Development of a Suicide Prevention Intervention for Sexual and Gender Minority Youth and Young Adults: Rationale, Design, and Evidence of Feasibility and Acceptability.

IF 2.7 3区 医学 Q2 PSYCHIATRY
Arjan van der Star, Alyson Randall, Linda Salgin, John P Brady, Christopher Albright, Jacquie Mitzner, Jessica Alexander, Keaton Williams, V Robin Weersing, Jerel P Calzo, Sarah A Rojas, Christian B Ramers, Kristen J Wells, Aaron J Blashill
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Abstract

Background: Patient navigation (PN), paired with the safety planning intervention (SPI), may allay mechanisms that theoretically underlie suicide among sexual and gender minorities (SGM). This paper describes (a) the iterative development of a theory-informed PN + SPI intervention (QueerCare) to prevent suicide among at-risk SGM youth and young adults and (b) a case series examining the feasibility and acceptability of study procedures, measures, and QueerCare.

Methods: Seven initial QueerCare modules and a glossary of terms were drafted. Seven participants completed the case series. Feasibility and acceptability over 3 months were examined by triangulating multi-method data.

Results: The study procedures and measures in the at-risk population were feasible and sensitive, provided that remote safety monitoring and parental consent waivers were in place. QueerCare was feasible, helpful, and appropriate based on satisfaction ratings and four emerging themes: matched identity care, internalized barriers, support, and flexibility valued. Two additional modules and guardian materials were created. Suicidal crisis management protocols were continuously refined.

Conclusion: QueerCare was developed as a highly flexible modular intervention to meet the needs of SGM youth and young adults and prevent repeat suicide attempts in this population. Findings indicate study procedures, measures, and QueerCare were feasible and acceptable based on triangulated data.

Trial registration: This study was registered under ClinicalTrials.gov identifier NCT04757649.

针对性和性别少数的青少年和年轻成人的自杀预防干预:理论基础、设计、可行性和可接受性的证据。
背景:患者导航(PN)与安全计划干预(SPI)相结合,可能会减轻性少数群体(SGM)自杀背后的理论机制。本文描述了(a)基于理论的PN + SPI干预(QueerCare)的迭代发展,以预防高危SGM青年和年轻人的自杀;(b)研究程序、措施和QueerCare的可行性和可接受性的案例系列。方法:起草了七个初始QueerCare模块和术语表。七名参与者完成了案例系列。通过对多方法数据进行三角测量,验证了3个月的可行性和可接受性。结果:在远程安全监测和家长放弃同意的前提下,高危人群的研究程序和措施是可行和敏感的。基于满意度评分和四个新兴主题:匹配身份护理、内化障碍、支持和重视灵活性,酷儿护理是可行的、有用的和适当的。创建了两个额外的模块和守护材料。自杀危机管理方案不断完善。结论:酷儿护理是一种高度灵活的模块化干预措施,可满足SGM青年和年轻人的需求,并预防该人群中的重复自杀企图。研究结果表明,基于三角数据的研究程序、措施和酷儿护理是可行和可接受的。试验注册:本研究注册号为ClinicalTrials.gov,注册号为NCT04757649。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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