Qualitative interviews for a brief suicide intervention and safety plan telephone application
We will interview 5 current patients and 5 of their parents (mix of inpatient and outpatient). The general domains of inquiry will reflect conceptual elements of our proposed aSaP manual and will explore patient experiences, attitudes and beliefs related to the transition from crisis care to outpatient follow-up care. We will elicit respondent perspectives relating to: (a) adherence, e.g., what are factors that might either facilitate or impede a transition to, and adherence with outpatient care and associated questions and concerns; (b) Safety Plan, what elements (e.g., resources, strategies, people) do patients/families imagine would be helpful to them during suicidal urges/crises, what factors might trigger such a crisis, what elements have been helpful in the past, and what barriers they might anticipate to successfully coping with suicidal urges (c); affect Protection; elements that might contribute to an increased sense of control.
We will conduct interviews with a mix of 5 inpatient and outpatient clinicians at each site. in addition to exploring the conceptual elements of aSaP with the clinicians, we will share responses from patients and families, and will solicit provider feedback regarding those responses. Building on patient reported needs, we will solicit provider expectations on requisite elements and continuity of care, timing, referral processes, and implications for outpatient treatment. We will integrate the themes from all respondents to inform development of the treatment manual, components of intervention, and the app. investigators will independently read the transcripts and code for common elements in an iterative fashion to identify consistent themes using standard qualitative approaches. We will develop a codebook to document our procedures, and compare and contrast codes and respective quotations across respondents. Coding discrepancies will be discussed and conflicts between raters resolved through discussion with other investigators.
outcome Variables- Participant's responses and opinion about developing a short intervention for suicide attempters and a telephone application for safety planning
Study endpoint- Study will conclude when 5 patients, 5 family members, and 5 clinicians have been interviewed by study staff. no follow up will be required for this study.
- Adolescents (aged 12-17 years) currently in outpatient/inpatient treatment at UTSW/CMC and whose treatment included safety planning for management of suicidal ideation.
- Parent of a suicidal teen who is legally authorized to provide informed consent for research purposes
Clinicians: Inpatient or outpatient clinicians working on child and adolescent inpatient units, partial hospitalization program or outpatient clinics