Breaking News
December 11, 2018 - Optimization of drug dose sizes can reduce pharmaceutical wastage
December 11, 2018 - Ultrarestrictive opioid prescribing strategy linked with reduction in number of pills dispensed
December 11, 2018 - PET scans to optimize tuberculosis meningitis treatments and personalize care, study finds
December 11, 2018 - Researchers aim to identify and target high blood pressure indicators
December 11, 2018 - Ezogabine treatment reduces motor neuron excitability in ALS patients, study shows
December 11, 2018 - One implant, two prices. It depends on who’s paying.
December 11, 2018 - Standardizing feeding practices improves growth trends for micro-preemies
December 11, 2018 - COPD Tied to Obesity in Male, Female Never-Smokers
December 11, 2018 - Flossing: Information for Caregivers
December 11, 2018 - Does breastfeeding hormone protect against type 2 diabetes?
December 11, 2018 - Krystal 2000 microplate design improves fluorescence and luminescence measurement
December 11, 2018 - FDA clears mobile medical app to help increase retention in recovery program for opioid use disorder
December 11, 2018 - Overcoming Challenges in High-Speed Centrifugation Experiments
December 11, 2018 - Study shows link between neighborhoods’ socioeconomic status and dietary choices
December 11, 2018 - Lower BMI before obesity surgery predicts greater post-operative weight loss, study finds
December 11, 2018 - Obesity May Be Driving Rise in Uterine Cancers
December 11, 2018 - Antioxidants may prevent cognitive impairment in diabetes
December 11, 2018 - Study discovers link between meditation and how individuals respond to feedback
December 11, 2018 - Researchers identify potential diagnostic tool for Alzheimer’s disease
December 11, 2018 - Oral cancer prognostic signature identified
December 11, 2018 - How Can I Find Out What Caused My Miscarriage?
December 11, 2018 - Novel personalized medicine tool for assessing inherited colorectal cancer syndrome risk developed
December 11, 2018 - Study uncovers 11 new genes associated with epilepsy
December 11, 2018 - Filling research gaps could help develop more disability-inclusive workplaces
December 11, 2018 - Cartilage tissue engineering brings good news for patients with cartilage defects
December 11, 2018 - Novel 3D printing workflow helps predict leaky heart valves
December 11, 2018 - Imagination can help overcome fear and anxiety-related disorders, shows study
December 11, 2018 - Are caries linked to political regime?
December 11, 2018 - Leader in Diabetes Clinical Trials Wins Naomi Berrie Award
December 11, 2018 - Scientists discover cellular mechanism that triggers pneumonia in humans
December 11, 2018 - Increasing mental health problems related to drug use in over 55’s
December 11, 2018 - High-intensity interval exercise could help combat cognitive dysfunction in obese people
December 11, 2018 - Annual flu shot can save lives of heart failure patients
December 11, 2018 - Researchers compare health outcomes for VA and non-VA hospitals
December 11, 2018 - Recommendations Developed for Psoriatic Arthritis Treatment
December 11, 2018 - Genetic analysis links obesity with diabetes, coronary artery disease
December 11, 2018 - Study shows that having genetic information can affect how the body responds
December 11, 2018 - UNAIDS Report: 9 Million Are Likely HIV Positive And Don't Know It
December 11, 2018 - Lund University researchers succeed in obtaining dendritic cells by direct reprogramming
December 11, 2018 - Breast tumors recruit bone marrow cells to boost their growth, study reveals
December 11, 2018 - Updated breast cancer screening guideline highlights importance of shared decision-making
December 11, 2018 - EHR-related stress associated with physician burnout
December 11, 2018 - AHA: 12-Year-Old Heart Defect Survivor Inspires NFL Player’s Foundation
December 11, 2018 - Breast cancer patients who take heart drug with trastuzumab have less heart damage
December 11, 2018 - Providing aid to those humans – and animals – affected by the California fires
December 11, 2018 - Even without proof, CBD is finding a niche as a cure-all
December 11, 2018 - Drawing leads to better memory than writing
December 11, 2018 - Researchers report novel findings on plant hormone
December 10, 2018 - A Tale of Two Labels
December 10, 2018 - Triple combination cancer immunotherapy improves outcomes in preclinical melanoma model
December 10, 2018 - A 14-year-old explains what it’s like to get a new heart
December 10, 2018 - Team Players Honored with 2018 Baton Awards
December 10, 2018 - Global report highlights how the changing world is affecting children’s physical activity levels
December 10, 2018 - Genes play a role in physical activity and sleep
December 10, 2018 - DDT in Alaskan fish shown to increase risk of cancer
December 10, 2018 - Laws to curb use of cell phones have greatly reduced fatalities for motorcyclists
December 10, 2018 - Argenx Provides Detailed Data from Phase 2 Clinical Trial of Efgartigimod in Immune Thrombocytopenia and Phase 1/2 Clinical Trial of Cusatuzumab in Acute Myeloid Leukemia
December 10, 2018 - University of Maryland doctors treat first breast cancer patients with GammaPod radiotherapy
December 10, 2018 - The heartbeat seat: Demoing new well-being technologies in a car
December 10, 2018 - Leading Cancer Researcher to Direct Herbert Irving Comprehensive Cancer Center
December 10, 2018 - Researchers explore how glial cells develop in the brain from neural precursor cells
December 10, 2018 - Study compares pain-related diagnoses in First Nations and non-First Nations children, youth
December 10, 2018 - Experts address sleep disorders following traumatic brain injury
December 10, 2018 - Scientists find answers to how cancer spreads
December 10, 2018 - Study explores why older people read more slowly
December 10, 2018 - Smart life-collar could save lives of young children
December 10, 2018 - Asbestos found in most NHS hospitals finds BBC inquiry
December 10, 2018 - Researchers use new technique to probe hydrogen bonds
December 10, 2018 - Music improves social communication in autistic children
December 10, 2018 - Some Brain Tumors May Respond to Immunotherapy, New Study Suggests
December 10, 2018 - Banning junk food ads to combat childhood obesity
December 10, 2018 - Skin Autofluorescence Predicts T2DM, Heart Disease, Mortality
December 10, 2018 - Largest autism sequencing study to date yields 102 genes associated with ASD
December 10, 2018 - Statins associated with low risk of side effects
December 10, 2018 - Episodic memory tests help in predicting brain atrophy and Alzheimer’s disease
December 10, 2018 - Study explores how schools address adolescent self-harming practices
December 10, 2018 - Pregnancy in adolescence linked to increased risks of complications in young mothers
December 10, 2018 - Risk Analysis publishes special issue on communicating about Zika virus
December 10, 2018 - Botox May Help Prevent Post-Op A-Fib
December 10, 2018 - African-American mothers rate boys higher for ADHD
Intervention program that includes a personalized app could benefit teens with suicidal thoughts

Intervention program that includes a personalized app could benefit teens with suicidal thoughts

image_pdfDownload PDFimage_print

A troubled teenager is hospitalized with suicidal thoughts. The patient is diagnosed, medicated, and counseled by a team of experts.

The teen is sent home a few days later, and the following week the parent finds the child’s bedsheets fashioned into a noose.

The scenario is tragically common in the field of psychiatry, which has long struggled to develop strategies to help adolescents cope with recurring thoughts of suicide in the weeks after leaving the hospital.

A preliminary study from UT Southwestern’s O’Donnell Brain Institute shows an intervention program that includes a personalized app could make a difference: Researchers found the rate of attempted suicides by teenagers who received the intervention was halved compared to those who received the standard care during their hospitalization.

“Those first few weeks between leaving the hospital and receiving outpatient care is a high-risk time for these adolescents,” said Dr. Betsy Kennard, Professor of Psychiatry at UT Southwestern. “We’re trying to equip them with the tools they need when they become distressed – skills that may not be taught during standard inpatient treatment because there’s so much that goes into just stabilizing patients during their few days in the hospital.”

The intervention program is brief – about three hours – and consists of therapists offering various coping strategies and learning some of the patient’s favorite activities and fond memories. This information is programmed into an app that the teen uses after being discharged from the hospital.

The app, called BRITE, prompts them daily to rate their mood and offers personalized recovery strategies when they’re distressed. For instance, one patient may be encouraged to play an enjoyable video game or sift through family photos that were uploaded to the app. Another may watch a meditation video, or – if all else fails – access the suicide emergency numbers programmed into BRITE.

“These are some of the coping mechanisms that teens may forget when facing suicidal urges,” Dr. Kennard said. “We hoped that this intervention would promote safety at a vulnerable time, and the preliminary results are promising along these lines.”

The study published in the American Journal of Psychiatry tracked the cases of 66 patients ages 12-18 who were hospitalized after attempting or contemplating suicide. Thirty-one percent of those who received standard care attempted to kill themselves within 24 weeks of being sent home; the rate was nearly halved for those who received the intervention program and app.

The research comes amid a rising national suicide rate, particularly among teenagers. From 2007-2015, the adolescent suicide rate doubled among females and increased 30 percent among males. Previous research estimates a large proportion of these suicide attempts occur in the first three weeks of outpatient treatment following a hospital stay.

Although other intervention programs have been developed, little research has been done to evaluate how or if they help teens after they are discharged, Dr. Kennard said. Her team plans to begin a larger study later this year evaluating more patients and the individual effects of receiving either the intervention program or BRITE, both, or the standard treatment alone.

If the results are positive, she said, then inpatient psychiatric units across the country may have a new roadmap to help prepare adolescents for the challenges ahead.

“This approach merits further study,” she said. “Focusing on stress tolerance and giving access to positive emotion could be a lifesaving difference for so many patients.”

The app is part of a broader mission by UT Southwestern’s Peter O’Donnell Jr. Brain Institute to understand, treat, and prevent depression among teens.

Prominent in this effort is a universal suicide screening program administered by UT Southwestern physicians at Parkland Hospital to identify at-risk patients. The program is designed to screen not only adults but children as young as 10, regardless of their reason for seeking care.

In addition, UT Southwestern runs a VitalSign6 initiative to help pediatricians and other physicians follow new national guidelines that call for all teenagers to be screened for depression.

And to help teens who aren’t screened in clinics or hospitals, a separate network is being implemented in Texas schools to address the national rise in teen depression and suicide. Besides raising mental health awareness in a vulnerable age group, the Risk and Resilience Network will assist scientists in a range of clinical endeavors, from developing blood and brain tests for diagnosis to identifying effective treatments and interventions.

Source:

https://www.utsouthwestern.edu/newsroom/articles/year-2018/brite-app.html

Tagged with:

About author

Related Articles