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为涉案家庭法庭的青少年提供简短自杀干预的可行性和可接受性。

Feasibility and acceptability of a brief suicide intervention for youth involved with the family court.

机构信息

Rhode Island Hospital Bradley Hasbro Children's Research Center, Providence, Rhode Island, USA.

Alpert Medical School of Brown University, Providence, Rhode Island, USA.

出版信息

Behav Sci Law. 2021 Feb;39(1):26-43. doi: 10.1002/bsl.2498. Epub 2021 Feb 10.

DOI:10.1002/bsl.2498
PMID:33569818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11603388/
Abstract

As efforts to develop models for suicide prevention and intervention in the juvenile justice (JJ) system continue to grow, research to understand the feasibility and acceptability of implementing these models is critical. Examining organizational readiness for implementation, ensuring leadership and staff buy-in for delivering the intervention, and planning for sustainability of staff participation in implementation efforts is essential. The current study involved semi-structured formative evaluation interviews with key JJ stakeholders (n = 10) to determine perspectives on the acceptability (perceived need and fit of the intervention) and feasibility (organizational readiness for change) of a proposed brief safety planning intervention for youth with suicidal ideation delivered by nonclinical staff and integrated into the existing system. Qualitative data revealed stakeholders' perceived need for the intervention in the family court context and their agreement that the aims of the intervention were congruent with the goals of the family court. Some barriers to successful implementation were noted, which, addressed through selection of appropriate implementation strategies, can be overcome in a future test of the safety intervention.

摘要

随着在少年司法(JJ)系统中开发预防和干预自杀模型的努力不断增加,研究了解实施这些模型的可行性和可接受性至关重要。检查实施的组织准备情况,确保领导层和员工对提供干预措施的认可,并为员工参与实施工作的可持续性做好规划,这些都是必不可少的。本研究通过与 JJ 利益相关者(n=10)进行半结构化形成性评估访谈,确定了对拟议的简短安全计划干预措施的可接受性(干预措施的感知需求和适用性)和可行性(组织变革准备)的看法,该干预措施由非临床人员提供并整合到现有的系统中。定性数据显示,利益相关者认为在家庭法院环境中需要这种干预措施,并且他们同意干预措施的目标与家庭法院的目标一致。注意到一些成功实施的障碍,通过选择适当的实施策略可以克服这些障碍,从而在未来对安全干预措施的测试中取得成功。

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本文引用的文献

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Suicide Screening Among Youth at First Court Contact.青少年初次法庭接触时的自杀筛查。
Arch Suicide Res. 2022 Apr-Jun;26(2):748-760. doi: 10.1080/13811118.2020.1833795. Epub 2020 Oct 19.
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Suicidal Ideation and Behaviors Among High School Students - Youth Risk Behavior Survey, United States, 2019.高中生的自杀意念和行为——2019 年美国青少年风险行为调查。
MMWR Suppl. 2020 Aug 21;69(1):47-55. doi: 10.15585/mmwr.su6901a6.
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Using formative evaluation methods to improve clinical implementation efforts: Description and an example.运用形成性评价方法提高临床实施效果:描述与实例
Psychiatry Res. 2020 Jan;283:112532. doi: 10.1016/j.psychres.2019.112532. Epub 2019 Aug 26.
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Capacity of juvenile probation officers in low-resourced, rural settings to deliver an evidence-based substance use intervention to adolescents.资源匮乏的农村环境下,少年缓刑官为青少年提供基于循证的药物使用干预的能力。
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Suicide Rates in the United States Continue to Increase.美国的自杀率持续上升。
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Piloting of COPES: An Empirically Informed Psychosocial Intervention on an Adolescent Psychiatric Inpatient Unit.应对能力训练项目的试点:在青少年精神科住院部开展的一项基于实证的心理社会干预措施
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Suicidal ideation and attempts among court-involved, non-incarcerated youth.涉及法庭但未被监禁的青少年的自杀意念与自杀未遂情况。
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QuickStats: Suicide Rates* for Teens Aged 15-19 Years, by Sex - United States, 1975-2015.快速统计数据:1975 - 2015年美国15至19岁青少年按性别划分的自杀率*
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