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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 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
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“(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…”
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“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
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“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
“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
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Psychosocial and pharmacological treatments for deliberate self harm
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“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
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Daniel, S. S., & Goldston, D. B. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.05.003 · Cited by 41
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
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
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
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
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
“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
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 45
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
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
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
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
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
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
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
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 27
“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
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
“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
“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
“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 29
“(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
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
Mental Disorders among Children and Adolescents Admitted to a French Psychiatric Emergency Service
Boyer, L., Henry, J.-M., Samuelian, J., Belzeaux-R, R., Auquier, P., Lançon, C., & Fonséca, D. D. (2013) · Emergency Medicine International · doi:10.1155/2013/651530 · Cited by 23
“Studies show that half of the adolescents seen for suicidal behavior in the PED are never referred for treatment, and, even if referred, the compliance with treatment is low [21].”
BackgroundWinter, D. A., Bradshaw, S. A., Bunn, F., & Wellsted, D. (2013) · Counselling and Psychotherapy Research · doi:10.1080/14733145.2012.761717 · Cited by 27
Metadata
- 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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