Evidence map›Paper›PMID 39058987›Full record

ArticleRhode Island medical journal (2013)2024

Development of an Emergency Department Family Navigator and Text Message Intervention for Caregivers to Reduce Youth Risk of Suicide and Self-injurious Behavior.

Mary Kathryn Cancilliere, Kate M Guthrie, Kathleen Donise, Timmy Lin, Lindsay Orchowski, Anthony Spirito

Registry-linked trialAbstract read
PubMed Full text at PMC
In one paragraph

Article in Rhode Island medical journal (2013), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07092345 (An Adaptive Intervention to Increase Engagement to Community-based Care After an ED Admission), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07092345 narecruitingnot on this mapstarted 2025, after this paper: background citation

An Adaptive Intervention to Increase Engagement to Community-based Care After an ED Admission: For Youth at Risk for Suicide and Self-injurious Behavior

TypeinterventionalSponsorRhode Island HospitalRan2025 to 2029Enrolled186ConditionsSuicidal and Self-injurious Behavior, Linkage to CareArmsadaptive intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mary Kathryn CancilliereRhode Island Hospital/Hasbro Children's Hospital, Providence, RI; Department of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI.
Kate M GuthrieDepartment of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI; The Miriam Hospital, Providence, RI.
Kathleen DoniseDepartment of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI; Emma Pendleton Bradley Hospital, East Providence, RI.
Timmy LinRhode Island Hospital, Providence, RI.
Lindsay OrchowskiDepartment of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI; The Miriam Hospital, Providence, RI.
Anthony SpiritoDepartment of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI.

Funding

The development of a family navigator intervention and prevention protocol to reduce risk of suicide and self-injurious behavior for youth aged 10 to 14 years.P20GM139664 · NIGMS · RHODE ISLAND HOSPITAL · PI Michael J Mello · 2022 to 2026
$13.3M
NIGMS NIH HHS P20 GM139664
6 · The paper itself

Abstract

backgroundSuicide and self-injurious behavior (SSIB) in youth 10 to 14 years old has rapidly increased, with suicide rates for youth 10 to 18 years being the second leading cause of death. Youth with SSIB seen in the Emergency Department (ED) are often discharged to the community, yet less than 40% receive subsequent mental health (MH) care within 30 days. This open pilot study examined the feasibility, acceptability, and sample characteristics of a two-component Family Navigator with text messaging intervention, ED REaCH, for caregivers of youth with SSIB discharged from the ED.

methodsSixteen dyads of youth (M=12.67; SD=1.09) seeking emergency care for SSIB and their caregivers were enrolled from the ED of a pediatric hospital in the northeast US from November 2023 to March 2024. Dyads were enrolled in the ED REaCH intervention consisting of navigation procedures to promote linkage to care, engagement in community-based MH care for youth with SSIB, and a digital platform to extend purported mechanisms underlying the intervention's efficacy (MH literacy, MH communication, and MH engagement). Data was collected on measures of social identities, demographics, functioning, MH services, and intervention satisfaction.

resultsAll (100%) caregivers accepted the text messages. Most (75%) utilized the Family Navigator and completed the intervention feedback interviews. Overall, caregivers endorsed positive experiences and satisfaction with the two-component intervention. All caregivers who utilized the Family Navigator reported that 100% of youth attended MH care.

conclusionPreliminary findings suggest that the content and delivery methods of this intervention are perceived by caregivers as feasible and acceptable. As such, next steps include the evaluation of the ED REaCH intervention in a randomized clinical trial design. Future directions need to focus on intervention scalability, adaptability, personalization, and sustainability.

Indexed as

CaregiversEmergency Service, HospitalSelf-Injurious BehaviorSuicide PreventionText MessagingAdolescentChildFemaleHumansMalePilot ProjectsEmergency DepartmentFamily NavigatorSuicideText MessagesYouth

Identifiers

PMID39058987
PMCPMC11619757

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.