Screening and Brief Intervention for Suicidality and Nonsuicidal Self-Injury Among Youth in the Juvenile Justice System

项目摘要 少年司法系统没有实施任何基于证据的干预措施 解决自杀行为或非自杀性自伤，以下统称为自我伤害， 受伤，与js参与的青年。本申请旨在测试一种可扩展的干预措施， 计划，旨在减少青少年参与JJS的自我伤害。安全规划， 这可以是一个独立的简短干预，被引用为自杀的最佳做法， 预防资源中心/美国自杀预防最佳做法基金会 预防自杀登记处。这项研究将分两个阶段进行。在第一阶段，我们会进行 10名青少年的开放试验，这将允许我们进行任何必要的修改， 缓刑部门的规定然后我们将随机抽取60名缓刑青年， 筛查结果为近期自伤阳性，可接受标准护理或安全计划干预。 具有社区心理健康经验的咨询师将在缓刑期间进行 干预，与美国JJS中发现的共同应答者模型一致，其中 缓刑监督官与心理健康专业人员合作协调护理。在 为了在与未来实施最相关的条件下进一步开展研究， 此外，我们亦会采用一套已成功推行的训练方法， 拥有学士和硕士水平工作人员的精神病院。在研究的第二阶段，我们将：a） 在缓刑期间进行定性访谈，了解对干预措施的态度，以及 未来更大规模的实施试验的障碍;和B）与国家中心签订合同， 心理健康和少年司法进行顺序拦截模型（SIM）映射。的 SIM是一个概念框架，用于概述沿JJS的一系列“拦截点”，沿着 在可能实施筛查和短暂干预的国家，这是一个连续的过程。在 映射，我们将研究从逮捕JJS连续;到初步听证会;到监狱等待 审判或判决;监禁;释放或重返社会;最后，社区监督。 我们相信，这些数据将提供一个工作框架，以帮助评估目前的意见， 全州范围内的JJS作为一个起点，提出一个未来，更大的审判。这项研究也有 有可能直接为JJ环境中的治疗实践提供信息，并对以下方面产生重大影响 可扩展性和传播，以建立一个更强大，更有效的心理系统， 健康/JJS围绕自我伤害筛查和干预的合作。

Project Summary The Juvenile Justice System (JJS) has not implemented any evidenced-based interventions that address suicidal behavior or nonsuicidal self-injury, hereafter referred collectively to as self- injury, with JJS-involved youth. This application proposes to test a scalable intervention, safety planning, that aims to reduce self-injury in adolescents involved in the JJS. Safety planning, which can be a stand-alone brief intervention, was cited as a best practice by the Suicide Prevention Resource Center/American Foundation for Suicide Prevention Best Practices Registry for Suicide Prevention. This study will have two phases. In Phase I, we will conduct an open trial with 10 adolescents which will allow us to make any modifications necessary for using the protocol in a Probation Department. We will then randomize 60 youth on Probation who screen positive for recent self-injury into standard care or the safety planning intervention. Counselors with community mental health experience embedded in Probation will conduct the intervention, consistent with the co-responder model found across JJS in the U.S. in which a Probation Officer works collaboratively with a mental health professional to coordinate care. In order to further conduct the study under conditions most relevant to a future implementation trial, we will also employ a training approach that we have successfully implemented in a psychiatric hospital with Bachelors and Masters level staff. In Phase II, of the study, we will: a) conduct qualitative interviews in Probation about attitudes toward the intervention as well as barriers to a future, larger implementation trial; and b) contract with the National Center for Mental Health and Juvenile Justice to conduct a Sequential Intercept Model (SIM) Mapping. The SIM is a conceptual framework to outline a series of “points of interception” along the JJS continuum in a state where screening and brief intervention may be implemented. In the Mapping, we will examine the JJS continuum from arrest; to an initial hearing; to jail awaiting trial or adjudication; incarceration; to release or reentry; and finally, to community supervision. We believe this data will provide a working framework to help assess current views within the statewide JJS as a starting point to proposing a future, larger trial. This research also has the potential to directly inform treatment practices in JJ settings and has significant implications for scalability and dissemination in order to build a stronger, more effective system of mental health/JJS collaboration around self-injury screening and intervention.