Development and Pilot Testing of an Integrated Suicide Assessment and Safety Plan Digital Tool for Adolescent Outpatients
针对青少年门诊患者的综合自杀评估和安全计划数字工具的开发和试点测试
基本信息
- 批准号:10575212
- 负责人:
- 金额:$ 27.34万
- 依托单位:
- 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:
- 关键词:AddressAdolescentAdolescent Risk BehaviorAdolescent and Young AdultAgeAlgorithmsAmbulatory Care FacilitiesAttentionBehaviorCaringChildChildhoodClinicClinical PathwaysCounselingDetectionDevelopmentElectronicsEmergency department visitEnvironmentFeeling suicidalFutureGoalsHealth PersonnelHigh School StudentInterventionMedicalMental HealthMonitorOutcomeOutpatientsParentsPathway interactionsPilot ProjectsPractice GuidelinesPrevention ResearchProceduresProcessProviderQualitative ResearchRecommendationRegistriesReportingResearchRisk ManagementSafetyScreening ResultScreening procedureSelf EfficacySelf ManagementSpecialistSuicideSuicide attemptSuicide preventionSurveysSystemTechnologyTestingTimeTrainingWorkacceptability and feasibilityage groupclinical carecopingdesigndigital platformdigital toolefficacy testingempowermentfollow-uphuman centered designimplementation designimprovedimproved outcomemortalitypilot testprimary outcomeprototyperisk stratificationsafety assessmentsafety netscreeningshared decision makingsuicide ratetherapy developmenttimelinetooltreatment as usualusability
项目摘要
ABSTRACT
Suicide is the second leading cause of mortality among adolescents and young adults (AYA) and rates of
suicide and emergency department visits for suicide attempts have been increasing in this age group over the
past decade.1-3 Outpatient medical settings may serve as a safety net to improve the detection, management,
and outcomes for AYA with suicidal ideation.4-8 Improving outcomes requires interventions and tools that are
designed for implementation in the fast-paced outpatient medical setting. Practice guidelines and toolkits
recommend that a positive suicide screening be followed by a full assessment and safety planning.9-11
However, healthcare providers in outpatient medical settings have few supports to complete this work.
In this R34 application, we propose to use Human-Centered Design strategies12 with AYA, parents, and
healthcare providers to build and optimize an Integrated Screening and Safety Planning (ISSP) tool for AYA
who screen positive for suicidal ideation in pediatric outpatient medical settings. The tool will include: 1) safety
assessment, 2) algorithms for risk stratification and decision support for HCPs to guide next steps of care, 3)
integrated tools for collaborative safety plan completion with means restriction counseling, and 4) creation of a
registry to improve tracking and follow-up. We then conduct a pilot study with 100 AYA (ages 13-21) in three
outpatient clinics, comparing use of the ISSP tool to the usual care Seattle Children's clinical pathway on the
primary outcomes of AYA Suicide-Related Coping, Parent Suicide Prevention Self-Efficacy, and Provider
Suicide Management Self-Efficacy using a pre-post design. Parents and AYA will complete surveys at
baseline, and 1- and 2-month follow ups, and healthcare providers will complete surveys at three time points:
prior to the control period, after the control period, and after the intervention period.
ISSP provides the opportunity to engage stakeholders and co-design technology that addresses a key
challenge in the assessment of suicidal ideation in medical settings: moving beyond screening to a focus on
improving the completion of screening in a way that empowers AYA, HCPs and parents. If successful, this tool
has the potential for future broad dissemination including adaptations to other medical settings and for use with
other age groups. A key strength of our proposal is the focus on implementation needs alongside intervention
development which will shorten the timeline for tests of efficacy in an R01 trial as well as future dissemination
efforts.
摘要
项目成果
期刊论文数量(0)
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LAURA P RICHARDSON其他文献
LAURA P RICHARDSON的其他文献
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{{ truncateString('LAURA P RICHARDSON', 18)}}的其他基金
Adolescent Collaborative Care Treatment for Depression
青少年抑郁症的协作护理治疗
- 批准号:
8072998 - 财政年份:2009
- 资助金额:
$ 27.34万 - 项目类别:
Adolescent Collaborative Care Treatment for Depression
青少年抑郁症的协作护理治疗
- 批准号:
8268516 - 财政年份:2009
- 资助金额:
$ 27.34万 - 项目类别:
Adolescent Collaborative Care Treatment for Depression
青少年抑郁症的协作护理治疗
- 批准号:
7740781 - 财政年份:2009
- 资助金额:
$ 27.34万 - 项目类别:
Adolescent Collaborative Care Treatment for Depression
青少年抑郁症的协作护理治疗
- 批准号:
7919256 - 财政年份:2009
- 资助金额:
$ 27.34万 - 项目类别:
Improve Primary Care Management of Adolescent Depression
改善青少年抑郁症的初级保健管理
- 批准号:
7068456 - 财政年份:2004
- 资助金额:
$ 27.34万 - 项目类别:
Improve Primary Care Management of Adolescent Depression
改善青少年抑郁症的初级保健管理
- 批准号:
6922091 - 财政年份:2004
- 资助金额:
$ 27.34万 - 项目类别:
Improve Primary Care Management of Adolescent Depression
改善青少年抑郁症的初级保健管理
- 批准号:
7429721 - 财政年份:2004
- 资助金额:
$ 27.34万 - 项目类别:
Improve Primary Care Management of Adolescent Depression
改善青少年抑郁症的初级保健管理
- 批准号:
7237807 - 财政年份:2004
- 资助金额:
$ 27.34万 - 项目类别:
Improve Primary Care Management of Adolescent Depression
改善青少年抑郁症的初级保健管理
- 批准号:
6827708 - 财政年份:2004
- 资助金额:
$ 27.34万 - 项目类别:
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