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Caring Transitions - A Care Coordination Intervention to Reduce Suicide Risk Among Youth Discharged From Inpatient Psychiatric Hospitalization.
Crisis ( IF 3.887 ) Pub Date : 2021-06-15 , DOI: 10.1027/0227-5910/a000795
Kim Gryglewicz 1 , Amanda Peterson 2 , Eunji Nam 3 , Michelle M Vance 4 , Lisa Borntrager 1 , Marc S Karver 2
Affiliation  

Background: Suicide risk following youth psychiatric hospitalization is of significant concern. This study evaluated Linking Individuals Needing Care (LINC), a theory-driven, comprehensive care coordination approach for youth discharged from crisis services. Aims: To pilot LINC's potential effectiveness in increasing service utilization and decreasing suicide risk. Method: Participants were 460 youth patients who received LINC for approximately 90 days following discharge from crisis services. Service utilization, depressive symptoms, and suicide-related variables were measured at baseline and 30, 60, and 90 days after baseline. Results: Patients significantly increased the use of various beneficial, least restrictive services (individual therapy, medication management, and non-mental health supports) over the 90-day intervention. Significant decreases were observed in depressive symptoms, suicide ideation, and engagement in suicide-related behaviors. Limitations: Absence of a comparison group and nonparticipating families limit causal conclusions and generalizability. Conclusions: LINC may be a promising new approach following inpatient hospitalization that can engage and retain youth in services, likely resulting in improved treatment outcomes. This approach was designed emphasizing patient engagement, suicide risk assessment and management, safety planning, community networking, referral/linkage monitoring, coping and motivational strategies, and linguistic/culturally responsive practices to meet service and support needs of high-risk suicidal youth.

中文翻译:

关爱过渡 - 一种护理协调干预措施,可降低因精神病住院出院的青少年的自杀风险。

背景:青年精神病院住院后的自杀风险是一个值得关注的问题。本研究评估了联系需要护理的个人 (LINC),这是一种理论驱动的综合护理协调方法,适用于从危机服务中出院的青年。目的:试验 LINC 在提高服务利用率和降低自杀风险方面的潜在有效性。方法:参与者是 460 名青年患者,他们在从危机服务中出院后接受了 LINC 大约 90 天。在基线和基线后 30、60 和 90 天测量服务利用率、抑郁症状和自杀相关变量。结果:在 90 天的干预期间,患者显着增加了各种有益的、限制最少的服务(个体治疗、药物管理和非心理健康支持)的使用。抑郁症状、自杀意念和参与自杀相关行为显着减少。局限性:缺乏比较组和未参与的家庭限制了因果结论和普遍性。结论:LINC 可能是住院患者住院后的一种有前途的新方法,可以吸引和留住年轻人参与服务,可能会改善治疗结果。这种方法旨在强调患者参与、自杀风险评估和管理、安全规划、社区网络、转诊/联系监测、应对和激励策略以及语言/文化响应实践,以满足高危自杀青年的服务和支持需求。缺乏比较组和未参与的家庭限制了因果结论和普遍性。结论:LINC 可能是住院患者住院后的一种有前途的新方法,可以吸引和留住年轻人参与服务,可能会改善治疗结果。这种方法旨在强调患者参与、自杀风险评估和管理、安全规划、社区网络、转诊/联系监测、应对和激励策略以及语言/文化响应实践,以满足高危自杀青年的服务和支持需求。缺乏比较组和未参与的家庭限制了因果结论和普遍性。结论:LINC 可能是住院患者住院后的一种有前途的新方法,可以吸引和留住年轻人参与服务,可能会改善治疗结果。这种方法旨在强调患者参与、自杀风险评估和管理、安全规划、社区网络、转诊/联系监测、应对和激励策略以及语言/文化响应实践,以满足高危自杀青年的服务和支持需求。可能会改善治疗效果。这种方法旨在强调患者参与、自杀风险评估和管理、安全规划、社区网络、转诊/联系监测、应对和激励策略以及语言/文化响应实践,以满足高危自杀青年的服务和支持需求。可能会改善治疗效果。这种方法旨在强调患者参与、自杀风险评估和管理、安全规划、社区网络、转诊/联系监测、应对和激励策略以及语言/文化响应实践,以满足高危自杀青年的服务和支持需求。
更新日期:2021-06-15
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