Enhancing treatment adherence with a specialized emergency room program for adolescent suicide attempters
Open accessAbstract
OBJECTIVE: The evaluation of outpatient treatment adherence among 140 Latina adolescent suicide attempters and their families. METHOD: Sequentially, 75 attempters received standard emergency room care and 65 attempters received a specialized emergency room program including (1) training workshops for emergency room staff, (2) a videotape aimed at modifying families' treatment expectations, and (3) an on-call family therapist. RESULTS: Attempters receiving the specialized program were more likely to attend one treatment session (95.4% versus 82.7%) and were somewhat more likely to attend more sessions (5.7 versus 4.7) than those receiving standard emergency room care; however, their mothers were less likely to complete treatment. In addition, participants receiving the specialized program reported reduced psychiatric symptoms, and mothers reported more positive attitudes toward treatment and perceptions of family interactions. CONCLUSIONS: Adherence was significantly improved by receiving the specialized care program in the emergency room. Adherence was also associated with increased suicidal ideation, more cohesive family relations, and lower self-esteem at baseline.
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FISP is a second-generation adaptation of the Specialized Emergency Room Intervention for Suicidal Adolescent Females.
“FISP is a second-generation adaptation of the Specialized Emergency Room Intervention for Suicidal Adolescent Females69”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [69]
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InfluentialTreatment of Childhood Traumatic Grief
Cohen, J. A., & Mannarino, A. P. (2004) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3304_17 · Cited by 118 · see citing works
Perceived discrimination experiences and mental health of Latina/o american persons.
Moradi, B., & Risco, C. (2006) · Journal of Counseling Psychology · doi:10.1037/0022-0167.53.4.411 · Cited by 207 · see citing works
“Self-esteem. The Rosenberg Self-Esteem Scale (RSE; Rosenberg, 1965 ) is a 10-item, self-report scale.”
Why Young People Do Not Kill Themselves: The Reasons for Living Inventory for Adolescents
Gutierrez, P. M., Osman, A., Kopper, B. A., & Barrios, F. X. (2000) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp2902_4 · Cited by 108 · see citing works
Asarnow, J. R., Baraff, L. J., Berk, M., Grob, C., Devich-Navarro, M., Suddath, R., Piacentini, J., & Tang, L. (2008) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3181799ee8 · Cited by 106 · see citing works
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Referral and Resource Use Patterns for Psychiatric-Related Visits to Pediatric Emergency Departments
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“Studies show that half of the adolescents seen for suicidal behavior in the ED are never referred for treatment and, even if referred, compliance with treatment is low.(22) Strategies for engaging these high-risk families into mental health services might include ED-based suicide interventions and/or enhanced referral…”
BackgroundCwik, M. F., Tingey, L., Maschino, A. C., Goklish, N. A., Larzelere‐Hinton, F., Walkup, J. T., & Barlow, A. (2016) · American Journal of Public Health · doi:10.2105/ajph.2016.303453 · Cited by 90 · see citing works
A review of parental engagement in parenting interventions and strategies to promote it
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Depression and suicide in children and adolescents
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Preventive Interventions for Youth Suicide: A Risk Factor-Based Approach
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Morthorst, B. R., Krogh, J., Erlangsen, A., Alberdi, F., & Nordentoft, M. (2012) · BMJ · doi:10.1136/bmj.e4972 · Cited by 84 · see citing works
Suicidality and Its Relationship to Treatment Outcome in Depressed Adolescents
Barbe, R., Bridge, J. A., Birmaher, B. B., Kolko, D. J., & Brent, D. A. (2004) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.34.1.44.27768 · Cited by 82 · see citing works
Sampling Correlation Matrices in Bayesian Models With Correlated Latent Variables
Zhang, X., Boscardin, W. J., & Belin, T. R. (2006) · Journal of Computational and Graphical Statistics · doi:10.1198/106186006x160050 · Cited by 79 · see citing works
“We illustrate our PX-MH algorithm on data from a suicide prevention study (Rotheram-Borus et al. 1996).”
BackgroundMethodAsarnow, J. R., Baraff, L. J., Berk, M. S., Grob, C. S., Devich-Navarro, M., Suddath, R., Piacentini, J. C., Rotheram‐Borus, M. J., Cohen, D., & Tang, L. (2011) · Psychiatric Services · doi:10.1176/appi.ps.62.11.1303 · Cited by 77 · see citing works
A Rapid-Response Outpatient Model for Reducing Hospitalization Rates Among Suicidal Adolescents
Greenfield, B. J., Larson, C. P., Hechtman, L. T., Rousseau, C., & Platt, R. W. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.12.1574 · Cited by 77 · see citing works
“tions, such as the absence of a condition—either control or experimental—that is clearly identified as constituting hospitalization (5,16–19), small samples (5,20), the absence of standardized measures (5), under- or overrepresentation of patients with comorbid conditions (16,17,19), recruitment of only females (18),…”
BackgroundThe development of the inventory of countertransference behavior
Friedman, S. M., & Gelso, C. J. (2000) · Journal of Clinical Psychology · doi:10.1002/1097-4679(200009)56:9 · Cited by 109 · see citing works
Assessing the Effects of Peer Suicide on Youth Suicide
Feigelman, W., & Gorman, B. S. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.2.181 · Cited by 75 · see citing works
Family-Based Crisis Intervention With Suicidal Adolescents: A Randomized Clinical Trial
Wharff, E. A., Ginnis, K. B., Ross, A. M., White, E. M., White, M. T., & Forbes, P. W. (2019) · Pediatric Emergency Care · doi:10.1097/pec.0000000000001076 · Cited by 76 · see citing works
Newton, A. S., Hamm, M. P., Bethell, J., Rhodes, A. E., Bryan, C. J., Tjosvold, L., Ali, S., Logue, E. M., & Manion, I. G. (2010) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.02.026 · Cited by 71 · see citing works
Development of the reasons for living inventory for young adults
Gutierrez, P. M., Osman, A., Barrios, F. X., Kopper, B. A., Baker, M. T., & Haraburda, C. M. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.1147 · Cited by 68 · see citing works
Family-based Crisis Intervention with Suicidal Adolescents in the Emergency Room: A Pilot Study
Wharff, E. A., Ginnis, K. M., & Ross, A. M. (2012) · Social Work · doi:10.1093/sw/sws017 · Cited by 81 · see citing works
Burns, J. M., Dudley, M. J., Hazell, P., & Patton, G. C. (2005) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2005.01532.x · Cited by 69 · see citing works
“2004); problems relating to the delivery or uptake of the intervention [13,16,17]; the ascertainment bias inherent in the use of hospital records [13,18, Silburn et al .”
BackgroundMethodPatient Education in the Emergency Department
Wei, H. G., & Camargo, C. A. (2000) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2000.tb02052.x · Cited by 67 · see citing works
Knowledge and Attitudes about Suicide in 25-Year-Olds
Beautrais, A. L., Horwood, L. J., & Fergusson, D. M. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2004.01334.x · Cited by 66 · see citing works
Suicidality in adjustment disorder
Pelkonen, M. U. I., MARTTUNEN, M. J., HENRIKSSON, M. M., & Lönnqvist, J. K. (2005) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-005-0457-8 · Cited by 63 · see citing works
Factors Associated With Early Dropout From Adolescent Psychiatric Outpatient Treatment
PELKONEN, M., MARTTUNEN, M., LAIPPALA, P., & LÖNNQVIST, J. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200003000-00015 · Cited by 83 · see citing works
Hughes, J. L., & Asarnow, J. R. (2013) · Clinical Pediatric Emergency Medicine · doi:10.1016/j.cpem.2013.01.002 · Cited by 59 · see citing works
“(16) Finally, building on the ER Intervention for Adolescent Females,(10, 13) and adapting this intervention for usual ED settings where access to outpatient treatment is variable and frequently associated with multiple barriers, Asarnow and colleagues demonstrated that this enhanced mental health intervention was ass…”
BackgroundMethodInfluentialGrupp-Phelan, J., Stevens, J., Boyd, S., Cohen, D. M., Ammerman, R. T., Liddy-Hicks, S., Heck, K., Marcus, S. C., Stone, L., Campo, J. V., et al. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.17941 · Cited by 57 · see citing works
Emergency department management of suicidal adolescents
Kennedy, S. P., Baraff, L. J., Suddath, R., & Asarnow, J. R. (2004) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2003.09.009 · Cited by 57 · see citing works
Grupp-Phelan, J., McGuire, L., Husky, M. M., & Olfson, M. (2012) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3182767ac8 · Cited by 55 · see citing works
Peer Suicidal Behavior and Adolescent Risk Behavior
Cerel, J., Roberts, T. A., & Nilsen, W. J. (2005) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000158377.45920.0a · Cited by 70 · see citing works
Suicide in the pediatric population: screening, risk assessment and treatment
Cwik, M. F., O’Keefe, V. M., & Haroz, E. E. (2020) · International Review of Psychiatry · doi:10.1080/09540261.2019.1693351 · Cited by 54 · see citing works
“An intervention developed by Rotheram-Borus and colleagues has a solid research base (Rotheram-Borus et al., 1996; Rotheram-Borus, Piacentini, Cantwell, Belin, & Song, 2000) including adaptations (Asarnow et al., 2011; Asarnow, Armm, & McGrath, 2002; Cwik et al., 2016; Donaldson, Spirito, Arrigan,…”
BackgroundMethodSpecific Psychological Treatment Versus Treatment as Usual in Adolescents with Self-Harm
Ougrin, D., & Latif, S. (2011) · Crisis · doi:10.1027/0227-5910/a000060 · Cited by 53 · see citing works
Ougrin, D., Ng, A., & Low, J. (2008) · Psychiatric Bulletin · doi:10.1192/pb.bp.107.018473 · Cited by 52 · see citing works
“Studies aimed at improving adherence to follow-up care (e.g. Rotheram-Borus et al, 1996; Spirito et al, 2002) have shown modest results overall.”
BackgroundDevelopment and Piloting of a Brief Intervention for Suicidal American Indian Adolescents
Cwik (2016) · American Indian and Alaska Native Mental Health Research · doi:10.5820/aian.2301.2016.105 · Cited by 48 · see citing works
“The intervention has been empirically validated (Rotheram-Borus et al., 1996; Rotheram-Borus, Piacentini, Cantwell, Belin, & Song, 2000), recognized by the Suicide Prevention Resource Center’s Best Practices Registry, and successfully adapted cross-culturally, but until now, not in a Native community (Asarnow, Armm, &…”
BackgroundMethodInfluentialScreening for suicide risk in the pediatric emergency and acute care setting
Wintersteen, M. B., Diamond, G. S., & Fein, J. A. (2007) · Current Opinion in Pediatrics · doi:10.1097/mop.0b013e328220e997 · Cited by 50 · see citing works
Feldman, M., & Wilson, A. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199701000-00020 · Cited by 48 · see citing works
Suicídio na infância e adolescência
Kuczynski, E. (2014) · Psicologia USP · doi:10.1590/0103-6564d20140005 · Cited by 47 · see citing works
WITHDRAWN: Psychosocial and pharmacological treatments for deliberate self harm.
Hawton, K., Townsend, E., Arensman, E., Gunnell, D., Hazell, P., House, A., & van Heeringen, K. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001764.pub2 · Cited by 20 · see citing works
RetractedAdolescent depression: an update and guide to clinical decision making.
Cook, M. N., Peterson, J., & Sheldon, C. (2009) · PubMed Central · Cited by 47 · see citing works
Baren, J., Mace, S., Hendry, P., Dietrich, A., Grupp-Phelan, J., & Mullin, J. (2008) · Pediatric emergency care · doi:10.1097/pec.0b013e318177a6c6 · Cited by 54 · see citing works
“Patients in the specialized ED group were significantly less depressed and reported less suicidal ideation after the intervention, with effects apparent as long as 18 months after suicidal behavior.(60)”
BackgroundRisk Factors Associated with Suicide Attempts and Other Self‐injury Among Hong Kong Adolescents
Wong, J. P. S., Stewart, S. M., Ho, S. Y., & Lam, T. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.4.453 · Cited by 45 · see citing works
Pailler, M. E., Cronholm, P. F., Barg, F. K., Wintersteen, M. B., Diamond, G. S., & Fein, J. A. (2009) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3181bec8f2 · Cited by 43 · see citing works
Parker, K. C. H., Roberts, N., Williams, C., Benjamin, M., Cripps, L., & Woogh, C. M. (2003) · Journal of Adolescence · doi:10.1016/s0140-1971(03)00014-9 · Cited by 42 · see citing works
Daniel, S. S., & Goldston, D. B. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.05.003 · Cited by 41 · see citing works
MANAGEMENT OF SUICIDAL BEHAVIOR IN CHILDREN AND ADOLESCENTS
Greenhill, L. L., & WASLICK, B. D. (1997) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70335-x · Cited by 41 · see citing works
Asarnow, J. R., Goldston, D. B., Tunno, A. M., Inscoe, A. B., & Pynoos, R. S. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1796547 · Cited by 40 · see citing works
Fraser, D., Piacentini, J. C., Rossem, R. V., Hien, D. A., & Rotheram‐Borus, M. J. (1998) · Hispanic Journal of Behavioral Sciences · doi:10.1177/07399863980201005 · Cited by 40 · see citing works
Treatment For Suicidal Thoughts and Behavior: A Review of Family‐Based Interventions
Frey, L. M., & Hunt, Q. A. (2018) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12234 · Cited by 39 · see citing works
Tossone, K., Jefferis, E. S., Bhatta, M. P., Bilge-Johnson, S. A., & Seifert, P. (2014) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/1753-2000-8-27 · Cited by 38 · see citing works
“While studies have discussed screening for mental health issues in the emergency department [13,37,38], there are few studies that focus on this type of pediatric psychiatric service.”
BackgroundTreatment Adherence among Latina Female Adolescent Suicide Attempters
Rotheram‐Borus, M. J., Piacentini, J. C., Rossem, R. V., Graae, F., Cantwell, C., Castro-Blanco, D. R., & Feldman, J. J. (1999) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1999.tb00527.x · Cited by 37 · see citing works
Edwards, D. J., Carrier, J., Csontos, J. K., Evans, N., Elliott, M. B., Gillen, E., Hannigan, B., Lane, R., & Williams, L. (2023) · Child and Adolescent Mental Health · doi:10.1111/camh.12639 · Cited by 35 · see citing works
Emergency management of the adolescent suicide attempter: a review of the literature
Stewart, S. E., Manion, I. G., & Davidson, S. I. (2002) · Journal of Adolescent Health · doi:10.1016/s1054-139x(01)00321-4 · Cited by 35 · see citing works
A systematic review of psychosocial interventions for suicidal adolescents
Corcoran, J., Dattalo, P., Crowley, M., Brown, E., & Grindle, L. (2011) · Children and Youth Services Review · doi:10.1016/j.childyouth.2011.06.017 · Cited by 34 · see citing works
Prioritizing Research to Reduce Youth Suicide and Suicidal Behavior
Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Grupp-Phelan, J., & Campo, J. V. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.001 · Cited by 34 · see citing works
Review of family‐based treatments from 2010 to 2019 for suicidal ideation and behavior
Frey, L. M., Hunt, Q. A., Russon, J. M., & Diamond, G. (2022) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12568 · Cited by 32 · see citing works
Shifting the treatment model: impact on engagement in outpatient therapy
Warnick, E. M., Bearss, K., Weersing, V. R., Scahill, L., & Woolston, J. (2014) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-012-0439-3 · Cited by 31 · see citing works
The Celebrating Life Team, O’Keefe, V. M., Haroz, E. E., Goklish, N. A., Ivanich, J., Cwik, M. F., & Barlow, A. (2019) · BMC Public Health · doi:10.1186/s12889-019-7996-2 · Cited by 29 · see citing works
Assessment and Treatment of the Youthful Suicidal Patient
Brent, D. A. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05801.x · Cited by 60 · see citing works
Preventing Suicidal Behaviour in a General Hospital Psychiatric Service: Priorities for Programming
Links, P. S., & Hoffman, B. F. (2005) · The Canadian Journal of Psychiatry · doi:10.1177/070674370505000809 · Cited by 29 · see citing works
“However, Rotheram-Borus and others (23,24) evaluated a program to enhance treatment adherence in adolescents who had attempted suicide presenting to an inner city emergency department service.”
BackgroundGipson, P. Y., & King, C. A. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2010.11.005 · Cited by 28 · see citing works
Psychosocial Treatment of Youth Suicide: A Systematic Review of the Research
Macgowan, M. J. (2004) · Research on Social Work Practice · doi:10.1177/1049731503257889 · Cited by 28 · see citing works
“Another intervention (Rotheram-Borus et al., 1996) showed improvements in most of the indirect markers of suicidality but did not increase mothers’ adherence to treatment.”
BackgroundMethodInfluentialFamily-Based Crisis Intervention in the Emergency Department: A New Model of Care
Ginnis, K. B., White, E. M., Ross, A. M., & Wharff, E. A. (2013) · Journal of Child and Family Studies · doi:10.1007/s10826-013-9823-1 · Cited by 27 · see citing works
“To date, only two studies outside of our work have evaluated outcomes based on an ED intervention for suicidal adolescents (Asarnow et al. 2011; Rotheram-Borus et al. 1996, 2000).”
BackgroundChernick, L. S., Westhoff, C. L., Ray, M., Garcia, M., Garth, J. R., Santelli, J. S., & Dayan, P. S. (2015) · Journal of Women s Health · doi:10.1089/jwh.2014.4994 · Cited by 24 · see citing works
“14,15 Therefore, the objectives of this study were to determine the potential effect and assess the feasibility of an enhanced, practical referral process to increase follow-up of sexually active adolescent females seen in the ED to a reproductive and sexual health care clinic.”
Risk assessment and psychosocial interventions for suicidal patients
Chesin, M. S., & Stanley, B. (2013) · Bipolar Disorders · doi:10.1111/bdi.12092 · Cited by 24 · see citing works
“(43) designed a three-part intervention to increase adherence to outpatient follow-up care among female adolescent suicide attempters postdischarge from the ED.”
BackgroundThe Relationship Between Exposure to Adolescent Suicide and Subsequent Suicide Risk
Watkins, R. L., & Gutierrez, P. M. (2003) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.33.1.21.22787 · Cited by 23 · see citing works
Follow-up studies of child and adolescent suicide attempters
Boergers, J., & Spirito, A. (2003) · Cambridge University Press eBooks · doi:10.1017/cbo9780511550423.013 · Cited by 23 · see citing works
- Authors
- ROTHERAM-BORUS, M. J., PIACENTINI, J., VAN ROSSEM, R., GRAAE, F., CANTWELL, C., CASTRO-BLANCO, D., MILLER, S., & FELDMAN, J.
- Affiliations
- University of California, Los Angeles (US)
- ORCID
- PIACENTINI, JOHN
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1996-05
- Volume
- 35
- Issue
- 5
- Pages
- 654-663
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2020016824
- Cited by
- 196
- References
- 48
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 8 · 2022: 2 · 2021: 12 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 11 · 2014: 8 · 2013: 10 · 2012: 10
- FWCI
- 6.31
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- National Institutes of Health (1r18mh048059-01)
- National Institute of Mental Health (MH43878, MH48059)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- adolescent suicide attempts, medication adherence, Latina adolescents, family therapy, emergency department staff training, suicidal ideation, family cohesion, self-esteem, psychiatric symptoms
- MeSH terms
- Adolescent, Crisis Intervention, Emergency Services, Psychiatric, Family Therapy, Female, Hispanic or Latino, Humans, Inservice Training, Male, Mother-Child Relations, Motivation, New York City, Patient Compliance, Suicide, Attempted
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