盟在门诊医疗环境中采取行动提高青少年和青壮年患者、他们的提供者和他们的家人管理的自我效能自杀风险。该中心从身份识别到改善自杀护理途径结果的方法通过对决策和风险管理的评估、危机应对、自杀、长期监测和后续行动符合联合检查组的建议委员会、零自杀、全国预防自杀行动联盟和卫生局局长。这个中心，由临床研究人员领导，他们与信息学研究人员和运营专家，采用基于利益相关者的合作设计方法，集成以人为中心的设计(HCD) 以及多阶段优化(MOST)，为门诊医疗环境制定干预措施。《中心》代表着医学院精神病学系和行为学系之间独特的合作伙伴关系科学、儿科学和家庭医学与生物信息学和医学教育。该中心还搭建了威斯康星大学的许多资源：自杀预防和康复中心、翻译健康研究所科学(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 Pilot之间的通信中心资助计划，通过该计划，我们的合作学者来自其他学科，谁是自杀的新手预防将得到指导、培训和经验。签名项目(R01)将与儿科医疗环境，以优化治疗和最大限度地转介到简短的门诊危机干预作为急诊科转诊的替代方案。安培R34项目将使用HCD的原理为可接受的自杀风险的生态瞬时评估创造一条临床上可行的途径对于年轻的成年患者和他们的初级保健提供者都是可用的。ISSP R34项目将适应使用安全计划数据为医疗保健提供者提供临床决策支持的现有技术儿科医疗机构。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--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一起创建护理点临床决策支持和电子健康档案一体化。方法核心将为研究提供研究基础设施项目，包括共同数据要素和与电子健康记录相协调的数据储存库。中心最后将就中心的调查结果举行国家政策简报会，以最大限度地传播信息。