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，因与自杀相关的行为而住院的青少年有所增加，发生在学年期间的比率最高。学校是青少年住院后返回的主要环境，使其成为理解自杀危机后康复的重​​要环境。尽管之前的研究强调了提供者对改善这种转变的看法，但有限的研究集中在青少年的观点上。这项定性研究展示了对 19 名曾因自杀相关危机住院的青少年的访谈结果。结果强调需要加强对返回青年的社会支持。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）、工具支持（例如，围绕重返的合作和沟通）、信息支持（更清晰的学术和重返过程程序）和评估支持，承认青少年返回后功能的复杂性。调查结果强化了学校心理学家在与返校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的咨询方面的作用的重要性。

影响声明

这项研究通过描述青少年因自杀相关行为而住院治疗后重新融入学校的经历和观点，来提高青少年的发言权。学校心理学家和其他学校专业人员应与返校学生和家庭合作，支持重返社会，并在返校后合作加强学生与成人的关系。虽然支持返回青少年的标准协议可能有助于改善整体重返过程，但根据青少年个人经历定制安全计划和重返计划仍然至关重要。