Aims: a) To collaborate with hospital and community-based youth based services and those with lived experience including young people, their carers/parents, and mental health professionals (MHPs), around the most appropriate language and domains of exploration for assessing suicidality in young people; b) To co-design/co-create a youth appropriate version of the adult-based Systematic Tailored Assessment for Suicidality protocol (STARS-Yp) in digital format, and associated STARS-Yp training online for enhancing user competency in administration of the protocol in hospital and community-based settings; and c) to evaluate the STARS-Yp and associated training in terms of utility and feasibility including creation of a youth-based expert network to support subsequent impact evaluation and research for effective protocol implementation.
Method and Design: We used a 4-component mixed-methods approach with iterative co-design process to develop, evaluate, and disseminate a digital STARS-Yp and associated training; the first of its kind in Australia. Component 1 - Interview and focus group data reflecting insights and perceptions of young people, carers/parents, MHPs, and experts in youth suicide research/practices was gathered across Victoria and Queensland hospitals and Headspace centres, to inform the final digital format as well as online training package to support STARS-Yp administration. Component 2 -involved adaptation, delivery and evaluation of STARS-Yp online training for MHPs, while Component 3 - included feasibility testing of the STARS-Yp in the real world measured from interview data gathered from users and young people clients. Component 4 included co-creation of an action plan and network of young expert advisors for informing future research around the STARS-Yp to support its ongoing uptake in the workforce across Australia.
Results: Components 2 to 4 will be presented including pre/post STARS-Yp training impacts and quality improvement recommendations; interview findings from MHPs and clients of Headspace/Hospitals around the utility of the digital STARS-Yp, and young person expert network (recruited persons will be introduced and terms of reference and progress to date presented).
Implications/Conference theme: This study is about allowing young people and their carers as well as MHPs to champion what is needed in terms of psychosocial needs-based assessment enquiries to keep young people safe when experiencing suicidality. It uses co-design with these lived experience experts as a participatory process to adapt, modify and evaluate the utility of STARS-Yp. Diversity of perspectives come together to develop a first in Australia protocol for use across clinical and non-clinical settings where young people with suicidality are referred.