Suicide is one of the leading causes of death for adolescents in the United States. When a suicidal adolescent arrives in the emergency department, the most common recommended treatment is inpatient psychiatry. Although there are other treatment settings and methods, inpatient treatment has become the standard care for the treatment of suicidal adolescents despite often causing problems and being ineffective for some patients and their families.
This study seeks to address the problem concerning the treatment of suicidal adolescents and evaluate the strategies of optimizing assessment and treatment for this population. Currently, there is an evidence gap in treatment guidelines for suicidal adolescents and which treatment setting is the most effective for their treatment. By comparing outpatient crisis intervention clinics (OCIC) and inpatient psychiatry treatment, we expect to provide the needed evidence for a lower risk of a suicidal event in the OCIC treatment group, as well as higher treatment satisfaction and higher satisfaction with life for patients and their parents in the OCIC treatment group.
This study is important because of the clinical burden that the assessment and treatment of adolescent suicidality places on patients, families, and clinicians. The disadvantages of inpatient psychiatry treatment and the continuously increasing number of suicidal adolescents are why there is a demand for this study by patients and families. Throughout this study, patients, parents, and other stakeholders will be thoroughly involved as research partners, co-investigators, and advisors, along with being members of study committees. Their involvement will help ensure the study remains patient centered. Patients, parents, and stakeholders will play a part in every aspect of this study, working with researchers to make sure this study is successful.
Complementary and Alternative Medicine
Other Clinical Interventions
Other Health Services Interventions
Training and Education Interventions
*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.