Kemp Kathleen A, Pederson Casey A, Webb Margaret, Vieira Alyssa, Spirito Anthony
Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Bradley-Hasbro Children's Research Center, Rhode Island Hospital, Providence, Rhode Island, USA.
Evid Based Pract Child Adolesc Ment Health. 2024 Jul 23. doi: 10.1080/23794925.2024.2378403.
Youth in the juvenile legal system (JLS) are at increased risk for suicidal thoughts and behaviors.
Examine the acceptability, feasibility, and appropriateness of imbedding suicide screening and intervention in the JLS.
The current study involved formative semi-structured interviews with key JLS stakeholders ( = 37) from two states, one in the Northeast and one in the Midwest, to determine whether suicide screening and intervention could be integrated into the role of juvenile probation officers. Stakeholders discussed perspectives on the acceptability (perceived JLS staff comfort with suicide screening and a brief intervention), feasibility (improving comfort of staff, youth, and families), and appropriateness (perceived impact on youth and families).
Qualitative data suggested acceptability of suicide screening was mitigated by staff comfort and perceived support of available clinical resources. Feasibility of improving staff comfort to conduct suicide screening and a brief intervention revolved around logistical, training, and supervisory support. Barriers to the appropriateness of suicide screening and intervention with youth in the JLS suggest concerns about how youth's distrust of the JLS and mental health stigma might impact engagement in suicide screening and intervention efforts.
We conclude with implementation strategy considerations to enhance successful suicide screening and intervention by JLS staff.
青少年司法系统（JLS）中的青少年出现自杀念头和行为的风险增加。
研究在青少年司法系统中嵌入自杀筛查和干预措施的可接受性、可行性和适宜性。
本研究包括对来自东北部和中西部两个州的37名青少年司法系统关键利益相关者进行形成性半结构化访谈，以确定自杀筛查和干预措施能否纳入青少年缓刑监督官的职责范围。利益相关者讨论了关于可接受性（青少年司法系统工作人员对自杀筛查和简短干预措施的接受程度）、可行性（提高工作人员、青少年及其家庭的接受程度）和适宜性（对青少年及其家庭的预期影响）的观点。
定性数据表明，工作人员的接受程度以及对现有临床资源的支持感会影响自杀筛查的可接受性。提高工作人员开展自杀筛查和简短干预措施的接受程度的可行性，主要围绕后勤、培训和监督支持。在青少年司法系统中，对青少年进行自杀筛查和干预措施的适宜性存在障碍，这表明人们担心青少年对青少年司法系统的不信任以及心理健康污名化可能会影响他们参与自杀筛查和干预工作。
我们最后提出了实施策略方面的考虑，以加强青少年司法系统工作人员成功开展自杀筛查和干预工作。
