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The 18-month impact of an emergency room intervention for adolescent female suicide attempters

Identifieur interne : 000667 ( PascalFrancis/Corpus ); précédent : 000666; suivant : 000668

The 18-month impact of an emergency room intervention for adolescent female suicide attempters

Auteurs : Mary Jane Rotheram-Borus ; John Piacentini ; Coleen Cantwell ; Thomas R. Belin ; Juwon Song

Source :

Journal of consulting and clinical psychology [ 0022-006X ] ; 2000.

RBID : Pascal:01-0091403

Descripteurs français

Pascal (Inist)
- Tentative suicide, Etude longitudinale, Efficacité traitement, Psychothérapie familiale, Service urgence, Relation mère enfant, Interaction sociale, Adolescent, Femelle.

English descriptors

KwdEn :
- Adolescent, Emergency department, Family psychotherapy, Female, Follow up study, Mother child relation, Social interaction, Suicide attempt, Treatment efficiency.

Abstract

Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training: or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`01`	`1`		`@1 ROTHERAM-BORUS (Mary Jane)`
A11	`02`	`1`		`@1 PIACENTINI (John)`
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C01	`01`		`ENG`	@0 Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training: or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology.
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C03	`09`	`X`	`FRE`	`@0 Femelle @5 18`
C03	`09`	`X`	`ENG`	`@0 Female @5 18`
C03	`09`	`X`	`SPA`	`@0 Hembra @5 18`
C07	`01`	`X`	`FRE`	`@0 Homme`
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Format Inist (serveur)

NO :	PASCAL 01-0091403 INIST
ET :	The 18-month impact of an emergency room intervention for adolescent female suicide attempters
AU :	ROTHERAM-BORUS (Mary Jane); PIACENTINI (John); CANTWELL (Coleen); BELIN (Thomas R.); SONG (Juwon)
AF :	University of California/Los Angeles/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)
DT :	Publication en série; Niveau analytique
SO :	Journal of consulting and clinical psychology; ISSN 0022-006X; Coden JCLPBC; Etats-Unis; Da. 2000; Vol. 68; No. 6; Pp. 1081-1093; Bibl. 1 p.1/2
LA :	Anglais
EA :	Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training: or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology.
CC :	002B18I05C
FD :	Tentative suicide; Etude longitudinale; Efficacité traitement; Psychothérapie familiale; Service urgence; Relation mère enfant; Interaction sociale; Adolescent; Femelle
FG :	Homme
ED :	Suicide attempt; Follow up study; Treatment efficiency; Family psychotherapy; Emergency department; Mother child relation; Social interaction; Adolescent; Female
EG :	Human
SD :	Tentativa suicidio; Estudio longitudinal; Eficacia tratamiento; Psicoterapia familiar; Servicio urgencia; Relación madre niño; Interacción social; Adolescente; Hembra
LO :	INIST-2283.354000093823500140
ID :	01-0091403

Links to Exploration step

Pascal:01-0091403

Le document en format XML

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<front><div type="abstract" xml:lang="en">Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training: or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology.</div>
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<server><NO>PASCAL 01-0091403 INIST</NO>
<ET>The 18-month impact of an emergency room intervention for adolescent female suicide attempters</ET>
<AU>ROTHERAM-BORUS (Mary Jane); PIACENTINI (John); CANTWELL (Coleen); BELIN (Thomas R.); SONG (Juwon)</AU>
<AF>University of California/Los Angeles/Etats-Unis (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of consulting and clinical psychology; ISSN 0022-006X; Coden JCLPBC; Etats-Unis; Da. 2000; Vol. 68; No. 6; Pp. 1081-1093; Bibl. 1 p.1/2</SO>
<LA>Anglais</LA>
<EA>Following a suicide attempt by female adolescents, the impact of a specialized emergency room (ER) care intervention was evaluated over the subsequent 18 months. Using a quasi-experimental design, this study assigned 140 female adolescent suicide attempters (SA), ages 12-18 years, and their mothers (88% Hispanic) to receive during their ER visit either: (a) specialized ER care aimed at enhancing adherence to outpatient therapy by providing a soap opera video regarding suicidality, a family therapy session, and staff training: or (b) standard ER care. The adjustment of the SA and their mothers was evaluated over 18 months (follow-up, 92%) using linear mixed model regression analyses. SA's adjustment improved over time on most mental health indices. Rates of suicide reattempts (12.4%) and suicidal reideation (29.8%) were lower than anticipated and similar across ER conditions. The specialized ER care condition was associated with significantly lower depression scores by the SA and lower maternal ratings on family cohesion. Significant interactions of intervention condition with the SA's initial level of psychiatric symptomatology indicated that the intervention's impact was greatest on maternal emotional distress and family cohesion among SA who were highly symptomatic. SA's attendance at therapy sessions following the ER visit was significantly associated with only one outcome-family adaptability. Specialized ER interventions may have substantial and sustained impact over time, particularly for the parents of youth with high psychiatric symptomatology.</EA>
<CC>002B18I05C</CC>
<FD>Tentative suicide; Etude longitudinale; Efficacité traitement; Psychothérapie familiale; Service urgence; Relation mère enfant; Interaction sociale; Adolescent; Femelle</FD>
<FG>Homme</FG>
<ED>Suicide attempt; Follow up study; Treatment efficiency; Family psychotherapy; Emergency department; Mother child relation; Social interaction; Adolescent; Female</ED>
<EG>Human</EG>
<SD>Tentativa suicidio; Estudio longitudinal; Eficacia tratamiento; Psicoterapia familiar; Servicio urgencia; Relación madre niño; Interacción social; Adolescente; Hembra</SD>
<LO>INIST-2283.354000093823500140</LO>
<ID>01-0091403</ID>
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The 18-month impact of an emergency room intervention for adolescent female suicide attempters

The 18-month impact of an emergency room intervention for adolescent female suicide attempters

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