399 The development of a digital game to prevent suicide in youth who misuse substances
OBJECTIVES/GOALS: Suicide is the second leading cause of death in teens. Substance misuse, including opioids, is a risk factor for suicidal thoughts and behaviors among teens. School-based approaches are promising, yet they lack evidence on their effectiveness. To fill this gap, we created supportED...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Cambridge University Press
2023-04-01
|
Series: | Journal of Clinical and Translational Science |
Online Access: | https://www.cambridge.org/core/product/identifier/S205986612300434X/type/journal_article |
_version_ | 1797840501845524480 |
---|---|
author | Claudia-Santi F. Fernandes Francesca Giannattasio Trucy Truong-Phan Hilary Blumberg Lynn E. Fiellin |
author_facet | Claudia-Santi F. Fernandes Francesca Giannattasio Trucy Truong-Phan Hilary Blumberg Lynn E. Fiellin |
author_sort | Claudia-Santi F. Fernandes |
collection | DOAJ |
description | OBJECTIVES/GOALS: Suicide is the second leading cause of death in teens. Substance misuse, including opioids, is a risk factor for suicidal thoughts and behaviors among teens. School-based approaches are promising, yet they lack evidence on their effectiveness. To fill this gap, we created supportED, a digital game to prevent suicide in youth who misuse substances. METHODS/STUDY POPULATION: We conducted focus groups and interviews to inform the development of the digital game and discuss approaches to enhance user experiences, acceptability, and feasibility of the intervention. A semi-structured focus group/interview guide was developed, pilot tested, and used in focus groups/interviews. The guides aligned with constructs from a safety planning intervention, a well-recognized, evidence-based suicide prevention intervention, to identify potential warning signs of emotional distress, coping strategies, and resources for seeking help to prevent suicidal thoughts and behaviors. Focus groups/interviews were led by a facilitator, who is also a certified school counselor and licensed professional counselor, and a co-facilitator who took field notes and provided debrief summaries. RESULTS/ANTICIPATED RESULTS: A total of 35 participants, including 10 high-school-aged teens [aged 16-19], 10 college-aged youth [aged 18-22], 10 school-based providers, and five interviews with adults who had experience with opioids in their youth informed the development stage. Of the focus group participants, 25.7% identify as female (n=23), 71.4% identify as male (n=6), and 2.9% do not identify as male or female (n=1); 60% identify as White (n=18), 20% identify as multi-racial (n=6), 10% identify as Black (n=3), 3.3% identify as Asian (n=1), and 6.7% identify as race unknown (n=2); and, 37.1% (n=13) identify as Hispanic/Latinx. Salient themes that emerged focused on opioids, substance misuse, mental health, bullying, grief, family, identity, and stigma to create six distinct narratives in the digital game. DISCUSSION/SIGNIFICANCE: Findings informed the development of a digital game to prevent suicide among adolescents who misuse substances. The digital game is currently being evaluated in a pilot RCT to assess the preliminary efficacy of the intervention, user experience, usability, and feasibility of delivering the intervention and protocols among 60 youth. |
first_indexed | 2024-04-09T16:16:22Z |
format | Article |
id | doaj.art-c9a72cd79ded407183f16c574f009ae3 |
institution | Directory Open Access Journal |
issn | 2059-8661 |
language | English |
last_indexed | 2024-04-09T16:16:22Z |
publishDate | 2023-04-01 |
publisher | Cambridge University Press |
record_format | Article |
series | Journal of Clinical and Translational Science |
spelling | doaj.art-c9a72cd79ded407183f16c574f009ae32023-04-24T05:55:55ZengCambridge University PressJournal of Clinical and Translational Science2059-86612023-04-01711911910.1017/cts.2023.434399 The development of a digital game to prevent suicide in youth who misuse substancesClaudia-Santi F. Fernandes0Francesca Giannattasio1Trucy Truong-Phan2Hilary Blumberg3Lynn E. Fiellin4Yale University School of MedicineYale University School of MedicineYale University School of MedicineYale University School of MedicineYale University School of MedicineOBJECTIVES/GOALS: Suicide is the second leading cause of death in teens. Substance misuse, including opioids, is a risk factor for suicidal thoughts and behaviors among teens. School-based approaches are promising, yet they lack evidence on their effectiveness. To fill this gap, we created supportED, a digital game to prevent suicide in youth who misuse substances. METHODS/STUDY POPULATION: We conducted focus groups and interviews to inform the development of the digital game and discuss approaches to enhance user experiences, acceptability, and feasibility of the intervention. A semi-structured focus group/interview guide was developed, pilot tested, and used in focus groups/interviews. The guides aligned with constructs from a safety planning intervention, a well-recognized, evidence-based suicide prevention intervention, to identify potential warning signs of emotional distress, coping strategies, and resources for seeking help to prevent suicidal thoughts and behaviors. Focus groups/interviews were led by a facilitator, who is also a certified school counselor and licensed professional counselor, and a co-facilitator who took field notes and provided debrief summaries. RESULTS/ANTICIPATED RESULTS: A total of 35 participants, including 10 high-school-aged teens [aged 16-19], 10 college-aged youth [aged 18-22], 10 school-based providers, and five interviews with adults who had experience with opioids in their youth informed the development stage. Of the focus group participants, 25.7% identify as female (n=23), 71.4% identify as male (n=6), and 2.9% do not identify as male or female (n=1); 60% identify as White (n=18), 20% identify as multi-racial (n=6), 10% identify as Black (n=3), 3.3% identify as Asian (n=1), and 6.7% identify as race unknown (n=2); and, 37.1% (n=13) identify as Hispanic/Latinx. Salient themes that emerged focused on opioids, substance misuse, mental health, bullying, grief, family, identity, and stigma to create six distinct narratives in the digital game. DISCUSSION/SIGNIFICANCE: Findings informed the development of a digital game to prevent suicide among adolescents who misuse substances. The digital game is currently being evaluated in a pilot RCT to assess the preliminary efficacy of the intervention, user experience, usability, and feasibility of delivering the intervention and protocols among 60 youth.https://www.cambridge.org/core/product/identifier/S205986612300434X/type/journal_article |
spellingShingle | Claudia-Santi F. Fernandes Francesca Giannattasio Trucy Truong-Phan Hilary Blumberg Lynn E. Fiellin 399 The development of a digital game to prevent suicide in youth who misuse substances Journal of Clinical and Translational Science |
title | 399 The development of a digital game to prevent suicide in youth who misuse substances |
title_full | 399 The development of a digital game to prevent suicide in youth who misuse substances |
title_fullStr | 399 The development of a digital game to prevent suicide in youth who misuse substances |
title_full_unstemmed | 399 The development of a digital game to prevent suicide in youth who misuse substances |
title_short | 399 The development of a digital game to prevent suicide in youth who misuse substances |
title_sort | 399 the development of a digital game to prevent suicide in youth who misuse substances |
url | https://www.cambridge.org/core/product/identifier/S205986612300434X/type/journal_article |
work_keys_str_mv | AT claudiasantiffernandes 399thedevelopmentofadigitalgametopreventsuicideinyouthwhomisusesubstances AT francescagiannattasio 399thedevelopmentofadigitalgametopreventsuicideinyouthwhomisusesubstances AT trucytruongphan 399thedevelopmentofadigitalgametopreventsuicideinyouthwhomisusesubstances AT hilaryblumberg 399thedevelopmentofadigitalgametopreventsuicideinyouthwhomisusesubstances AT lynnefiellin 399thedevelopmentofadigitalgametopreventsuicideinyouthwhomisusesubstances |