Quality and Contents of Self-Guided Adolescent Suicide Safety Plans.

IF 4.4 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2026-05-05 DOI:10.1080/15374416.2026.2660293

Juno B Pinder, Christa D Labouliere, Shirley B Wang, Rowan A Hunt, Gem Leone, Kathryn R Fox

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引用次数: 0

Abstract

Objective: Safety planning interventions (SPIs) may prevent suicidal behavior among adolescents, but many adolescents in need do not receive an SPI. Self-guided digital SPIs could reach many vulnerable youth, but the quality of adolescents' self-produced digital safety plans is unknown.

Method: In this longitudinal study, we analyzed 180 safety plans created using a novel SPI web-application by adolescents aged 13-18 (53% non-Hispanic white, 61% women) with past-year suicidal thoughts or behaviors. We rated safety plan quality and completeness using a validated scoring system, and participants reported safety plan usage at one-month follow-up.

Results: Of all safety plans, 78% were rated as at least "Satisfactory." Adolescents' safety plans were mostly complete, with an average completeness score of 15.32 out of 19 (SD = 2.85). Safety plan quality was moderate, with an average quality score of 10.47 out of 18 (SD = 2.02). Safety plan scores did not differ significantly by participant age. At one-month follow-up, 33% of participants reported having used their safety plan. Adolescents whose safety plans were more complete were more likely to use their plan (OR = 1.26, p < .01), but quality and global impression did not predict use. Of those who used their safety plan, 93% said it was at least "somewhat" helpful. Safety plan scores did not predict adolescent-rated plan helpfulness.

Conclusions: Adolescents can use self-guided SPIs to create satisfactory safety plans without clinician guidance. Larger-scale testing of such tools is warranted, including to better understand associations between safety plan characteristics and suicide-relevant outcomes.

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青少年自导式自杀安全计划的质量与内容。

目的：安全计划干预（SPI）可以预防青少年的自杀行为，但许多有需要的青少年没有接受SPI。自我引导的数字安全计划可以接触到许多脆弱的青少年，但青少年自己制作的数字安全计划的质量是未知的。方法：在这项纵向研究中，我们分析了180个使用新型SPI网络应用程序创建的安全计划，这些计划是由13-18岁的青少年（53%非西班牙裔白人，61%女性）在过去一年中有自杀想法或行为。我们使用一个有效的评分系统对安全计划的质量和完整性进行评分，参与者在一个月的随访中报告安全计划的使用情况。结果：在所有安全计划中，78%被评为至少“满意”。青少年的安全计划大多是完整的，平均完整性得分为15.32分（SD = 2.85）。安全计划质量一般，平均质量得分为10.47分（SD = 2.02）。安全计划得分在参与者年龄上没有显著差异。在一个月的随访中，33%的参与者报告使用了他们的安全计划。安全计划越完整的青少年更有可能使用他们的计划（OR = 1.26, p）。结论：青少年可以在没有临床医生指导的情况下使用自我引导的SPIs来创建满意的安全计划。有必要对这些工具进行大规模的测试，包括更好地了解安全计划特征与自杀相关结果之间的关系。

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

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.