# Integrated Electronic and Care Manager Support Intervention for Caregivers of Adolescents with Suicide Attempts

> **NIH NIH R34** · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 2020 · $234,097

## Abstract

Adolescents
suicida
further
need,
vulnerable
which
recent
period
supports
reduced
who have been hospitalized after attempting suicide are at high r isk for engaging in additional
l behavior. Following hospitalization, parents or guardians are typically tasked with helping to prevent
 suicidal episodes by monitoring youth, ensuring safety in the home, helping youth receive t he care they
and parenting in a way that balances expectations for appropriate behavior with recognition of the
status of the adolescents. Despite parental efforts, these adolescents often have additional c rises,
sometimes ulminate in emergency department visits and repeat hospitalizations. Findings from our
longitudinal study of mothers after adolescent hospitalization for suicide attempts suggested tha the
of time following discharge from t he hospital can be a very important time for providing services and
to youth and families. Parents i n that study described emotional distress (e.g., depression, anxiety),
parenting self-efficacy, and said
c
t
that they would have benefited from more information about suicidal
youth and their treatment needs, parenting and monitoring of suicidal youth, and support in navigating the
treatment system. Given these needs, the purpose of this study is to develop, refine, and preliminarily test an
integrated electronic (mHealth) and care support manager services intervention for caregivers of adolescents
who have made a recent suicide attempt. It is our expectation that such an intervention will provide needed
information and supports to parents, increase their parenting self-efficacy, increase their ability to follow safety
plans in the home, reduce their emotional distress, and help parents access needed services in the
community. As a consequence of these proximal outcomes, we expect the intervention will help facilitate
treatment engagement and follow through for youth and caregiver, and reduce use of emergency mental health
services and hospitalizations. The first aim of the project is to develop and refine standard procedures for the
care support manager and mHealth intervention. The second aim is to develop procedures for care manager
training, as the care manager will provide the supports in this intervention. In the context of an open trial, the
third aim is to assess the feasibility of this intervention, and to use experiences from implementing the
intervention and feedback from caregivers and care support managers to refine the intervention. The last aim
is to obtain, in a pilot randomized controlled trial, preliminary estimates of treatment effectiveness relative to
enhanced treatment as usual. The proposed adaptive services intervention development research is intended
to demonstrate the feasibility and potential utility of an intervention that will be embedded in the existing care
system (psychiatric inpatient unit) for suicidal youth and their families, and ultimately, improve engagement in
services and client outcomes in high-r...

## Key facts

- **NIH application ID:** 9894857
- **Project number:** 5R34MH112811-03
- **Recipient organization:** WAKE FOREST UNIVERSITY HEALTH SCIENCES
- **Principal Investigator:** STEPHANIE S DANIEL
- **Activity code:** R34 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $234,097
- **Award type:** 5
- **Project period:** 2018-04-01 → 2023-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9894857

## Citation

> US National Institutes of Health, RePORTER application 9894857, Integrated Electronic and Care Manager Support Intervention for Caregivers of Adolescents with Suicide Attempts (5R34MH112811-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9894857. Licensed CC0.

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