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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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Cited by
Sorted by citations
Adolescent suicide and suicidal behavior
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“Education has also been found to be helpful in improvingadherence (Rotheram-Borus et al., 1996a).”
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“For example, family members of adolescent suicide attempters belonging to a US ethnic minority group have reported preferences for informal sources of help due to mistrust toward mental health providers (e.g. Rotheram-Borus et al., 1996).”
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“…of Latino adolescent suicide attempters has been reported that includes the use of videotapes to modify treatment expectations and training programs for staff to enhance their sensitivity to Latino parents’ reactions to the suicide attempts and to the service process (Rotheram-Borus et al., 1996).”
Influential
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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