Preventive Interventions and Treatments for Suicidal Youth

2017 ◽  
pp. 515-532
Author(s):  
Jill Harkavy-Friedman ◽  
Herbert Hendin
Keyword(s):  
Emergency Department ◽  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Pharmacological Treatment ◽  
Adolescent Suicide ◽  
Suicide Attempts ◽  
Preventive Interventions ◽  
School Based ◽  
And Behavior

The last category of adolescent suicide prevention efforts focuses on indicated interventions and treatments that target those who have already shown signs of suicidal ideation and behavior. Such efforts seek essentially to reduce prevent suicide attempts and suicide completion. The interventions and treatments described in this chapter differ widely in terms of the groups they target, the methods they use, and the settings in which they have been implemented. This chapter reviews school-based programs, emergency department programs, posthospitalization programs, psychotherapeutic treatments, college-based programs, and pharmacological treatment for suicidal youth. Assumptions underlying each intervention and critiques are provided.

Suicide Prevention Through Online Gatekeeping Using Search Advertising Techniques

Crisis ◽  
2015 ◽  
Vol 36 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Hajime Sueki ◽  
Jiro Ito
Keyword(s):  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Service Use ◽  
Web Search ◽  
Suicide Attempts ◽  
Consultation Service ◽  
Search Advertising ◽  
Internet Users ◽  
History Of

Abstract. Background: Nurturing gatekeepers is an effective suicide prevention strategy. Internet-based methods to screen those at high risk of suicide have been developed in recent years but have not been used for online gatekeeping. Aims: A preliminary study was conducted to examine the feasibility and effects of online gatekeeping. Method: Advertisements to promote e-mail psychological consultation service use among Internet users were placed on web pages identified by searches using suicide-related keywords. We replied to all emails received between July and December 2013 and analyzed their contents. Results: A total of 139 consultation service users were analyzed. The mean age was 23.8 years (SD = 9.7), and female users accounted for 80% of the sample. Suicidal ideation was present in 74.1%, and 12.2% had a history of suicide attempts. After consultation, positive changes in mood were observed in 10.8%, 16.5% showed intentions to seek help from new supporters, and 10.1% of all 139 users actually took help-seeking actions. Conclusion: Online gatekeeping to prevent suicide by placing advertisements on web search pages to promote consultation service use among Internet users with suicidal ideation may be feasible.

scholarly journals FEASIBILITY OF A MANUALIZED FAMILY-BASED SUICIDE PREVENTION STRATEGY TO REDUCE ADOLESCENT SUICIDE RISK AMONG EMERGENCY DEPARTMENT REFERRED YOUTH: A QUALITY IMPROVEMENT PROJECT

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e54-e54
Author(s):  
Matthew Tracey ◽  
Gillian Rowney ◽  
Antonio Pignatiello ◽  
Suneeta Monga ◽  
Daphne Korczak
Keyword(s):  
Emergency Department ◽  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Suicide Prevention ◽  
Controlled Trial ◽  
Standard Of Care ◽  
Improvement Project ◽  
Care Clinic ◽  
Ensure Patient Safety ◽  
Increased Risk

Abstract BACKGROUND Suicide is the second leading cause of death among Canadian children and adolescents. Youth who present at an Emergency Department (ED) for suicidal ideation and risk behaviours (SRB) are at increased risk for eventual suicide. Despite this risk, current approaches to standard of care are referral to community resources or primary care where waitlists are common, and interventions may not be evidence-based or incorporate crisis management or family participation. OBJECTIVES To determine the feasibility and acceptability of a manualized, family-centered suicide prevention intervention administered in an outpatient clinic for ED-referred youth. DESIGN/METHODS Youth (aged 12 – 18) and parents presenting to the ED for SRB and referred to the Urgent Psychiatry Care clinic were eligible for the QI program, consisting of weekly individual and family sessions delivered over a 6-week period. The therapist addressed common symptoms and concerns of suicidal youth, sources of conflict within the family, and ways to improve communication and ensure patient safety. Patients were excluded if they did not have a parent or caregiver able to participate. Suicidal ideation and behavior were assessed using youth-report measures, the Suicidal Ideation Questionnaire-Junior (SIQ-JR) and the Harkavy-Asnis Suicide Scale (HASS), at baseline and following program completion. The Mood and Feeling Questionnaire (MFQ) was used to measure depressive symptoms. Participant and therapist feedback was collected at follow-up using quantitative and qualitative measures. RESULTS Ten patients were enrolled and completed baseline measures, however four participants withdrew prior to 6 week completion: two withdrew at week 2 and one participant each withdrew at weeks 3 and 6. As such, 7/10 completed 5 weeks of the intervention. Significant improvement in both suicidal ideation (SIQ-JR, x̅ = -16.67; t(5) = 3.125, p = .026) and SRB (HASS, x̅ = -20.17; t(5) = 3.204, p = .024) were observed. Depressive symptoms also decreased (MFQ, x̅ = -15.5, t(5) = 2.724, p = .042). Youth and caregivers rated the program favorably. Improved family communication was most frequently reported by both patients and caregivers as a main benefit of the program. CONCLUSION These preliminary data indicate that SRB may be improved by a brief manualized, family-focused therapy. Early data suggest that the protocol is feasible and acceptable for adolescents presenting to the ED with safety concerns, and warrant further examination in a controlled trial.

scholarly journals Predicting 3‐month risk for adolescent suicide attempts among pediatric emergency department patients

2019 ◽  
Vol 60 (10) ◽  
pp. 1055-1064 ◽  
Author(s):  
Cheryl A. King ◽  
Jacqueline Grupp‐Phelan ◽  
David Brent ◽  
J. Michael Dean ◽  
Michael Webb ◽  
...  
Keyword(s):  
Emergency Department ◽  
Adolescent Suicide ◽  
Suicide Attempts ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Emergency Department Patients

scholarly journals Trends in Psychiatric Emergency Department Visits due to Suicidal Ideation and Suicide Attempts During the COVID-19 Pandemic in Madrid, Spain

2020 ◽  
Vol 81 (5) ◽  
Author(s):  
Daniel Hernández-Calle ◽  
Gonzalo Martínez-Alés ◽  
Roberto Mediavilla ◽  
Pablo Aguirre ◽  
Beatriz Rodríguez-Vega ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Emergency Department Visits ◽  
Psychiatric Emergency

The Protective Role of Parental Involvement in Adolescent Suicide

Crisis ◽  
2002 ◽  
Vol 23 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Eirini Flouri ◽  
Ann Buchanan
Keyword(s):  
Suicidal Ideation ◽  
Parental Involvement ◽  
Academic Motivation ◽  
Adolescent Suicide ◽  
Suicide Attempts ◽  
Protective Role ◽  
Illegal Drug ◽  
Suicide Attempters ◽  
Family Disruption

Summary: This study of 2722 adolescents aged 14-18 years explored whether parental involvement can protect against adolescent suicide attempts. Compared to their counterparts suicide attempters were more likely to have been in trouble with the police, to report lower levels of parental interest and academic motivation, and to report suicidal ideation and using alcohol or an illegal drug when they feel stressed. They were also less likely to reside with both parents. The association between parental involvement and suicidal behaviour was not stronger for sons than for daughters or for adolescents who had experienced family disruption than for those who grew up in two-parent families.

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