van der Star Arjan, Randall Alyson, Salgin Linda, Brady John P, Albright Christopher, Mitzner Jacquie, Alexander Jessica, Williams Keaton, Weersing V Robin, Calzo Jerel P, Rojas Sarah A, Ramers Christian B, Wells Kristen J, Blashill Aaron J
Department of Psychology, San Diego State University, San Diego, California, USA.
San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, California, USA.
Suicide Life Threat Behav. 2025 Apr;55(2):e70014. doi: 10.1111/sltb.70014.
Patient navigation (PN), paired with the safety planning intervention (SPI), may allay mechanisms that theoretically underlie suicide among sexual and gender minorities (SGM). This paper describes (a) the iterative development of a theory-informed PN + SPI intervention (QueerCare) to prevent suicide among at-risk SGM youth and young adults and (b) a case series examining the feasibility and acceptability of study procedures, measures, and QueerCare.
Seven initial QueerCare modules and a glossary of terms were drafted. Seven participants completed the case series. Feasibility and acceptability over 3 months were examined by triangulating multi-method data.
The study procedures and measures in the at-risk population were feasible and sensitive, provided that remote safety monitoring and parental consent waivers were in place. QueerCare was feasible, helpful, and appropriate based on satisfaction ratings and four emerging themes: matched identity care, internalized barriers, support, and flexibility valued. Two additional modules and guardian materials were created. Suicidal crisis management protocols were continuously refined.
QueerCare was developed as a highly flexible modular intervention to meet the needs of SGM youth and young adults and prevent repeat suicide attempts in this population. Findings indicate study procedures, measures, and QueerCare were feasible and acceptable based on triangulated data.
This study was registered under ClinicalTrials.gov identifier NCT04757649.
患者导航（PN）与安全计划干预（SPI）相结合，可能会减轻性少数群体和性别少数群体（SGM）中理论上构成自杀基础的机制。本文描述了（a）一种基于理论的PN + SPI干预措施（QueerCare）的迭代开发，以预防有自杀风险的SGM青年和年轻成年人自杀，以及（b）一个案例系列，检验研究程序、措施和QueerCare的可行性和可接受性。
起草了七个初始的QueerCare模块和一个术语表。七名参与者完成了该案例系列。通过对多方法数据进行三角测量，检验了三个月内的可行性和可接受性。
只要有远程安全监测和父母同意豁免，高危人群中的研究程序和措施就是可行且敏感的。根据满意度评分和四个新出现的主题（匹配身份护理、内化障碍、支持和重视灵活性），QueerCare是可行、有帮助且合适的。又创建了两个模块和监护人材料。自杀危机管理方案不断完善。
QueerCare被开发为一种高度灵活的模块化干预措施，以满足SGM青年和年轻成年人的需求，并预防该人群再次自杀未遂。研究结果表明，基于三角测量数据，研究程序、措施和QueerCare是可行且可接受的。
本研究已在ClinicalTrials.gov上注册，标识符为NCT04757649。
