Danielle R Busby1, Cheryl A King1, David Brent2, Jaqueline Grupp-Phelan3, Madelyn Gould4, Kent Page5, Theron Charles Casper5. 1. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. 2. University of Pittsburgh School of Medicine, Pittsburgh, PA. 3. Department of Emergency Medicine, University of California San Francisco, San Francisco, CA, USA. 4. Department of Psychiatry, Columbia University, New York, NY, USA. 5. School of Medicine, University of Utah, Salt Lake City, UT, USA.
Abstract
OBJECTIVE: This study examines the feasibility of a risk-management protocol for adolescent research participants at risk for suicide that relies on engagement with telephone crisis counselors. The study also examines whether engagement is moderated by adolescent demographics and clinical characteristics. METHOD: Participants were 234 adolescents (83% female; 63% White) ages 12-18 (M = 15.3 years) drawn from the national study, Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) Study One sample of adolescents randomized for 3-month telephone follow-up (n = 2,850). This study's sample was comprised of adolescents who completed the follow-up (69% retention), met study risk criteria, and were transferred to a crisis hotline for risk management. Engagement with a counselor was assessed by successful call connection, call duration, and information sharing. RESULTS: Ninety-four percent of calls resulted in a successful call transfer, and the majority of youth (84%) shared information with counselor about one or more coping strategies. Average call length was 12.6 min (SD = 9.9). Engagement did not vary by gender, race, age, ethnicity, or clinical characteristics. CONCLUSIONS: Adolescents' engagement with telephone risk-management services was strong, suggesting that this strategy can address safety. Further, findings suggest telephone risk-management services effectively engage youth across demographic and clinical subgroups.
OBJECTIVE: This study examines the feasibility of a risk-management protocol for adolescent research participants at risk for suicide that relies on engagement with telephone crisis counselors. The study also examines whether engagement is moderated by adolescent demographics and clinical characteristics. METHOD: Participants were 234 adolescents (83% female; 63% White) ages 12-18 (M = 15.3 years) drawn from the national study, Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) Study One sample of adolescents randomized for 3-month telephone follow-up (n = 2,850). This study's sample was comprised of adolescents who completed the follow-up (69% retention), met study risk criteria, and were transferred to a crisis hotline for risk management. Engagement with a counselor was assessed by successful call connection, call duration, and information sharing. RESULTS: Ninety-four percent of calls resulted in a successful call transfer, and the majority of youth (84%) shared information with counselor about one or more coping strategies. Average call length was 12.6 min (SD = 9.9). Engagement did not vary by gender, race, age, ethnicity, or clinical characteristics. CONCLUSIONS: Adolescents' engagement with telephone risk-management services was strong, suggesting that this strategy can address safety. Further, findings suggest telephone risk-management services effectively engage youth across demographic and clinical subgroups.
Authors: L Ebony Boulware; Lisa A Cooper; Lloyd E Ratner; Thomas A LaVeist; Neil R Powe Journal: Public Health Rep Date: 2003 Jul-Aug Impact factor: 2.792
Authors: Kelly Posner; Gregory K Brown; Barbara Stanley; David A Brent; Kseniya V Yershova; Maria A Oquendo; Glenn W Currier; Glenn A Melvin; Laurence Greenhill; Sa Shen; J John Mann Journal: Am J Psychiatry Date: 2011-12 Impact factor: 18.112
Authors: Bea Herbeck Belnap; Herbert C Schulberg; Fanyin He; Sati Mazumdar; Charles F Reynolds; Bruce L Rollman Journal: J Psychosom Res Date: 2014-12-27 Impact factor: 3.006
Authors: Laura Kann; Tim McManus; William A Harris; Shari L Shanklin; Katherine H Flint; Joseph Hawkins; Barbara Queen; Richard Lowry; Emily O'Malley Olsen; David Chyen; Lisa Whittle; Jemekia Thornton; Connie Lim; Yoshimi Yamakawa; Nancy Brener; Stephanie Zaza Journal: MMWR Surveill Summ Date: 2016-06-10
Authors: Sarah A Arias; Ashley F Sullivan; Ivan Miller; Carlos A Camargo; Edwin D Boudreaux Journal: Contemp Clin Trials Date: 2015-09-02 Impact factor: 2.226
Authors: Barbara Stanley; Gregory K Brown; Lisa A Brenner; Hanga C Galfalvy; Glenn W Currier; Kerry L Knox; Sadia R Chaudhury; Ashley L Bush; Kelly L Green Journal: JAMA Psychiatry Date: 2018-09-01 Impact factor: 21.596