Adolescent, parent, and provider perspectives on school-related influences of mental health in adolescents with suicide-related thoughts and behaviors

Marraccini, Marisa E.; Pittleman, Cari; Griffard, Megan; Tow, Amanda C.; Vanderburg, Juliana L.; Cruz, Christina

doi:10.1016/j.jsp.2022.07.001

Cited by 9 publications

(15 citation statements)

References 83 publications

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“…Psychiatric hospitalization for adolescents with STB typically occurs during the school year, 1 with high risk for rehospitalization following the adolescent's reintegration into school 8,9 . School can serve as a protective or risk factor for students with STB, making a smooth transition back to school an integral component of recovery 5,10 . The school context can provide a number of positive supports to mitigate suicide risk, such as connectedness and belonging, 11 adult and peer relationships 12,13 and access to mental health resources 14 .…”

Section: Introductionmentioning

confidence: 99%

“…Although school reentry is a crucial time to support adolescent wellbeing, a minority of schools (16% based on a 2019 survey) have formal reentry procedures in place 18 . Given the post‐discharge risk and associated school‐based protective and risk factors for suicide attempts, 6,19 understanding parent and adolescent experiences can help inform best practices and create additional, systems‐level guidelines for supporting adolescents with STB following hospitalization 10 …”

Section: Introductionmentioning

confidence: 99%

“…8,9 School can serve as a protective or risk factor for students with STB, making a smooth transition back to school an integral component of recovery. 5,10 The school context can provide a number of positive supports to mitigate suicide risk, such as connectedness and belonging, 11 adult and peer relationships 12,13 and access to mental health resources. 14 School-related stressors include difficulties recovering from missed academics, managing symptoms at school, and navigating concerns related to peer perceptions of their hospitalization.…”

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confidence: 99%

“…18 Given the postdischarge risk and associated school-based protective and risk factors for suicide attempts, 6,19 understanding parent and adolescent experiences can help inform best practices and create additional, systems-level guidelines for supporting adolescents with STB following hospitalization. 10 To better explore school reentry experiences following psychiatric hospitalization, researchers have thus far examined the perspectives of school professionals 18,20 ; mental health care professionals 21 ; and hospitalized adolescents. 15,20,22 Across studies, participants highlighted the need for improved procedures to support reentry planning and facilitate communication between families, schools, and hospitals.…”

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confidence: 99%

“…18 Accordingly, a number of studies recommend the development of individualized plans for students returning to school following hospitalization. 10,18 Although guidelines have been provided for school reentry, 23 recommendations have rarely accounted for the experiences of family members during the reentry process. Ecological systems theory provides a framework to conceptualize caregivers' unique position navigating both school and hospital systems throughout the process of their adolescents' hospitalization, discharge, and subsequent return to school.…”

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confidence: 99%

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Caregiver Experiences of Adolescent School Reentry After Adolescent Hospitalization Due to Suicidal Thoughts and Behaviors: Recommendations to Improve Reentry Practices

Vanderburg

Tow

Marraccini

et al. 2022

Journal of School Health

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Background Suicide rates among adolescents increased over the past few decades. Following psychiatric hospitalization, many adolescents return to school, a context that can influence recovery. Families can play an integral role in supporting adolescents through the hospitalization and school reentry process; however, little research has focused on family experiences during adolescent school reentry. Grounded in ecological systems theory, the aim of the present study was to explore the experiences of caregivers whose children were hospitalized for suicidal thoughts and behaviors (STBs) and provide recommendations for the school reentry process. Methods In‐depth interviews were conducted with caregivers (n = 19) whose adolescents returned to school following hospitalization for suicide‐related crises. Researchers analyzed the transcribed interviews using applied thematic analysis. Results Themes emerged regarding academic difficulties during hospitalization; breakdowns in communication between schools, families, and hospitals; logistical challenges during the school reentry planning process; and challenges navigating peer relationships and academics following school reentry. Implications and Conclusions Few reentry recommendations account for the specific challenges faced by families. Recommendations informed by caregiver experiences are needed to ensure that families can effectively support the recoveries of their children. This study presents caregiver‐informed recommendations to facilitate an improved reentry process for caregivers and adolescents.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Caregiver Experiences of Adolescent School Reentry After Adolescent Hospitalization Due to Suicidal Thoughts and Behaviors: Recommendations to Improve Reentry Practices

Vanderburg

Tow

Marraccini

et al. 2022

Journal of School Health

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Potential Harms of Responding to Youth Suicide Risk in Schools

Reinbergs,

Smith,

et al. 2024

Res Child Adolesc Psychopathol

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Training Needs for School Staff Supporting Students Returning to School After a Psychiatric Hospitalization

Henderson Smith,

Hendrickson,

Warren

et al. 2024

School Mental Health

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Supporting students returning to school after a mental health crisis often involves more training than many school staff members receive. With the increase in youth mental health diagnoses, there has also been an increase in the number of youth requiring psychiatric emergency department visits and hospitalizations. As such, this study employed a basic qualitative design to gather the perspectives of school staff who support students’ mental health about their experiences and training needs related to supporting youth returning to school after psychiatric hospitalization. Semi-structured interviews were conducted with 10 school mental health professionals or administrators. Thematic analysis was used to analyze the data. Three themes were identified: (1) most participants received minimal formal training in graduate school on hospital-to-school transition, (2) most participants learned about hospital-to-school transition on the job, and (3) participants made recommendations and identified specific training needs. Implications for training are discussed including a need for variety (e.g., some practitioners need basic training while others need more advanced training) and different format preferences (in-person may be preferred but online asynchronous is more convenient).

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Adolescent, parent, and provider perspectives on school-related influences of mental health in adolescents with suicide-related thoughts and behaviors

Cited by 9 publications

References 83 publications

Caregiver Experiences of Adolescent School Reentry After Adolescent Hospitalization Due to Suicidal Thoughts and Behaviors: Recommendations to Improve Reentry Practices

Caregiver Experiences of Adolescent School Reentry After Adolescent Hospitalization Due to Suicidal Thoughts and Behaviors: Recommendations to Improve Reentry Practices

Potential Harms of Responding to Youth Suicide Risk in Schools

Training Needs for School Staff Supporting Students Returning to School After a Psychiatric Hospitalization

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