Using Implementation Outcomes to Inform Implementation of Suicide Risk Screening with Juvenile Legal-Involved Youth:...

Area of Science:

• Public Health
• Mental Health Services
• Juvenile Justice

Background:

• Youth in the juvenile legal system (JLS) exhibit elevated rates of suicidal ideation and behaviors.
• The JLS presents a critical juncture for identifying and addressing suicide risk in vulnerable youth.

Purpose of the Study:

• To assess the acceptability, feasibility, and appropriateness of integrating suicide screening and intervention protocols within the JLS.
• To explore stakeholder perspectives on embedding mental health support for at-risk youth in the juvenile justice context.

Main Methods:

• Formative semi-structured interviews were conducted with 37 key stakeholders across two states (Northeast and Midwest).
• Stakeholders provided insights into perceived staff comfort, resource availability, logistical support, and potential impacts on youth and families regarding suicide screening and intervention.

Main Results:

• Acceptability of suicide screening was contingent on staff comfort and access to clinical resources.
• Feasibility depended on logistical, training, and supervisory support to enhance staff confidence in conducting screenings and brief interventions.
• Concerns regarding youth distrust of the JLS and mental health stigma were identified as barriers to appropriateness and engagement.

Conclusions:

• Successful implementation of suicide screening and intervention in the JLS necessitates strategic planning to address identified barriers.
• Enhancing staff training, support systems, and community-based resources is crucial for effective integration.
• Addressing youth-specific concerns is vital for improving engagement and outcomes in suicide prevention efforts within the JLS.