Rheinberger Demee, Shand Fiona, Briggs Nancy E, Boydell Katherine, McGillivray Lauren
Black Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.
Tyree Foundation Institute of Health Engineering, UNSW Sydney, Sydney, New South Wales, Australia.
Int J Ment Health Nurs. 2025 Oct;34(5):e70131. doi: 10.1111/inm.70131.
Suicide crisis is a considerable health concern for Australian adolescents. Parents provide suicidal adolescents with support and access to life-saving care, such as the emergency department (ED). The aim of this study was to explore, from a parent perspective, what supports parents had received or would have found helpful when they attended the ED for their adolescents' suicide crisis. A cross-sectional sample of 163 parents who had attended an Australian ED with their adolescent child (aged 12-18 years) completed an online survey, which explored the support participants have received during an ED presentation, what support is important to receive and factors which inform participants' preference for adolescent support. A binary logistic regression was conducted to determine which factors informed the likelihood of parents' preference type (adolescent support over parent support). Parents reported wanting information that would help them to support their adolescent after discharge. Ninety percent of parents indicated that they would prefer receiving adolescent-focused support over parent-focused support, with parents of younger adolescents significantly more likely to endorse wanting adolescent-focused support during the ED presentation. This is the first study that examines the support parents receive from EDs when presenting for a suicide crisis. It demonstrates a large gap between what parents would consider helpful to receive and what support they are receiving in Australian EDs. These findings should be used to help guide ED reform and to develop resources that support parents to care for their adolescent during and immediately following a suicide crisis.
自杀危机是澳大利亚青少年面临的一个重大健康问题。父母为有自杀倾向的青少年提供支持，并帮助他们获得挽救生命的护理，比如送往急诊科（ED）。本研究的目的是从家长的角度探讨，当他们因青少年的自杀危机前往急诊科时，他们得到了哪些支持，或者认为哪些支持会有所帮助。163名带着12至18岁青少年子女去过澳大利亚急诊科的家长组成的横断面样本完成了一项在线调查，该调查探讨了参与者在急诊科就诊期间得到的支持、哪些支持对他们很重要，以及影响参与者对青少年支持偏好的因素。进行了二元逻辑回归分析，以确定哪些因素影响了父母偏好类型（青少年支持高于父母支持）的可能性。家长们表示希望获得有助于他们在孩子出院后提供支持的信息。90%的家长表示，他们更倾向于获得以青少年为重点的支持而非以父母为重点的支持，年龄较小青少年的家长在急诊科就诊期间更有可能认可需要以青少年为重点的支持。这是第一项研究父母在因自杀危机前往急诊科时从急诊科获得的支持的研究。它表明，在家长认为有帮助的支持与他们在澳大利亚急诊科实际获得的支持之间存在很大差距。这些研究结果应用于指导急诊科改革，并开发资源，以支持家长在自杀危机期间及之后立即照顾他们的青少年。
