Abstract

Adolescent hospitalizations for suicide-related behaviors have increased in recent years, with the highest rates occurring during the academic school year. Schools are a primary environment that adolescents return to following hospitalization, making them an important context for understanding recovery following a suicidal crisis. Although previous research highlights provider perceptions for improving this transition, limited research has focused on adolescent views. This qualitative study presents findings from interviews with 19 adolescents previously hospitalized for a suicide-related crisis. Results highlight the need to strengthen social supports for returning youth. Specifically, findings suggest the importance of emotional supports (e.g., positive school relationships and a safer psychosocial school climate), instrumental supports (e.g., collaborations and communication around reentry), informational supports (clearer procedures for academics and reentry processes), and appraisal supports that acknowledge the complexity of adolescent functioning upon return. Findings reinforce the importance of the school psychologist’s role in partnering with returning youth and their families and providing consultation to other school professionals about supporting their recovery.

Impact Statement This study elevates adolescent voices by describing their experiences and viewpoints regarding school reintegration following psychiatric hospitalization for suicide-related behaviors. School psychologists and other school professionals should partner with returning students and families in supporting reintegration, and collaborate to strengthen student–adult relationships upon their return. While standard protocols for supporting returning adolescents may help improve reentry processes overall, it remains of critical importance to tailor safety plans and reentry plans based on individual adolescent experiences.

摘要

近年来，因自杀相关行为的青少年住院治疗有所增加，在学年期间发生率最高。学校是青少年住院后重返校园的主要环境，这使他们成为了解自杀危机后康复的重​​要背景。尽管先前的研究强调了提供者对改善这种过渡的看法，但有限的研究集中在青少年的观点上。这项定性研究提供了对先前因自杀相关危机而住院的19名青少年的访谈结果。结果表明，有必要加强对回国青年的社会支持。具体而言，研究结果表明，情感支持（例如，积极的学校关系和更安全的社会心理学校氛围），工具性支持（例如，关于再入学的合作与沟通），信息支持（更清晰的学术和再入学程序）以及评估支持，这些知识承认青少年返校后的工作十分复杂。调查结果强调了学校心理学家在与回国青年及其家人合作以及向其他学校专业人员提供有关支持他们康复方面的咨询方面的作用的重要性。

影响陈述这项研究通过描述青少年对于自杀相关行为的精神病住院治疗后的学校重返社会的经历和观点，提高了青少年的声音。学校心理学家和其他学校专业人员应与回国学生和家庭合作，以支持重返社会，并应在回国后加强合作以加强学生与成人的关系。虽然支持回返青少年的标准协议可能有助于整体改善回返流程，但根据青少年的个人经验制定安全计划和回返计划仍然至关重要。