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Community Mental Health Treatment for Suicidality: Implementation of a Culturally Adapted Youth Suicide Prevention Program

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Abstract

We present preliminary outcomes of an open pilot of a transdiagnostic suicide treatment program adapted for Latinx youth in a community setting. We enrolled 81 youth, aged 12–17 years, referred by their treating clinician for suicidal thoughts and behaviors. Almost 80% were female and over 65% were Latinx. Over 68% had a history of suicide attempt, with 75% having a history of non-suicidal self-injury (NSSI) based on the Columbia Suicide Rating Scale (C-SSRS). Measures of depressive symptoms (Quick Inventory of Depressive Symptomatology, Adolescent Version; QIDS-A17-SR) and suicidal thoughts and risk (Concise Health Risk Tracker; CHRT) were assessed at baseline and end of treatment. Program satisfaction was measured at treatment completion using the Client Satisfaction Questionnaire (CSQ-8). Over 87% of participants completed the program, with an average of 6.71 sessions of the 8-session program attended. Satisfaction with the program was high. No differences were found between those with attempt history and those without on baseline demographic or clinical characteristics. We found a 63.19% decrease in attempts in youth following treatment compared to baseline, given lifetime attempts. Furthermore, there was a 53.42% decrease in NSSI following treatment compared to entrance at baseline, given lifetime NSSI. Although those who had a lifetime attempt had significantly greater depressive symptoms at baseline compared to those without lifetime attempt (14.418 vs. 11.600, p = 0.0324), the two groups converged to similar mild levels of depressive symptoms following treatment (9.891 vs. 9.069, p = 0.5511). While preliminary, acute outcomes of this open pilot show promising results for this culturally adapted suicide prevention program.

Highlights

  • High rates of suicidal thoughts and behaviors in Latinx youth

  • Reduction in suicide risk, NSSI, and depressive symptoms were observed

  • The program was feasible, acceptable in this population

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Authors and Affiliations

  1. Department of Psychiatry, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, #9070, Dallas, TX, 75390-9070, USA

    Betsy D. Kennard, Jane K. Hensley, Jessica K. Heerschap & Rebecca J. Wildman

  2. Division of Psychology, University of Texas Southwestern Medical Center, 1430 Empire Central Dr 2nd Floor, Dallas, TX, 75247, USA

    Betsy D. Kennard, Jessica K. Heerschap & Rebecca J. Wildman

  3. Children’s Health, Children’s Medical Center, 1935 Medical District Dr Dallas, Dallas, TX, 75235, USA

    Betsy D. Kennard, Mehak Gupta, Jane K. Hensley, Jessica K. Heerschap, Alexandra P. Moorehead Durham & Rebecca J. Wildman

  4. Peter O’Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, 75390-8876, USA

    Paul A. Nakonezny

Authors
  1. Betsy D. Kennard
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  2. Mehak Gupta
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  3. Jane K. Hensley
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  4. Jessica K. Heerschap
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  5. Alexandra P. Moorehead Durham
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  6. Rebecca J. Wildman
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  7. Paul A. Nakonezny
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Corresponding author

Correspondence to Betsy D. Kennard.

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Conflict of interest

Dr. Kennard receives royalties from Guilford Press and is on the board of the Jerry M. Lewis, MD Research Foundation and the George G. and Alva Hudson Smith Foundation. Dr. Kennard has research support from American Foundation for Suicide Prevention (AFSP), the National Institutes of Health (NIH), Patient-Centered Outcomes Research Institute (PCORI), and the State of Texas. The other authors declare no competing interests. This study was funded by a UT Southwestern Medical Center Community Pilot grant and the Texas Health and Human Services Commission.

Informed consent

Parental informed consent and participant assent were obtained from all individual participants included in the study prior to data collection.

Ethical approval

All ethical guidelines consistent with the Helsinki Declaration and the American Psychological Association Ethics Code were followed in the conduct of this research. The UT Southwestern Medical Center Institutional Review Board and the Altshuler Center for Education and Research (ACER; Research Committee) approved this study.

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Kennard, B.D., Gupta, M., Hensley, J.K. et al. Community Mental Health Treatment for Suicidality: Implementation of a Culturally Adapted Youth Suicide Prevention Program. J Child Fam Stud 33, 527–537 (2024). https://doi.org/10.1007/s10826-023-02761-3

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  • DOI: https://doi.org/10.1007/s10826-023-02761-3

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