开发急诊部家庭导航员和短信干预措施，以减少青少年自杀和自残行为的风险。

Development of an Emergency Department Family Navigator and Text Message Intervention for Caregivers to Reduce Youth Risk of Suicide and Self-injurious Behavior.

机构信息

Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI; Department of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI.

Department of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI; The Miriam Hospital, Providence, RI.

出版信息

R I Med J (2013). 2024 Aug 1;107(8):28-38.

PMID:39058987

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11619757/

Abstract

BACKGROUND

Suicide and self-injurious behavior (SSIB) in youth 10 to 14 years old has rapidly increased, with suicide rates for youth 10 to 18 years being the second leading cause of death. Youth with SSIB seen in the Emergency Department (ED) are often discharged to the community, yet less than 40% receive subsequent mental health (MH) care within 30 days. This open pilot study examined the feasibility, acceptability, and sample characteristics of a two-component Family Navigator with text messaging intervention, ED REaCH, for caregivers of youth with SSIB discharged from the ED.

METHODS

Sixteen dyads of youth (M=12.67; SD=1.09) seeking emergency care for SSIB and their caregivers were enrolled from the ED of a pediatric hospital in the northeast US from November 2023 to March 2024. Dyads were enrolled in the ED REaCH intervention consisting of navigation procedures to promote linkage to care, engagement in community-based MH care for youth with SSIB, and a digital platform to extend purported mechanisms underlying the intervention's efficacy (MH literacy, MH communication, and MH engagement). Data was collected on measures of social identities, demographics, functioning, MH services, and intervention satisfaction.

RESULTS

All (100%) caregivers accepted the text messages. Most (75%) utilized the Family Navigator and completed the intervention feedback interviews. Overall, caregivers endorsed positive experiences and satisfaction with the two-component intervention. All caregivers who utilized the Family Navigator reported that 100% of youth attended MH care.

CONCLUSION

Preliminary findings suggest that the content and delivery methods of this intervention are perceived by caregivers as feasible and acceptable. As such, next steps include the evaluation of the ED REaCH intervention in a randomized clinical trial design. Future directions need to focus on intervention scalability, adaptability, personalization, and sustainability.

摘要

背景

10 至 14 岁青少年的自杀和自残行为（SSIB）迅速增加，10 至 18 岁青少年的自杀率是第二大主要死因。在急诊科（ED）就诊的有 SSIB 的青少年通常会被送回社区，但在 30 天内，只有不到 40%的人接受后续心理健康（MH）护理。这项开放试点研究检查了针对从 ED 出院的有 SSIB 的青少年的护理人员的两部分家庭导航员与短信干预措施，即 ED REaCH 的可行性、可接受性和样本特征。

方法

2023 年 11 月至 2024 年 3 月，从美国东北部一家儿科医院的 ED 招募了 16 对因 SSIB 寻求急诊护理的青少年及其照顾者。对青少年及其照顾者进行了 ED REaCH 干预措施的登记，该干预措施包括促进与护理的联系的导航程序、为有 SSIB 的青少年参与社区 MH 护理以及一个数字平台，以扩展据称干预措施有效性的潜在机制（MH 素养、MH 沟通和 MH 参与）。收集了关于社会认同、人口统计、功能、MH 服务和干预满意度的措施数据。