Predictors of Parent Behavioral Engagement in Youth Suicide Discharge Recommendations: Implications for Family-Centered Crisis Interventions
| Autor: | Victor Hong, Patricia K. Smith, Eskira Kahsay, Christina S. Magness, Cheryl A. King, Jonathan Martindale, Elaina Baker, Gigi Colombini, Cynthia Ewell Foster, Isabella Cavataio, John Kettley, Ewa K. Czyz |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Parents Suicide Prevention 050103 clinical psychology Adolescent Best practice Psychological intervention Family centered care Developmental and Educational Psychology Humans 0501 psychology and cognitive sciences Prospective Studies Child Prospective cohort study 05 social sciences Stressor Emergency department Patient Discharge Psychiatry and Mental health Distress Crisis Intervention Pediatrics Perinatology and Child Health Female Suicide crisis Psychology 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Child Psychiatry & Human Development. 53:1240-1251 |
| ISSN: | 1573-3327 0009-398X |
| DOI: | 10.1007/s10578-021-01176-9 |
| Popis: | The number of youth presenting to Emergency Departments (EDs) with psychiatric chief complaints has almost doubled in the last decade. With pediatric patients, ED brief interventions and discharge recommendations necessitate meaningful parental engagement to optimize youth safety and support. This study examined parent-level factors (stigmatizing attitudes, self-efficacy beliefs, distress symptoms, and illness-related stressors) in relation to parents' behavioral engagement (i.e., participation in and follow-through with best practice discharge recommendations). In this short-term prospective study, participants were 118 parent-youth (aged 11-18) dyads (57% female) recruited from a psychiatric ED. Parents' behavioral engagement was measured with parent- and youth-self report at 2-week follow-up. Parents' self-reported anxious and depressive symptoms, insomnia, stress, and stigmatizing attitudes were not related to engagement 2 weeks later. Higher parental self-efficacy beliefs were significantly associated with greater engagement in standard discharge recommendations. Implications for maximizing parent implementation of clinical recommendations during a youth suicide crisis are discussed. |
| Databáze: | OpenAIRE |
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