Date of Conferral

2022

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Susan J. Hayden

Abstract

AbstractIncreasing rates of suicide among adolescents in the United States is an unsettling problem whereby suicide is the second leading cause of mortality among adolescents. Although interventions exist to address this problem, there is a lack of clinical practice guidelines (CPGs) to assist healthcare providers to identify and prevent adolescent suicide. Guided by the zero-suicide model, the purpose of this project was to develop a CPG to address this gap in practice. A literature review on adolescent suicide prevention resulted in 24 peer-reviewed articles published in the past 5 years that were graded and arranged in a literature matrix. These provided the evidence to develop the CPG, which was then evaluated by a group of four content experts using the AGREE II tool and by six end-users for content validity. Each of the six domain scores of the AGREE II tool were above 95% and the end-users reported that the suicide screening pathway was practical, and the CPG would be important to healthcare providers in preventing adolescent suicidality. No revisions were needed to the CPG based on the AGREE II scores all being above 70%, which indicates high quality. The CPG provides a standardized guideline for healthcare providers to identify and engage with at-risk adolescents to prevent suicidality and facilitate treatment and care transitions. The suicide prevention CPG can be used by healthcare providers for early recognition and treatment of suicidality among adolescents, thereby preventing untimely mortalities while allowing the adolescent generation to thrive and achieve maximum adult potential, thus promoting social change and improved quality of life.

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