The development of a family navigator intervention and prevention protocol to reduce risk of suicide and self-injurious behavior for youth aged 10 to 14 years.

制定家庭导航干预和预防方案，以降低 10 至 14 岁青少年自杀和自残行为的风险。

• 批准号: 10980759
• 负责人: Mary Kathryn Melonio Cancilliere
• 金额: $ 20.42万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-01 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10980759
• 关键词: development; family; navigator; intervention; prevention

Pandemic-period changes have been observed in recent rates for youth aged 10 to 14 on suicidal and non-suicidal self-injurious behavior (hereinafter referred to as SSIB), where they are now presenting with SSIB at rapidly increasing rates. This unique group of youth is of great interest, because SSIB prevention protocols are needed to reduce SSIB risk as well as decrease prevalence rates. Pediatric emergency departments (EDs) have become an essential and often routine mental health service for youth. EDs are optimal sites to initiate youth SSIB prevention protocol, as they are often the first point of entry for youth into the mental health system. Despite high rates of youth seen in the ED for SSIB, effective ED interventions to reduce SSIB risk and increase attendance and adherence to subsequent community-based mental health care are lacking. The purpose of this pilot study is to develop and pilot a Family Navigator (FN) with technology-enhanced information sharing via texting intervention for families with youth who were discharged from the ED after an admission for SSIB. This intervention aims to reduce SSIB risk and prevalence rates, as well as increase engagement in community-based mental health services for youth aged 10 to 14. This intervention is informed by the literature, evidence-based hospital intervention protocols, a family-based approach for youth development stages, and developed to directly target three mechanisms. This study will develop a brief FN modeling enhanced with technology-delivered information shared (automated sharing of information with families via text). Thus, qualitative methods will be employed to assist in the refinement of the intervention, thus maximizing ecological validity. At the outcome of this study, FN acceptability and feasibility as well as manual development will be completed. Balanced randomization will occur to either the treatment as usual (TAU) condition or the Family Navigator (FN) with information sharing condition. Primary outcomes, measured at 4- and 6-month follow-ups, include reduce SSIB risk and prevalence rates, increased attendance and adherence to youth community-based mental health care, and the engagement of the purported therapeutic mechanisms. This pilot study will set the stage for a NIMH R01 application via a Type I Hybrid Effectiveness-Implementation trial to speed translation of research findings to practice.

在最近10至14岁的青少年自杀率和自杀率方面， 非自杀性自伤行为（以下简称SSIB），他们现在表现为 SSIB在快速增长。这一独特的青年群体引起了极大的兴趣，因为SSIB的预防 需要制定方案来降低SSIB风险并降低患病率。儿科急诊 精神科已成为青少年必不可少的常规精神卫生服务。个ed正 启动青年SSIB预防协议的最佳地点，因为它们通常是青年的第一个入境点 纳入精神健康系统尽管在SSIB的艾德中看到的年轻人比例很高，但有效的艾德 干预措施，以减少SSIB风险，增加出勤率和遵守后续 缺乏基于社区的精神卫生保健。这项试验性研究的目的是制定和试验一项 家庭导航器（FN），通过短信干预为家庭提供技术增强的信息共享 与青年谁从艾德出院后，入院的SSIB。本次干预旨在 降低SSIB风险和患病率，并增加社区精神卫生服务的参与。 为10至14岁的青少年提供保健服务。这种干预是通过文献，循证医学 医院干预协议，一个以家庭为基础的青年发展阶段的方法，并制定， 直接针对三个机制。本研究将开发一个简短的FN模型， 通过技术提供的信息共享（通过文本与家庭自动共享信息）。因此，在本发明中， 将采用定性方法来帮助改进干预措施，从而最大限度地提高 生态有效性在本研究的结果中，FN的可接受性和可行性以及手册 发展将完成。将按照常规治疗（TAU）进行平衡随机化 条件或具有信息共享条件的Family Navigator（FN）。主要结果，测量 在4个月和6个月的随访中，包括降低SSIB风险和患病率，增加就诊率， 坚持以青年社区为基础的精神卫生保健，并参与所谓的 治疗机制这项试点研究将为NIMH R01通过I型混合动力车的应用奠定基础 强制性，实施试验，以加快研究结果的翻译实践.