Integrated Electronic and Care Manager Support Intervention for Caregivers of Adolescents with Suicide Attempts

青少年 自杀 进一步 需要， 易受攻击 哪一个 近期 期间 支座 减缩 在自杀未遂后住院的人因参与更多的 L的行为。住院后，父母或监护人通常有责任帮助预防 通过监测青少年自杀事件，确保家庭安全，帮助青少年接受他们的照顾 以一种平衡对适当行为的期望和对 青少年的状况。尽管父母努力，这些青少年通常有额外的C含量， 有时会在急诊科就诊并重复住院治疗。来自我们的调查结果 青少年自杀未遂住院后母亲的纵向研究表明 出院后的一段时间可能是提供服务和 敬年轻人和家人。该研究中的父母描述了情绪困扰(例如，抑郁、焦虑)， 父母的自我效能感，并说 C T 他们本可以从更多关于自杀的信息中受益 青少年及其治疗需求、养育和监测有自杀倾向的青少年，以及支持 治疗系统。鉴于这些需求，本研究的目的是开发、提炼和初步测试一个 对青少年照顾者的综合电子(MHealth)和护理支持经理服务干预 他们最近曾试图自杀。我们预计，这样的干预将提供所需的 向父母提供信息和支持，提高他们的育儿自我效能感，提高他们的安全遵循能力 计划在家里，减少他们的情绪困扰，并帮助父母获得所需的服务 社区。作为这些近期结果的结果，我们预计干预将有助于促进 对青少年和照顾者进行治疗参与和跟踪，并减少对紧急精神卫生的使用 服务和住院治疗。该项目的第一个目标是制定和完善标准程序 护理支持经理和移动健康干预。第二个目标是为护理经理制定程序 培训，因为护理经理将在这一干预中提供支持。在公开审判的背景下， 第三个目标是评估这一干预措施的可行性，并利用实施 来自护理人员和护理支持经理的干预和反馈，以完善干预措施。最后一个目标 是在试点随机对照试验中获得治疗有效性的初步估计，相对于 像往常一样加强治疗。提出的适应性服务干预发展研究的目的是 演示将嵌入现有护理的干预措施的可行性和潜在效用 为有自杀倾向的青年及其家人建立(精神科住院病房)制度，并最终加强参与 高危家庭的服务和客户结果。

Adolescents suicida further need, vulnerable which recent period supports reduced who have been hospitalized after attempting suicide are at high r isk for engaging in additional l behavior. Following hospitalization, parents or guardians are typically tasked with helping to prevent suicidal episodes by monitoring youth, ensuring safety in the home, helping youth receive t he care they and parenting in a way that balances expectations for appropriate behavior with recognition of the status of the adolescents. Despite parental efforts, these adolescents often have additional c rises, sometimes ulminate in emergency department visits and repeat hospitalizations. Findings from our longitudinal study of mothers after adolescent hospitalization for suicide attempts suggested tha the of time following discharge from t he hospital can be a very important time for providing services and to youth and families. Parents i n that study described emotional distress (e.g., depression, anxiety), parenting self-efficacy, and said c t that they would have benefited from more information about suicidal youth and their treatment needs, parenting and monitoring of suicidal youth, and support in navigating the treatment system. Given these needs, the purpose of this study is to develop, refine, and preliminarily test an integrated electronic (mHealth) and care support manager services intervention for caregivers of adolescents who have made a recent suicide attempt. It is our expectation that such an intervention will provide needed information and supports to parents, increase their parenting self-efficacy, increase their ability to follow safety plans in the home, reduce their emotional distress, and help parents access needed services in the community. As a consequence of these proximal outcomes, we expect the intervention will help facilitate treatment engagement and follow through for youth and caregiver, and reduce use of emergency mental health services and hospitalizations. The first aim of the project is to develop and refine standard procedures for the care support manager and mHealth intervention. The second aim is to develop procedures for care manager training, as the care manager will provide the supports in this intervention. In the context of an open trial, the third aim is to assess the feasibility of this intervention, and to use experiences from implementing the intervention and feedback from caregivers and care support managers to refine the intervention. The last aim is to obtain, in a pilot randomized controlled trial, preliminary estimates of treatment effectiveness relative to enhanced treatment as usual. The proposed adaptive services intervention development research is intended to demonstrate the feasibility and potential utility of an intervention that will be embedded in the existing care system (psychiatric inpatient unit) for suicidal youth and their families, and ultimately, improve engagement in services and client outcomes in high-risk families.