Social and Behavioral Sciences Commons^™

Clinician Experience And Attitudes Toward Safety Planning With Adolescents At Risk For Suicide, Jazmin Reyes-Portillo, Eleanor L. Mcglinchey, Josefina Toso-Salman, Erica M. Chin, Prudence W. Fisher, Laura Mufson

Department of Psychology Faculty Scholarship and Creative Works

This study examined clinician experiences and attitudes toward safety planning in a large urban pediatric psychiatry department serving primarily Latino youth. A total of 46 clinicians completed a survey assessing their experience with and attitudes toward safety planning with adolescents at-risk for suicide. The majority of clinicians were female (78%), non-Latino White (54%), and aged 30–39 (52%). Clinicians’ attitudes were largely positive (M = 3.69 SD = 0.47, Range = 2.42–4.42). However, many clinicians (n = 24) were not convinced that safety planning reduces the imminent risk of suicidal behavior in patients. This study provides more depth to our understanding …

Using Electronic Health Record Alerts To Increase Safety Planning With Youth At-Risk For Suicide: A Non-Randomized Trial, Jazmin Reyes-Portillo, Erica M. Chin, Josefina Toso-Salman, J. Blake Turner, David Vawdrey, Laura Mufson

Department of Psychology Faculty Scholarship and Creative Works

Background: No study to date has examined the effectiveness of integrating clinical decision support tools, like electronic health record (EHR) alerts, into the clinical care of youth at-risk for suicide. Objective: This study aimed to examine the feasibility and acceptability of using an EHR alert to increase clinicians’ use of safety planning with youth at-risk for suicide in an outpatient pediatric psychiatry clinic serving an urban low-income Latino community. Methods: An alert intervention was developed to remind clinicians to complete a safety plan whenever they documented that their patient endorsed suicidal ideation, plan, or attempt during a visit in EHR …

Ambiguous Agency As A Diagnostic Of Power: Efforts Of Child Welfare Providers To Promote Responsible Agency Among Youth Involved In Sex Trades., Laura Johnson, Beth Sapiro, Catherine Buttner, Judy L. Postmus

Department of Social Work and Child Advocacy Faculty Scholarship and Creative Works

Ambiguous agency is a term which has been used to describe the ways in which young people demonstrate their agency in ways that challenge traditional ideas about how youth are supposed to behave. State and nongovernmental actors, such as service providers, generally view these behaviors as deviant and have utilized a variety of interventions to transform these youth so that they engage in acts of responsible agency instead. This article will explore how the concept of ambiguous and responsible agency relate to youth involved in sex trades by analyzing the case records of eight youth who were identified as survivors …

Stigma In Medical Settings As Reported Retrospectively By Women With Congenital Adrenal Hyperplasia (Cah) For Their Childhood And Adolescence, Heino F.L. Meyer-Bahlburg, Jananne Khuri, Jazmin Reyes-Portillo, Maria I. New

Department of Psychology Faculty Scholarship and Creative Works

Objectives To perform a qualitative study of stigma experienced in medical settings by children and adolescents with congenital genital ambiguity (CGA). Methods 62 women with classical congenital adrenal hyperplasia (CAH) of variable severity took part in a qualitative retrospective interview that focused on the impact of CAH and its medical treatment, with an emphasis on childhood and adolescence. Categorization of stigmatization was based on deductive content analysis of the interview transcripts. Results Many women recalled experiencing the genital examinations in childhood and adolescence as adverse, stigmatizing events, leading to avoidance reactions and self-perception as abnormal, particularly when the examinations included …

School Climate And Adolescent Drug Use: Mediating Effects Of Violence Victimization In The Urban High School Context, Robert Reid, N. Andrew Peterson, Joseph Hughey, Pauline Garcia-Reid

Department of Family Science and Human Development Scholarship and Creative Works

This study tested the mediating effects of violence victimization in the relationship between school climate and adolescent drug use. The hypothesized path model fit data collected from a probability sample of urban high school students (N=586) participating in an evaluation of a violence prevention program funded by the Substance Abuse and Mental Health Services Administration. Findings indicated that the lack of enforcement of school rules and the presence of unsafe places in and around the school influenced adolescent drug use directly and indirectly through their effects on violence victimization. Editors' Strategic Implications: This research confirms the importance of the environment …

Why Girls? The Importance Of Developing Gender-Specific Health Promotion Programs For Adolescent Girls, Amanda Birnbaum, Tracy R. Nichols

Department of Public Health Scholarship and Creative Works

Adolescence is a time when many girls begin to develop unhealthy behaviors that can affect myriad short- and long-term health outcomes across their lifespan.2There is evidence that smoking, physical activity, and diet are habituated during adolescence, and some physiologic processes of adolescence, such as peak bone mass development, have direct effects on future health.3-4 Establishing healthy practices, beliefs and knowledge among adolescent girls will decrease morbidity and mortality among adult women and potentially affect the health of men and children through women’s role as healthcare agents. This paper provides a brief review of lifestyle health behaviors among women and girls …

School-Based Approaches To Affect Adolescents’ Diets: Results From The Teens Study, Leslie A. Lytle, David M. Murray, Cheryl L. Perry, Mary Story, Amanda Birnbaum, Martha Y. Kubik, Sherri Varnell

Department of Public Health Scholarship and Creative Works

This article reports on the outcomes of the Teens Eating for Energy and Nutrition at School (TEENS) study, a 2-year intervention study conducted in 16 middle schools with a goal of increasing students’ intakes of fruits, vegetables, and lower-fat foods. Despite positive interim results for students randomized to intervention schools, the positive effects of the intervention were not seen for the primary outcomes at the end of the 2nd year. Positive effects were seen only for a food choice score (suggesting that the students usually choose lower versus higher fat foods) and not for measures of food intake. Future studies …

Condom Availability In New York City Public High Schools: Relationships To Condom Use And Sexual Behavior., Sally Guttmacher, Lisa D. Lieberman, David Ward, Nick Freudenberg, Alice Radosh, Don Des Jarlais

Department of Public Health Scholarship and Creative Works

OBJECTIVES: This study examines the impact of the condom availability program in New York City public high schools by comparing rates of sexual activity and condom use for New York students and similar students in Chicago.

METHODS: A total of 7119 students from 12 randomly selected New York schools and 5738 students from 10 Chicago schools participated in a cross-sectional survey.

RESULTS: New York students, compared with Chicago students, reported equal rates of sexual activity but higher rates of condom use at last intercourse (odds ratio [OR] = 1.36). For higher-risk students (those with three or more sexual partners in …