Feasibility, acceptability, and preliminary effects of a brief alcohol intervention for suicidal adolescents in inpatient psychiatric treatment.

Autor: McManama O'Brien KH; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America; Harvard Medical School, Department of Psychiatry, 25 Shattuck St., Boston, MA 02115, United States of America; Education Development Center, Department of Innovation in Practice and Technology, 43 Foundry Ave, Waltham, MA 02453, United States of America. Electronic address: KimberlyH.M.OBrien@childrens.harvard.edu., Sellers CM; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America. Electronic address: Christina.Sellers@childrens.harvard.edu., Battalen AW; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America. Electronic address: Adeline.Battalen@childrens.harvard.edu., Ryan CA; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America; Children's Specialized Hospital, Department of Medicine, 200 Somerset St., New Brunswick, NJ 08901, United States of America. Electronic address: Colleen.Ryan@childrens.harvard.edu., Maneta EK; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America; Harvard Medical School, Department of Psychiatry, 25 Shattuck St., Boston, MA 02115, United States of America. Electronic address: Eleni.Maneta@childrens.harvard.edu., Aguinaldo LD; Brown University, Department of Psychiatry and Human Behavior, 121 South Main St., Providence, RI 02912, United States of America. Electronic address: Laika_Aguinaldo@brown.edu., White E; Boston Children's Hospital, Department of Psychiatry, 300 Longwood Ave, Boston, MA 02115, United States of America; Harvard Medical School, Department of Psychiatry, 25 Shattuck St., Boston, MA 02115, United States of America; Mightier, Boston, 200 Portland St., MA 02114, United States of America. Electronic address: Erina.White@childrens.harvard.edu., Spirito A; Brown University, Department of Psychiatry and Human Behavior, 121 South Main St., Providence, RI 02912, United States of America. Electronic address: Anthony_Spirito@brown.edu.
Jazyk: angličtina
Zdroj: Journal of substance abuse treatment [J Subst Abuse Treat] 2018 Nov; Vol. 94, pp. 105-112. Date of Electronic Publication: 2018 Sep 01.
DOI: 10.1016/j.jsat.2018.08.013
Abstrakt: Alcohol use, both short-term intoxication and longer-term use, is a notable risk factor for suicide. Despite the strong relationship between alcohol use and suicidal thoughts and behaviors, providers typically treat these two problems independently. In particular, acute psychiatric care hospitalizations for adolescents are typically brief, and many only cursorily address alcohol use. Integrating a brief motivational enhancement intervention for alcohol use into an inpatient psychiatric hospitalization treatment protocol has the potential to enhance motivation to stop or reduce drinking if adolescents can more fully understand how it increases risk for suicidal behavior. This study tested the feasibility, acceptability, and preliminary effects of the Alcohol and Suicide Intervention for Suicidal Teens (ASIST), a brief motivational enhancement intervention targeting alcohol use and suicidal thoughts and behaviors for suicidal adolescents receiving inpatient psychiatric treatment. Results from a randomized pilot trial of ASIST (N = 50) revealed that the intervention was both feasible and acceptable, with 92% of those in the ASIST condition reporting that the intervention helped them to understand how their alcohol use is related to their suicidal thoughts and behaviors. Study findings suggest a larger randomized controlled trial may be warranted to test the effectiveness of ASIST with psychiatrically hospitalized adolescents.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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