Brief Admission for Adolescents Who Self-harm

Study Overview
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Brief Summary
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There is still no consensus on how to manage suicidal behavior in youth with recurrent self-harm at times when the risk for suicide is imminent (1). Brief Admission (BA) has evolved as a promising crisis intervention for adults with self-harm (2). The characteristics of BA is different from other types of admission, being focused on prevention through increased autonomy and self-care, based on structured and voluntary brief self-referrals to hospital (3). As a result of a randomized controlled trial, BA is since January 2019, continuously offered to adults with self-harm at risk for suicide in Skåne (4). Parallel to this clinical trial, the method has been adapted to work in a psychiatric setting for adolescents. At present 24 adolescents have access to the method in Skåne. Clinical experiences from staff are promising, however, the lived experiences have not been collected in a standardized way. The aim of the present study is to gather information on how BA in its present, standardized form works for adolescents, their loved ones and staff working at the ward providing BA. This will be done through semi-structured interviews with: Adolescents using BA and their loved ones Staff working at the ward providing BA. Data will be analyzed with qualitative analysis (5, 6). The ultimate aim is to use these results to optimize the current standardized version of BA for adolescents in order to test in a randomized clinical trial.

Official Title
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Brief Admission by Self-referral for Adolescents Who Self-harm, at Risk for Suicide. A Qualitative Study to Optimise and Standardise the Intervention

Conditions
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Self-Harm, Deliberate, Suicide, Attempted, Suicidal, Non-Suicidal Self Injury

Intervention / Treatment
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* Other: Semi-structured interviews


Participation Criteria
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Eligibility Criteria
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Sample 1: Inclusion Criteria: Adolescents with an active BA contract At least 13 years of age. Able to consent to study participation through written and oral information. Consent from caregivers Given consent to participate Exclusion Criteria: Below the age of 13. Sample 2: Inclusion Criteria: Parents to adolescents with an active BA contract At least 18 years of age. Able to consent to study participation through written and oral information. Given consent to participate Exclusion Criteria: None Sample 3: Inclusion Criteria: Staff working with adolescents with an active BA contract At least 18 years of age. Able to consent to study participation through written and oral information. Given consent to participate Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Adolescents<br>Adolescents with a contract for Brief admission by self-referral | Other: Semi-structured interviews<br>* Each participant will attend a 30-60 minute semi-structured interview conducted by the CI<br>|
| Parents<br>Parents to adolescents with a contract for Brief admission by self-referral | Other: Semi-structured interviews<br>* Each participant will attend a 30-60 minute semi-structured interview conducted by the CI<br>|
| Staff<br>Health care providers who work with adolescents with a contract for Brief admission by self-referral | Other: Semi-structured interviews<br>* Each participant will attend a 30-60 minute semi-structured interview conducted by the CI<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived effective components of Brief Admission for adolescents | Qualitative data from interviews | 60mins | 
| Potential adaptations of the method to better fit adolescents | Qualitative data from interviews | 60mins | 
| Areas where Brief Admission have the most prominent perceived effects in adolescents | Qualitative data from interviews | 60mins |