The number of youth presenting to Emergency Departments (EDs) with psychiatric chief complaints has almost doubled in the last decade. With pediatric patients, ED brief interventions and discharge recommendations necessitate meaningful parental engagement to optimize youth safety and support. This study examined parent-level factors (stigmatizing attitudes, self-efficacy beliefs, distress symptoms, and illness-related stressors) in relation to parents’ behavioral engagement (i.e., participation in and follow-through with best practice discharge recommendations). In this short-term prospective study, participants were 118 parent-youth (aged 11–18) dyads (57% female) recruited from a psychiatric ED. Parents’ behavioral engagement was measured with parent- and youth-self report at 2-week follow-up. Parents’ self-reported anxious and depressive symptoms, insomnia, stress, and stigmatizing attitudes were not related to engagement 2 weeks later. Higher parental self-efficacy beliefs were significantly associated with greater engagement in standard discharge recommendations. Implications for maximizing parent implementation of clinical recommendations during a youth suicide crisis are discussed.

在过去十年中，向急诊科 (ED) 提出精神科主诉的青年人数几乎翻了一番。对于儿科患者，ED 的简短干预和出院建议需要有意义的父母参与，以优化青年安全和支持。本研究检查了与父母行为参与（即参与和遵循最佳实践出院建议）相关的父母层面因素（污名化态度、自我效能信念、痛苦症状和疾病相关压力源）。在这项短期前瞻性研究中，参与者是从精神病学 ED 招募的 118 名父母-青年（11-18 岁）二人组（57% 为女性）。父母的行为参与度是通过 2 周随访时的父母和青少年自我报告来衡量的。父母自我报告的焦虑和抑郁症状、失眠、压力和污名化态度与 2 周后的参与无关。较高的父母自我效能信念与更多地参与标准出院建议显着相关。讨论了在青少年自杀危机期间最大化父母实施临床建议的影响。