Comtois Katherine Anne, Salisbury Juliann, Clifton Richelle L, Grumet Julie Goldstein, Adrian Molly
Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA, USA.
Department of Pediatrics, University of Washington, Seattle, WA, USA.
Evid Based Pract Child Adolesc Ment Health. 2025 May 11. doi: 10.1080/23794925.2025.2491061.
Outpatient medical settings are a critical source of mental health care for adolescents and young adults. This is due to the familiarity and accessibility of those settings and challenges accessing mental health care elsewhere. Adolescents and young adults who die by suicide are more likely to have seen a medical provider in the prior month than a mental health specialist, but few suicide care interventions have been developed to specifically address the challenges of working in these outpatient medical settings. This paper provides the perspective of the University of Washington Suicide Care Research Center on the importance of incorporating evidence into public policy decisions regarding workforce development and standards of care for adolescents and young adults experiencing suicidal thoughts and behaviors, their families, and their outpatient medical setting providers; and the equal importance of integrating policy and funding perspectives in clinical services and implementation science. The paper will review the trends in suicide care policy and funding structures as relevant to adolescents and young adults in outpatient medical settings, provide recommendations to advance the translation of research into evidence-based policy decisions for adolescents and young adults at risk of suicide, and recommendations for researchers on incorporating policy perspectives in the development and evaluation of evidence-based interventions. We will share how the University of Washington Suicide Care Research Center is operationalizing these recommendations.
门诊医疗环境是青少年和青年心理健康护理的重要来源。这是因为这些环境为人所熟知且易于就诊，同时在其他地方获取心理健康护理存在挑战。自杀身亡的青少年和青年在前一个月更有可能看过医疗服务提供者而非心理健康专家，但针对在这些门诊医疗环境中工作的挑战，几乎没有开发出专门的自杀护理干预措施。本文提供了华盛顿大学自杀护理研究中心的观点，阐述了将证据纳入关于青少年和青年出现自杀想法和行为、其家庭以及门诊医疗环境提供者的劳动力发展和护理标准的公共政策决策的重要性；以及在临床服务和实施科学中整合政策和资金观点的同等重要性。本文将回顾与门诊医疗环境中的青少年和青年相关的自杀护理政策和资金结构趋势，为推进将研究转化为针对有自杀风险的青少年和青年的循证政策决策提供建议，并为研究人员在基于证据的干预措施的开发和评估中纳入政策观点提供建议。我们将分享华盛顿大学自杀护理研究中心如何实施这些建议。
