Adolescents psychiatrically
hospitalized following a suicide attempt are at high risk for a repeat attempt
or suicide completion, and substance use is consistently implicated as a risk
factor for continued suicidal behavior in adolescents. Despite this knowledge,
there have been few studies that have investigated the effectiveness of
combined suicidality and substance use interventions within acute psychiatric
care settings for suicidal youth with substance use problems. While social
workers are well-positioned to deliver such interventions, greater emphasis on
teaching integrated therapeutic techniques in social work curriculum and
professional training is needed to ensure their implementation.
Below: A proposed mechanism of change model for adolescents receiving a brief motivational intervention for substance abuse in a psychiatric hospital following a suicide attempt.
...A significant proportion of
adolescents who attempt suicide have a comorbid substance use disorder.
Substance use, particularly alcohol use, puts suicidal adolescents at greater
risk for repeat suicide attempts and eventual suicide completion. Adolescents with
comorbid substance use disorders and suicidality may benefit from the
implementation of I-CBT techniques in inpatient psychiatric settings to address
the co-occurring problems, especially those that utilize a family component.
For adolescents who do not meet full criteria for a substance use disorder, or
meet this criteria but are in the pre-contemplation stage of change, MI may be
a more feasible and effective intervention to implement during their
psychiatric hospitalization, as this inpatient stay can often serve as a
critical teaching moment for adolescents who have just attempted suicide. In
these teachable moments, interventions such as MI can be useful in helping the
adolescents understand the relationship between their substance use and continued
suicidal thoughts and behaviors, and in doing so prepare them for change.
Social workers are well-positioned to deliver such interventions in acute care
settings, but greater devotion to teaching such integrated interventions in
social work curriculum and professional training is needed.
Full article at: http://goo.gl/2weObh
By:
Kimberly H. McManama O'Brien, Center for Alcohol &
Addiction Studies, Brown University, Providence, Rhode Island, USA
Address correspondence to Kimberly H. McManama O'Brien, PhD,
LICSW, Brown University, Center for Alcohol & Addiction Studies, Box
G-S121-4, Providence, RI 02912, USA. Email: ude.nworb@neirbo_ylrebmik
More at: https://twitter.com/hiv_insight
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