Piloting a Peer Support Program for Patients Who Screen Positive for Intimate Partner Violence, Suicidal Ideation, and Depression
Abstract
:1. Introduction
2. Materials and Methods
2.1. Peer Support Program
2.1.1. Program Background
2.1.2. Peer Support Program Components
- Crisis response: SOS navigators were to contact those referred to the program via text, calls, email, or mail within 48 h of discharge or referral.
- Rapid follow-up: SOS navigators were to send handwritten notes (i.e., caring contact cards) within seven (7) days of discharge from ED or hospitalization or referral from another agency.
- Care transition: SOS navigators aimed to connect enrollees to mental health providers, insurance navigators, and community support agencies as needed.
- Safety plans: If safety plans were not on record, SOS navigators assessed the client’s access to lethal means and also developed a safety plan.
2.2. Participants
2.3. Measures
2.3.1. Partner Violence
2.3.2. Suicidality
2.3.3. Depression
2.4. Statistical Analyses
3. Results
3.1. Peer Support Program Aims
3.2. Enrollee Characteristics at Intake
3.3. IPV Group Characteristics at Intake and Six Months
3.4. Mental Health Statistics of IPV Group over 6 Months
3.5. Gender Differences in Depression in IPV Group over 6 Months
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Moffat, K.; Mercer, S.W. Challenges of managing people with multimorbidity in today’s healthcare systems. BMC Fam. Pract. 2015, 16, 129. [Google Scholar] [CrossRef]
- Sweeney, A.; Davies, J.; McLaren, S.; Whittock, M.; Lemma, F.; Belling, R.; Clement, S.; Burns, T.; Catty, J.; Jones, I.R.; et al. Defining Continuity of Care from the Perspectives of Mental Health Service Users and Professionals: An Exploratory, Comparative Study. Health Expect. 2015, 19, 973–987. [Google Scholar] [CrossRef] [PubMed]
- Centers for Disease Control and Prevention. Intimate Partner Violence. Available online: https://www.cdc.gov/violenceprevention/intimatepartnerviolence/index.html (accessed on 12 July 2023).
- Leemis, R.W.; Friar, N.; Khatiwada, S.; Chen, M.S.; Kresnow, M.; Smith, S.G.; Caslin, S.; Basile, K.C. The National Intimate Partner and Sexual Violence Survey: 2016/2017 Report on Intimate Partner Violence; National Center for Injury Prevention and Control, Centers for Disease Control and Prevention: Atlanta, GA, USA, 2022. Available online: https://www.cdc.gov/violenceprevention/pdf/nisvs/nisvsreportonipv_2022.pdf (accessed on 12 July 2023).
- Smith, S.G.; Chen, J.; Basile, K.C.; Gilbert, L.K.; Merrick, M.T.; Patel, N.; Walling, M.; Jain, A. The National Intimate Partner and Sexual Violence Survey: 2010–2012 State Report; National Center for Injury Prevention and Control, Centers for Disease Control and Prevention: Atlanta, GA, USA, 2017. Available online: https://www.cdc.gov/violenceprevention/pdf/NISVS-StateReportBook.pdf (accessed on 12 July 2023).
- 17th Annual Domestic Violence Counts Report Indiana Summary, 2023. National Network to End Domestic Violence. Available online: https://nnedv.org/wp-content/uploads/2023/03/17th-Annual-Domestic-Violence-Counts-Report-IN-Summary.pdf (accessed on 12 July 2023).
- Centers for Disease Control and Prevention. Suicide Data and Statistics; Centers for Disease Control and Prevention: Atlanta, GA, USA, 2023. Available online: https://www.cdc.gov/suicide/suicide-data-statistics.html (accessed on 12 July 2023).
- Ivey-Stephenson, A.Z.; Crosby, A.E.; Hoenig, J.M.; Gyawali, S.; Park-Lee, E.; Hedden, S.L. Suicidal Thoughts and Behaviors Among Adults Aged ≥18 Years—United States, 2015–2019. MMWR Surveill. Summ. 2022, 71, 1–19. [Google Scholar] [CrossRef]
- Spencer, C.M.; Keilholtz, B.M.; Palmer, M.; Vail, S.L. Mental and Physical Health Correlates for Emotional Intimate Partner Violence Perpetration and Victimization: A Meta-Analysis. Trauma Violence Abus. 2022, 15248380221137686. [Google Scholar] [CrossRef]
- Potter, L.C.; Morris, R.; Hegarty, K.; García-Moreno, C.; Feder, G. Categories and Health Impacts of Intimate Partner Violence in the World Health Organization Multi-Country Study on Women’s Health and Domestic Violence. Int. J. Epidemiol. 2020, 50, 652–662. [Google Scholar] [CrossRef]
- McManus, S.; Walby, S.; Barbosa, E.C.; Appleby, L.; Brugha, T.; Bebbington, P.E.; Cook, E.A.; Knipe, D. Intimate partner violence, suicidality, and self-harm: A probability sample survey of the general population in England. Lancet Psychiatry 2022, 9, 574–583. [Google Scholar] [CrossRef] [PubMed]
- Golding, J.M. Intimate Partner Violence as a Risk Factor for Mental Disorders: A Meta-Analysis. J. Fam. Violence 1999, 14, 99–132. [Google Scholar] [CrossRef]
- Cavanaugh, C.E.; Messing, J.T.; Del-Colle, M.; O’Sullivan, C.; Campbell, J.C. Prevalence and Correlates of Suicidal Behavior among Adult Female Victims of Intimate Partner Violence. Suicide Life-Threat. Behav. 2011, 41, 372–383. [Google Scholar] [CrossRef] [PubMed]
- Afifi, T.O.; MacMillan, H.; Cox, B.J.; Asmundson, G.J.G.; Stein, M.B.; Sareen, J. Mental Health Correlates of Intimate Partner Violence in Marital Relationships in a Nationally Representative Sample of Males and Females. J. Interpers. Violence 2008, 24, 1398–1417. [Google Scholar] [CrossRef] [PubMed]
- Devries, K.M.; Mak, J.Y.; Bacchus, L.J.; Child, J.C.; Falder, G.; Petzold, M.; Astbury, J.; Watts, C.H. Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies. PLoS Med. 2013, 10, e1001439. [Google Scholar] [CrossRef] [PubMed]
- Kim, R.; Yoon, J.; Kim, J.-H.; Lee, H.; Park, J.; Kim, S.-S. Association between Intimate Partner Violence and Suicidal Ideation among Female and Male Adults in South Korea: A Nationally Representative Longitudinal Study. J. Interpers. Violence 2022, 37, NP23222–NP23240. [Google Scholar] [CrossRef] [PubMed]
- Kafka, J.M.; Moracco, K.B.E.; Taheri, C.; Young, B.-R.; Graham, L.M.; Macy, R.J.; Proescholdbell, S. Intimate Partner Violence Victimization and Perpetration as Precursors to Suicide. SSM—Popul. 2022, 18, 101079. [Google Scholar] [CrossRef]
- Clay, R.A. Suicide and intimate partner violence. Monit. Psychol. 2014, 45, 30. Available online: https://www.apa.org/monitor/2014/11/suicide-violence (accessed on 12 July 2023).
- Suicide Prevention Resource Center. Available online: https://sprc.org/ (accessed on 12 July 2023).
- Feldhaus, K.M.; Koziol-McLain, J.; Amsbury, H.L.; Norton, I.M.; Lowenstein, S.R.; Abbott, J.T. Accuracy of 3 Brief Screening Questions for Detecting Partner Violence in the Emergency Department. JAMA—J. Am. Med. Assoc. 1997, 277, 1357–1361. [Google Scholar] [CrossRef]
- Posner, K.; Brown, G.K.; Stanley, B.; Brent, D.A.; Yershova, K.V.; Oquendo, M.A.; Currier, G.W.; Melvin, G.A.; Greenhill, L.; Shen, S.; et al. The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings from Three Multisite Studies with Adolescents and Adults. Am. J. Psychiatry 2011, 168, 1266–1277. [Google Scholar] [CrossRef] [PubMed]
- Kroenke, K.; Spitzer, R.L.; Williams, J.B.W. The PHQ-9: Validity of a Brief Depression Severity Measure. J. Gen. Intern. Med. 2001, 16, 606–613. [Google Scholar] [CrossRef] [PubMed]
- Schlichthorst, M.; Ozols, I.; Reifels, L.; Morgan, A. Lived Experience Peer Support Programs for Suicide Prevention: A Systematic Scoping Review. Int. J. Ment. Health Syst. 2020, 14, 65. [Google Scholar] [CrossRef] [PubMed]
- Simmons, M.B.; Cartner, S.; MacDonald, R.; Whitson, S.; Bailey, A.; Brown, E. The Effectiveness of Peer Support from a Person with Lived Experience of Mental Health Challenges for Young People with Anxiety and Depression: A Systematic Review. BMC Psychiatry 2023, 23, 194. [Google Scholar] [CrossRef]
- Brown-Graham, A.; Graham, P.W.; Erickson, L.; Martinez, S.; Lawrence, S.; Berner, M.; Spinks, S. Peer Support as a Social Capital Strategy for Programs Serving Individuals Reentering from Incarceration and Survivors of Intimate Partner Violence or Human Sex Trafficking; U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Planning and Evaluation (ASPE): Washington, DC, USA, 2022. Available online: https://aspe.hhs.gov/reports/peer-support-social-capital-development (accessed on 20 August 2023).
- Toscos, T.; Drouin, M.; Pater, J.; Flanagan, M.; Pfafman, R.; Mirro, M. Selection Biases in Technology-Based Intervention Research: Patients’ Technology Use Relates To Both Demographic And Health-Related Inequities. J. Am. Med. Inform. Assoc. 2019, 26, 835–839. [Google Scholar] [CrossRef]
- Hardman, R.; Begg, S.; Spelten, E. What Impact Do Chronic Disease Self-Management Support Interventions Have On Health Inequity Gaps Related To Socioeconomic Status: A Systematic Review. BMC Health Serv. Res. 2020, 20, 150. [Google Scholar] [CrossRef]
Intake (n = 108) | 6 Month (n = 63) | |
---|---|---|
Age (Years) | ||
Mean (SD) | 38.54 (9.90) | 39.24 (10.01) |
Gender, n (%) | ||
Women | 73 (67.6%) | 45 (71.4%) |
Men | 31 (28.7%) | 16 (25.4%) |
Transgender | 2 (1.9%) | 1 (1.6%) |
Other | 2 (1.9%) | 1 (1.6%) |
Hispanic, n (%) | ||
No | 100 (92.6%) | 58 (92.1%) |
Yes | 6 (5.6%) | 4 (6.3%) |
Missing | 2 (1.9%) | 1 (1.6%) |
Race, n (%) | ||
Alaska Native | 1 (0.9%) | 0 (0.0%) |
American Indian | 17 (15.7%) | 10 (15.9%) |
Asian | 2 (1.9%) | 1 (1.6%) |
Black | 18 (16.7%) | 7 (11.1%) |
Native Hawaiian | 1 (0.9%) | 0 (00.0%) |
White | 90 (83.3%) | 53 (84.1%) |
Missing | 2 (1.9%) | 1 (1.6%) |
Insurance, n (%) | ||
Commercial/Third Party | 22 (20.4%) | 14 (22.2%) |
Medicaid | 70 (64.8%) | 41 (65.1%) |
Medicare/Medicaid | 4 (3.7%) | 0 (0.0%) |
Medicare/Medicare Replacement | 7 (6.5%) | 6 (9.5%) |
VA/Tricare | 2 (1.9%) | 2 (3.2%) |
None | 3 (2.8%) | 0 (0.0%) |
Time | ||
---|---|---|
Measure | Intake (n = 108) | 6 Month (n = 63) |
Depression | ||
Mean (SD) | 17.8 (6.6) | 10.3 (7.7) |
Partner Violence, n (%) | ||
No | 0 (0.0%) | 39 (61.9%) |
Yes | 108 (100.0%) | 24 (38.1%) |
Suicidality, n (%) | ||
Low Risk | 38 (35.2%) | 29 (46.0%) |
Moderate Risk | 22 (20.4%) | 26 (41.3%) |
High Risk | 48 (44.4%) | 8 (12.7%) |
Time | Test Statistic | ||
---|---|---|---|
Measure | Intake (n = 63) | 6 Month (n = 63) | |
Depression | |||
Mean (SD) | 17.9 (6.7) | 10.3 (7.7) | t(62) = 8.20, p < 0.001 |
Partner Violence, n (%) | |||
No | 0 (0.0%) | 39 (61.9%) | X2(1) = 37.03, |
Yes | 63 (100.0%) | 24 (38.1%) | p < 0.001 |
Suicidality, n (%) | |||
Low Risk | 20 (31.8%) | 29 (46.0%) | X2(3) = 22.78, |
Moderate Risk | 13 (20.6%) | 26 (41.3%) | p < 0.001 |
High Risk | 30 (47.6%) | 8 (12.7%) |
Gender | Depression Mean (SD) | |
---|---|---|
Intake | 6 Month | |
Men | 18.39 (5.91) | 12.56 (8.02) |
Women | 17.22 (6.77) | 9.71 (7.62) |
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Drouin, M.; Flanagan, M.; Carroll, J.; Kerrigan, C.; Henry, H.; Toscos, T. Piloting a Peer Support Program for Patients Who Screen Positive for Intimate Partner Violence, Suicidal Ideation, and Depression. Healthcare 2023, 11, 2422. https://doi.org/10.3390/healthcare11172422
Drouin M, Flanagan M, Carroll J, Kerrigan C, Henry H, Toscos T. Piloting a Peer Support Program for Patients Who Screen Positive for Intimate Partner Violence, Suicidal Ideation, and Depression. Healthcare. 2023; 11(17):2422. https://doi.org/10.3390/healthcare11172422
Chicago/Turabian StyleDrouin, Michelle, Mindy Flanagan, Jeanne Carroll, Connie Kerrigan, Heather Henry, and Tammy Toscos. 2023. "Piloting a Peer Support Program for Patients Who Screen Positive for Intimate Partner Violence, Suicidal Ideation, and Depression" Healthcare 11, no. 17: 2422. https://doi.org/10.3390/healthcare11172422