College Students with Elevated Suicide Risk: Enhancing Treatment Linkage

自杀风险较高的大学生：加强治疗联系

• 批准号: 7794974
• 负责人: Cheryl A. King
• 金额: $ 23.46万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-04-01 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7794974
• 关键词: Adult; Age; Alcohol or Other Drugs use; Alcohols; American; Attitude; Behavior; Belief; Caring; Cause of Death; Clinical; Computers; Data; Development; Effectiveness of Interventions; Electronic Mail; Epidemiology; Feasibility Studies; Feedback; Feeling suicidal; Foundations; Goals; Health Professional; Health Resources; Health Services Research; Health behavior; Healthcare; Individual; Internet; Intervention; Intervention Studies; Intervention Trial; Life; Link; Mental Depression; Mental Health; Mental Health Services; Methodology; Modeling; Nature; Online Systems; Outcome; Population; Preparation; Procedures; Randomized; Randomized Controlled Trials; Recommendation; Research; Resources; Risk; Risk Factors; Risk Management; Screening Result; Screening procedure; Self Determination; Services; Severities; Stigmata; Students; Suicide; Suicide attempt; Suicide prevention; Surveys; Testing; Thinking; Training; Universities; Youth; adverse outcome; alcohol misuse; base; care seeking; college; cost; cost effectiveness; evidence base; experience; health information technology; high risk; high risk drinking; human subject; instrument; motivational enhancement therapy; primary outcome; programs; secondary outcome; social; social stigma; suicidal adolescent; suicidal behavior; suicidal risk; tool; trial comparing; university student; young adult

DESCRIPTION (provided by applicant): Suicidal behavior is a significant concern on college campuses and suicide is the third leading cause of death in the U.S. college-aged population. Consistent with recommendations in the National Strategy for Suicide Prevention (2001) and spearheaded by organizations such as the American Foundation for Suicide Prevention, several universities have initiated voluntary web- based screening to identify students at elevated risk for suicide and in need of mental health services. This is a promising direction; however, research is needed to determine how to most effectively link students with positive screens to professional services. We propose to develop and pilot test a theoretically-driven intervention, Students' e-Bridge to Treatment (e-Bridge), which aims to identify students with elevated levels of known suicide risk factors and facilitate these students' linkage to mental health services. e-Bridge will incorporate motivational interviewing principles and draw from health behavior promotion models. Our initial aim is (1) to develop the e-Bridge intervention for students at risk for suicidal behavior due to depression and alcohol/substance misuse, or suicidal thoughts or behavior. e-Bridge will include (a) a web- based screen using standardized instruments to identify students at elevated suicide risk; (b) personalized feedback; and (c) the opportunity to correspond online with a professional who has been trained in motivational interviewing and is knowledgeable about local resources. This is consistent with a model emphasizing autonomy and self-determination. Additional aims are (2) to conduct a pilot feasibility study with a small number of college students at elevated risk, and (3) to conduct a pilot randomized controlled trial comparing e-Bridge to a control condition (personalized feedback and list of mental health resources). The primary quantitative outcome, assessed two months after screening, will be linkage to mental health services. Qualitative data will be collected about what students found to be most and least helpful about each intervention component. Secondary outcomes will include: a) suicidal thoughts and behavior; b) depression severity and alcohol/substance misuse; and c) the costs of the intervention. If the intervention is shown to be promising and then demonstrated to be effective in larger studies, it could prevent suicides and other adverse consequences among college adults nationwide. Suicide is a leading cause of death among young adults. Moreover, recent national surveys indicate that 10% of college students have seriously considered attempting suicide within the past year. In keeping with recommendations in the National Strategy for Suicide Prevention (2001), this project will develop and pilot test Students' e-Bridge to Treatment. This intervention will identify students at elevated risk for suicidal behavior and facilitate their linkage to appropriate treatments.

描述（由申请人提供）：自杀行为是大学校园的一个重大问题，自杀是美国大学生死亡的第三大原因。根据《国家预防自杀战略》（2001 年）中的建议，并由美国预防自杀基金会等组织牵头，一些大学已启动自愿网络筛查，以识别自杀风险较高和需要心理健康服务的学生。这是一个很有前途的方向；然而，需要进行研究来确定如何最有效地将积极筛选的学生与专业服务联系起来。我们建议开发并试点测试一种理论驱动的干预措施，即学生治疗的电子桥梁（e-Bridge），其目的是识别已知自杀风险因素水平较高的学生，并促进这些学生与心理健康服务的联系。 e-Bridge 将纳入动机访谈原则并借鉴健康行为促进模型。我们的初步目标是 (1) 为因抑郁和酒精/药物滥用或自杀想法或行为而面临自杀行为风险的学生开发电子桥干预措施。 e-Bridge 将包括 (a) 一个基于网络的屏幕，使用标准化工具来识别自杀风险较高的学生； (b) 个性化反馈； (c) 有机会与受过动机性访谈培训且了解当地资源的专业人士进行在线交流。这与强调自治和自决的模式是一致的。其他目标是 (2) 对少数高风险大学生进行试点可行性研究，以及 (3) 进行一项试点随机对照试验，将 e-Bridge 与控制条件（个性化反馈和心理健康资源列表）进行比较。筛选后两个月评估的主要定量结果将与心理健康服务联系起来。将收集关于学生认为对每个干预部分最有帮助和最无帮助的定性数据。次要结果包括： a) 自杀念头和行为； b) 抑郁症严重程度和酒精/药物滥用； c) 干预的成本。如果这种干预措施被证明是有希望的，并且在更大规模的研究中被证明是有效的，那么它可以防止全国大学生的自杀和其他不良后果。自杀是年轻人死亡的主要原因。此外，最近的全国调查表明，10%的大学生在过去一年内曾认真考虑过自杀。根据《国家自杀预防战略》（2001 年）中的建议，该项目将开发并试点测试学生的电子治疗之桥。这项干预措施将识别自杀行为风险较高的学生，并促进他们与适当的治疗联系起来。