A Trauma-Informed Approach to Youth Suicide Prevention and Intervention

Tunno, Angela M.; Inscoe, Adrienne Banny; Goldston, David B.; Asarnow, Joan Rosenbaum

doi:10.1080/23794925.2021.1923089

Cited by 13 publications

(12 citation statements)

References 43 publications

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“…Notably, results highlight the key role of parents in youth service use and the importance of addressing caregiver distress in maintaining engagement in treatment (Logan & King, 2001). Feedback from caregiver interviews informed the development of a trauma-informed approach to youth suicide prevention that aims to promote collaboration with youth and families; establish physical and psychological safety; recognize signs of traumatic stress exposure; mobilize youth, family, and community strengths; and provide linkage to appropriate follow-up care and ongoing youth monitoring (Asarnow et al, 2020; Tunno et al, in press).…”

Section: Discussionmentioning

confidence: 99%

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

Inscoe¹,

Donisch²,

Cheek³

et al. 2022

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Research shows elevated rates of trauma exposure and traumatic stress among youth with suicidal thoughts and behaviors, underscoring the need for a trauma-informed approach to suicide prevention and intervention. The purpose of this study was to identify, from the perspective of caregivers, clinical practices that are sensitive to the needs of youth with co-occurring traumatic stress and suicidal thoughts and behaviors, as well as common barriers to receiving care. Method: Qualitative interviews were conducted with 13 caregivers of youth with trauma histories and comorbid suicidal thoughts and/ or behaviors. Interviews were analyzed using a grounded theory approach. Results: Qualitative analysis of interviews revealed themes related to the need for caregiver involvement in treatment, the impact of therapist and relationship characteristics such as authenticity and genuineness, and the importance of provider education about trauma. Common barriers included difficulties navigating the mental health system and cost. Conclusions: Findings provide guidance on how mental health providers can effectively recognize and respond to traumatic stress among youth presenting with suicidal thoughts and behaviors. System-level issues related to accessibility also are discussed. Clinical Impact StatementWhen asked about suicide prevention practices that are sensitive to the needs of youth and families who have experienced trauma, caregivers of youth with co-occurring traumatic stress and suicidal thoughts/behaviors emphasized the importance of (a) caregiver involvement and acknowledging caregiver distress; (b) clinician authenticity, genuineness, and warmth; and (c) clinician knowledge about trauma and the impact of traumatic stress on suicide risk. Caregivers also emphasized the need for more direct support around mental health care navigation.

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Section: Discussionmentioning

confidence: 99%

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

Inscoe¹,

Donisch²,

Cheek³

et al. 2022

Psychological Trauma: Theory, Research, Practice, and Policy

Self Cite

View full text Add to dashboard Cite

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“…2021; Tunno et al . 2021). Despite a lack of evaluation data, these papers offer valuable insights into the components of trauma‐informed approaches that may contribute to improvements in suicide outcomes.…”

Section: Discussionmentioning

confidence: 99%

The impact of trauma‐informed suicide prevention approaches: A systematic review of evidence across the lifespan

Procter

Othman

Jayasekara

et al. 2022

Int J Mental Health Nurs

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Trauma is associated with an increased likelihood of experiencing suicidality, indicating the need for and potential value of trauma-informed suicide prevention strategies. The aim of this study is to systematically review published literature regarding trauma-informed approaches for suicide prevention, and the impact on suicide outcomes. Systematic searches were conducted in eight databases (Medline, Embase, PsycInfo, Emcare, Nursing, and JBI in the Ovid platform; as well as ProQuest Psychology Database and The Cochrane Library) in March 2022, with no publication date limit. Four studies met the inclusion criteria: two randomized controlled trials and two quasi-experimental studies. Two studies reported reductions in ideation, intent, and behaviour among youth and a cultural minority group. Few studies directly reporting suicide outcomes were identified, all were quantitative, and heterogeneity prevents generalizability across population groups. Currently, there is limited evidence focusing specifically on trauma-informed suicide prevention across the lifespan. Additional research, incorporating lived experience voices, is needed to understand the potential of this approach, as well as how mental health nurses can incorporate these approaches into their practice.

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“…Among other things, the study pointed out that if one had more than seven traumatic experiences in their childhood, one in five adults had to take their own life [56]. Thus, Tunno et al [57] also describe how suicidal thoughts and behaviours often co‐occur with traumatic stress experiences and related symptoms founded in childhood [57]. Tunno et al [57] conclude that it is important that suicide prevention and intervention practices take a trauma‐informed approach to reflect the complex, intertwined relationship between traumatic stress symptoms and suicidal thoughts/behaviours [57].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, Tunno et al [57] also describe how suicidal thoughts and behaviours often co‐occur with traumatic stress experiences and related symptoms founded in childhood [57]. Tunno et al [57] conclude that it is important that suicide prevention and intervention practices take a trauma‐informed approach to reflect the complex, intertwined relationship between traumatic stress symptoms and suicidal thoughts/behaviours [57]. Therefore, trauma‐informed care (TIC) could be a useful approach for the prevention of suicidal thoughts and suicide.…”

Section: Discussionmentioning

confidence: 99%

Living with suicidal thoughts: A scoping review

Søndergaard

Buus

Berring

et al. 2022

Scandinavian Caring Sciences

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Background There is a significantly higher number of people experiencing severe levels of suicidal thoughts compared to that of suicidal deaths and suicide attempts. In suicide prevention research, there is a shift towards greater emphasis on people's experiences of living with suicidal thoughts. This can expand the existing evidence base, which is dominated by a biomedical approach. The aim of this review was to summarise and disseminate existing research on the lived experiences of living with suicidal thoughts. Methods A scoping review by Arksey & O'Malley consisting of six stages: (1) formulating the research question, (2) identifying relevant studies, (3) selecting studies, (4) mapping data, (5) summarising the results and (6) consulting stakeholders. PubMed, PsycINFO and CINAHL were searched for studies in English, Danish, Swedish and Norwegian. Peer‐reviewed articles examining people's experiences of living with suicidal thoughts using qualitative methods were included. The search was supplemented with a citation pearl search in the Web of Science database. Twenty‐eight studies were included. Results The findings were organised under two thematic headings: (a) the significance of social connections and (b) a loss of the personal self. Conclusion There is a need for further qualitative research of people's experiences of living with suicidal thoughts from an everyday life perspective. Awareness about social connections and attachment in mental health prevention and governance is crucial. Trauma‐informed care could be a useful approach to prevent suicidal thoughts as the review found that many participants had traumatic experiences in both childhood and adulthood. As part of the treatment of suicidal thoughts, it might be useful to have a focus on narrative and communicative methods and their clinical application.

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A Trauma-Informed Approach to Youth Suicide Prevention and Intervention

Cited by 13 publications

References 43 publications

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

Trauma-informed care for youth suicide prevention: A qualitative analysis of caregivers’ perspectives.

The impact of trauma‐informed suicide prevention approaches: A systematic review of evidence across the lifespan

Living with suicidal thoughts: A scoping review

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