National Institutes of Health Pathways to Prevention Workshop: Advancing Research to Prevent Youth Suicide

Little, Todd D.; Roche, Kathleen M.; Chow, Sy Miin; Schenck, Anna P.; Byam, Leslie Ann

doi:10.7326/m16-1568

Cited by 13 publications

(12 citation statements)

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“…This finding suggests that screening for depression in all pediatric patients with chronic pain would be a first step in prevention given the likelihood of this comorbidity. Health care providers have the opportunity to assist in decreasing the stigma associated with suicide by improving the message of the importance related to mental health treatment [5]. The health care provider has direct influence on a patient's understanding of the importance of mental health intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, perceived burdensomeness, where the patients feel that they are a burden on their family, friends, or society, has an associated influence on SI or SA [5]. Adolescent patients may experience perceived burdensomeness because of the increased likelihood of dependence on their parents or relatives regarding their medical care and age.…”

Section: Introductionmentioning

confidence: 99%

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Chronic Pain in Pediatric Patients and the Association of Suicidal Ideations and Suicidal Attempts

Santana¹,

Luu²,

Krienke³

2017

J Child Adolesc Behav

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Objective: This retrospective study determined the rate of suicidal ideations and attempts and explored the correlations of chronic pain and suicidal ideations or attempts of adolescent patients who were between the ages of 10 and 17 years diagnosed with a chronic pain condition at an outpatient pediatric pain clinic. Contributing factors, such as age, gender, ethnicity, sleep issues, or any psychological stressors placing adolescents at higher risk of either suicidal ideations or attempts were examined. Methods:A chart review was performed of 205 pediatric patients (163 females) aged 10 to 17 years who attended the outpatient pediatric pain clinic between 2013 and 2015. Data were collected and underwent statistical analysis to determine the strength of the correlations between the contributing factors and suicidal ideations and attempts. Results:We compared the resulting data with data from the Centers for Disease Control regarding suicidal ideations and attempts in adolescents. The frequency of suicidal ideations in these patients was 59/205 (28.8%). History of being bullied, female gender, recent breakup, family conflict, prior psychological interventions, depression or anxiety, and history of substance abuse showed statistically significant associations with suicidal ideations. The frequency of suicidal attempts in these patients was 20/205 (9.8%). In patients aged 14 to 17 years, history of psychological intervention and anxiety or depression showed statistically significant associations with suicidal attempts.Conclusions: This analysis of factors that influence risk of suicidal ideations and attempts in the adolescent population with chronic pain will help physicians identify these risk factors in their patients and emphasize the importance of preventive measures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Chronic Pain in Pediatric Patients and the Association of Suicidal Ideations and Suicidal Attempts

Santana¹,

Luu²,

Krienke³

2017

J Child Adolesc Behav

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“…Other factors contributing to increased risk in adolescent populations include social media consumption (Sedgwick, Epstein, Dutta, & Ougrin, 2019); increase in bullying and cyberbullying (Shain & AAP Committee on Adolescence, 2016; van Geel, Vedder, & Tanilon, 2014); bullying and family rejection of lesbian, gay, bisexual, and transgender (LGBT) youths (Bouris, Everett, Heath, Elsaesser, & Neilands, 2016; Shain & AAP Committee on Adolescence, 2016); a history of physical or sexual abuse (Shain & AAP Committee on Adolescence, 2016); history of adoption (Keyes, Malone, Sharma, Iacono, & McGue, 2013; Slap, Goodman, & Huang, 2001); the potential glamorization of suicide in media, such as the 2017 Netflix web‐series “13 Reasons Why” (D'Agati, Beaudry, & Swartz, 2019); and, the persistent and bidirectional impact of stigmatization about suicide (Carpiniello & Federica Pinna, 2017). There is no one cause for the spike in suicide rates among this population (Little, Roche, Chow, Schenck, & Byam, 2016); it is an amalgamation of factors that play out differently in each individual. The most important elements for PCP focus are (1) assessment of the adolescent's cognitive and socioemotional capacity and current context and (2) how a treatment plan will most safely and effectively serve their unique needs.…”

Section: Introductionmentioning

confidence: 99%

Suicide assessment and treatment in pediatric primary care settings

Sisler

Schapiro

Nakaishi

et al. 2020

Child Adoles Psych Nursing

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Topic This article will briefly review screening for depression and suicidal ideation in primary care and school‐based clinics, with a focus on in‐depth screening for imminent suicide risk, developing a safety plan, and incorporating handoffs to urgent and emergency mental health care personnel. The article will cover current definitions of levels of suicidal risk and clinic‐based protocols for a team approach to adolescents in crisis. Purpose To provide primary care and behavioral health nurses with evidence‐based suicide risk screening and assessment tools and best practices for using them in patient‐centered encounters with adolescents with suicidal thinking or behavior. Sources Used Journal articles, books, and reports. Conclusion Past studies have shown that many individuals who died by suicide had seen a primary care provider in 30 days before their deaths. Nurses in primary care settings should develop clinic‐based protocols for screening all adolescents for suicide risk, developing safety plans, and providing suicidal youth and families with monitoring, appropriate referrals, follow‐up, and support.

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“…Indeed, in preparation for a recent NIH Office of Disease Prevention workshop focused on the impact of early intervention on downstream suicidal behavior, four teams of investigators who had developed and tested family-focused preventive interventions (including two reported in this issueFamily Check-up and Familias Unidas) examined their data and identified crossover effects; i.e., interventions not directly targeting suicide-related behavior actually reduced the onset of suicide ideation and attempts (Reider and Sims 2016). A summary of the workshop is publicly available, as are workshop recommendations, which include ways to overcome barriers that limit data sharing and data linkage in prevention research (Little et al 2016). To that end, a recently published funding opportunity announcement (RFA-MH-18-400) issued by several NIH institutes encourages the integration of existing data sets for secondary analyses that might identify potential biological, experiential, or other predictors and moderators of suicide risk.…”

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confidence: 99%

Strength in Numbers

Goldstein

Avenevoli

2017

Prev Sci

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The National Institute of Mental Health (NIMH) maintains a comprehensive portfolio of research on depression risk, etiology, pathophysiology, intervention, and services research. This broad portfolio exists because, as with many of our illnesses, there is still much work to be done to identify potent intervention targets for treatment and prevention, develop novel interventions, optimize the effectiveness of the interventions we know to be efficacious, and develop the science to implement and sustain programs that work. With the goal of expediting scientific advances, NIMH encourages investigators in a given field to communicate, collaborate, and share knowledge, data, and resources. The papers presented in this special issue highlight a concerted, grassroots collaborative effort among the investigators in the field of depression prevention that resulted in a proactive, thoughtful sharing of ideas and sharing of individual-level data across studies. For the field, this collaboration presents an opportunity to Bsee the forest through the trees^and develop an understanding of the state of the science for depression prevention that goes beyond what we can learn from the report of an individual study.The papers included in this special issue were authored by prevention scientists who are developing and testing interventions-some specifically targeting depression, others targeting associated high-risk behaviors. Reading the papers as a set enables one to identify common findings and themes and allows us to see if an individual study's effects change when participantlevel data is combined and re-examined across a range of studies. This collaboration offers innovations not just in the data analysis and methodology, as described in the papers by Siddique et al. (2017) and Brincks et al. (2016), but also in our understanding of how we might enhance or alter existing interventions so we may more effectively prevent the incidence or recurrence of depression among vulnerable youth. The papers go beyond reporting only if an intervention works, but also for whom. A focus on moderators as well as possible mechanisms of action will further our ability to refine intervention strategies and, ultimately, prevent incidence of illness.In the interest of space, we will not review all of the individual study findings but will, instead, highlight a few key outcomes across the papers. In doing so, we see that early intervention matters. Stronger effects tend to be found for groups who received interventions in earlier grades or earlier in the course of illness (i.e., before symptoms emerged). The set of papers also shows the ways in which family can be a key component to effective depression prevention. Across studies, aspects of the family moderate intervention effects-e.g., parent illness, parent marital status, and overall family functioning. In one study, family characteristics were more important than dose with respect to impact on internalizing behaviors (Mauricio et al. 2016).This special issue also includes an article by Brown a...

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National Institutes of Health Pathways to Prevention Workshop: Advancing Research to Prevent Youth Suicide

Cited by 13 publications

References 1 publication

Chronic Pain in Pediatric Patients and the Association of Suicidal Ideations and Suicidal Attempts

Chronic Pain in Pediatric Patients and the Association of Suicidal Ideations and Suicidal Attempts

Suicide assessment and treatment in pediatric primary care settings

Strength in Numbers

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