Recruitment of adolescents with suicidal ideation in the emergency department: lessons from a randomized controlled pilo
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(2020) 20:231
RESEARCH ARTICLE
Open Access
Recruitment of adolescents with suicidal ideation in the emergency department: lessons from a randomized controlled pilot trial of a youth suicide prevention intervention Matthew Tracey1, Yaron Finkelstein2, Reva Schachter1, Kristin Cleverley3, Suneeta Monga1,4, Melanie Barwick4,5, Peter Szatmari4, Myla E. Moretti6, Andrew Willan6, Joanna Henderson7 and Daphne J. Korczak1,5*
Abstract Background: Emergency Departments (EDs) are a first point-of-contact for many youth with mental health and suicidality concerns and can serve as an effective recruitment source for randomized controlled trials (RCTs) of mental health interventions. However, recruitment in acute care settings is impeded by several challenges. This pilot RCT of a youth suicide prevention intervention recruited adolescents aged 12 to 17 years presenting to a pediatric hospital ED with suicide related behaviors. Methods: Recruitment barriers were identified during the initial study recruitment period and included: the time of day of ED presentations, challenges inherent to study presentation, engagement and participation during an acute presentation, challenges approaching and enrolling acutely suicidal patients and families, ED environmental factors, and youth and parental concerns regarding the study. We calculated the average recruitment productivity for published trials of adolescent suicide prevention strategies which included the ED as a recruitment site in order to compare our recruitment productivity. (Continued on next page)
* Correspondence: [email protected] 1 Department of Psychiatry, Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8, Canada 5 Research Institute, Hospital for Sick Children, 686 Bay Street, Toronto, ON M5G 0A4, Canada Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Tracey et al. BMC Medical Research Methodology
(2020) 20:231
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