Abstract

Objective: College counseling centers (CCCs) have limited capacity to accommodate high-risk students who need more intensive care than traditional outpatient treatment. We describe an Intensive Outpatient Program (IOP) to meet the specialized needs of suicidal undergraduates. Participants: Suicidal undergraduates aged 18–24. Methods: Fact-gathering meetings with local universities confirmed high need for prompt access to IOP care for students presenting in crisis at CCCs and emergency rooms, and post-inpatient discharge. We thus iteratively designed and implemented the College Option Services for Teens at Risk (COSTAR) IOP. Results: The 6-week program includes initial diagnostic evaluation and risk assessment followed by weekly skills groups, individual therapy, and medication management. Between September 2017 and January 2020, 148 students (M age = 19.7) attended an average of 5.7 COSTAR group sessions (SD = 4.7). Conclusions: A specialty IOP for suicidal college students holds promise in a stepped care approach for at-risk college students.

摘要

目标：与传统门诊治疗相比，大学咨询中心 (CCC) 容纳需要更多重症监护的高危学生的能力有限。我们描述了一个强化门诊计划 (IOP)，以满足有自杀倾向的本科生的特殊需求。参与者：有自杀倾向的 18-24 岁大学生。方法：与当地大学的事实收集会议证实，对于在 CCC 和急诊室出现危机的学生以及住院后出院，非常需要及时获得 IOP 护理。因此，我们反复设计并实施了风险青少年 (COSTAR) IOP 的大学选择服务。结果：为期 6 周的计划包括初步诊断评估和风险评估，然后是每周技能小组、个体治疗和药物管理。2017 年 9 月至 2020 年 1 月期间，148 名学生（M年龄 = 19.7）平均参加了 5.7 次 COSTAR 小组会议（SD  = 4.7）。结论：针对有自杀倾向的大学生的专业 IOP 有望在针对高危大学生的阶梯式护理方法中发挥作用。