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Evaluation ViewAttendees 4

Suicide and Self-Injury
Symposia

Symposium 34 - Developing and Adapting Technological Interventions to Prevent Youth Suicide in Primary Care

Friday, November 15, 2024
12:30 PM – 2:00 PM EST
Location: Grand Ballroom F, Level 5, Downtown Marriott
CE: 1.5

Keywords: Suicide, Adolescents, Primary Care
Level of Familiarity: Basic to moderate
Recommended Readings: Kruzan, K. P., Meyerhoff, J., Biernesser, C., Goldstein, T., Reddy, M., & Mohr, D. C. (2021). Centering lived experience in developing digital interventions for suicide and self-injurious behaviors: user-centered design approach. JMIR Mental Health, 8(12), e31367.,  

Sheftall, A. H., Vakil, F., Ruch, D. A., Boyd, R. C., Lindsey, M. A., & Bridge, J. A. (2022). Black youth suicide: investigation of current trends and precipitating circumstances. Journal of the American Academy of Child & Adolescent Psychiatry, 61(5), 662-675.

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Williamson, A. A., Soehner, A. M., Boyd, R. C., Buysse, D. J., Harvey, A. G., Jonassaint, C. R., ... & Goldstein, T. R. (2022). A protocol for applying health equity-informed implementation science models and frameworks to adapt a sleep intervention for adolescents at risk for suicidal thoughts and behaviors. Frontiers in Public Health, 10, 971754.

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Youth suicide is a major public health concern, and Black youth have experienced disproportionate increases in suicide risk in recent years (e.g., Sheftall et al., 2022). Adolescent suicide risk is often uncovered during routine depression screening in pediatric primary care, yet follow-up care received after that risk is detected has been variable (Davis et al., 2021). Developing and testing scalable solutions, including digital mental health tools, for adolescent suicide prevention is important for addressing this public health crisis.
The current symposium includes four presentations involving data from an NIMH-funded P50 Center. The Enhancing Treatment and Utilization for Depression and Emergent Suicidality (ETUDES) Center aims to improve upon the detection and management of adolescent suicide risk in primary care. The Center has a specific focus on health equity and addressing the growing crisis of Black youth suicide. The symposium will showcase diverse ways to leverage technology and partner with community members to develop and adapt adolescent suicide prevention tools.
The first presentation, “Implementation of a Light-Touch Prevention Program for Teens at Risk for Suicide,” will detail adaptations made to enhance youth engagement with a suite of suicide prevention mobile tools.
Each of the other papers describe feedback received in the process of developing and adapting digital tools for addressing specific risk factors for suicide. In particular, the second presentation, “Technology as Both a Barrier and Facilitator in Addressing Sleep Disturbances Among Adolescents At-Risk for Suicide,” will describe youth, caregiver, and clinician perceptions of the use of technology in the context of a sleep intervention for adolescents. In the third presentation, “Perceptions of Teens and Caregivers on SMILEY, an Automated Depression and Suicide Prevention Intervention for Online Victimized, At-Risk Youth: A Qualitative Study in Pediatric Primary Care Settings,” caregiver and adolescent feedback gathered to inform the development of a chatbot meant to address online victimization will be presented. The fourth presentation, “Adolescent and Parent Perspectives on a Behavioral Activation App to Address Anhedonia” will provide insights from families on ways to enhance a health-coach facilitated mobile application for behavioral activation.
At the conclusion, the discussant will make summary statements and moderate a discussion on digital mental health interventions for youth, key considerations for intervention adaptations, and suicide prevention in primary care.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Gain exposure to different technological approaches being developed and tested for mitigating youth suicide risk in routine care settings.
  2. Identify key considerations for adapting youth suicide prevention tools.
  3. Develop an understanding of ways to engage community partners to augment suicide prevention programming for adolescents.
  4. Describe potential barriers and facilitators of implementing digital mental health tools in primary care.
  5. Consider ways to incorporate an eye towards implementation at various stages of intervention development.

Presentations:

  • 12:30 PM – 2:00 PM EST
    (SYM 34) Implementation of a Light-touch Prevention Program for Teens at Risk for Suicide

    Speaker: Karen T. G. Schwartz, Ph.D. (she/her/hers) – Children's Hospital of Philadelphia

    Co-author: Molly Davis, Ph.D. (she/her/hers) – Children's Hospital of Philadelphia

    Co-author: Stephanie Stepp, PhD (she/her/hers) – University of Pittsburgh

    Co-author: Tina Goldstein, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

    Co-author: Candice Leeann Biernesser, M.P.H., Ph.D., MSW (she/her/hers) – University of Pittsburgh

    Co-author: Rachel A. Vaughn-Coaxum, Ph.D. – University of Pittsburgh School of Medicine

    Co-author: Ana Radovic, MD – Children's Hospital of Pittsburgh

    Co-author: Nadine Melhem, PhD – University of Pittsburgh

    Co-author: Jami Young, Ph.D. (she/her/hers) – Childrens Hospital of Philadelphia

    Co-author: David Brent, MD – University of Pittsburgh

  • 12:30 PM – 2:00 PM EST
    (SYM 34) Technology as Both a Barrier and Facilitator in Addressing Sleep Disturbances Among Adolescents At-risk for Suicide

    Speaker: Giana I. Teresi, M.S. (she/her/hers) – University of Pittsburgh

    Co-author: Ariel Willamson, PhD, DBSM (she/her/hers) – Ballmer Institute for Children’s Behavior Health, University of Oregon

    Co-author: Adriane Soehner, PhD (she/her/hers) – Department of Psychiatry, University of Pittsburgh School of Medicine

    Co-author: Megan Hamm, PhD (she/her/hers) – Department of Medicine, University of Pittsburgh

    Co-author: José Luiggi-Hernández, PhD, MPH – University of Pittsburgh

    Co-author: Karla Good, LCSW (she/her/hers) – Department of Psychiatry, University of Pittsburgh School of Medicine

    Co-author: Delaney Wilkinson, BS (she/her/hers) – Department of Psychiatry, University of Pittsburgh School of Medicine

    Co-author: Peter Franzen, PhD – University of Pittsburgh

    Co-author: Tina Goldstein, Ph.D. (she/her/hers) – University of Pittsburgh School of Medicine

  • 12:30 PM – 2:00 PM EST
    (SYM 34) Perceptions of Teens and Caregivers on SMILEY, an Automated Depression and Suicide Prevention Intervention for Online Victimized, At-risk Youth: A Qualitative Study in Pediatric Primary Care Settings

    Speaker: Candice Leeann Biernesser, M.P.H., Ph.D., MSW (she/her/hers) – University of Pittsburgh

    Co-author: César Escobar-Viera, M.D., Ph.D. – University of Pittsburgh School of Medicine

    Co-author: Jason Jones, Ph.D. – Perelman School of Medicine at the University of Pennsylvania

    Co-author: Megan Hamm, PhD (she/her/hers) – Department of Medicine, University of Pittsburgh

    Co-author: José Luiggi-Hernández, PhD, MPH – University of Pittsburgh

    Co-author: Schmitt Tylar, BA – University of Pittsburgh

    Co-author: Jillian Sullivan, BS – University of Pittsburgh

  • 12:30 PM – 2:00 PM EST
    (SYM 34) Adolescent and Parent Perspectives on a Behavioral Activation App to Address Anhedonia

    Speaker: Rhonda Boyd, Ph.D. (she/her/hers) – Children’s Hospital of Philadelphia

    Co-author: Charles Jonassaint, PhD – University of Pittsburgh

    Co-author: Nicholas Allen, PhD – University of Oregon

    Co-author: Randy Auerbach, PhD, ABPP – Department of Psychiatry, Columbia University

    Co-author: Megan Hamm, PhD (she/her/hers) – Department of Medicine, University of Pittsburgh

    Co-author: José Luiggi-Hernández, PhD, MPH – University of Pittsburgh

    Co-author: Jamie Zelazny, PhD, MPH, RN – University of Pittsburgh