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School-Family-Hospital Communication During Youth Psychiatric Hospitalizations
Due to Suicidal Thoughts and Behaviors
#MMPMID41346376
Warren EA
; Hendrickson N
; Tran A
; Smith LH
School Ment Health
2025[Aug]; ? (?): ? PMID41346376
show ga
The psychiatric hospital-to-school transition is a critical process to help
ensure the safety and continuation of care of adolescents experiencing
suicide-related thoughts and behaviors post-hospitalization, particularly because
school-based mental health services are sometimes the most affordable and
accessible service for adolescents. Hospital-to-school and family-to-school
bidirectional communication are consistent recommendations across transition
programs, but there are few policies or administrative standards for facilitating
communication between these entities. The purpose of this study was to identify
school mental health professionals' (SMHP) experiences and needs for best
communication with hospitals and families during the hospital-to-school
transition process. This qualitative study collected information from 10 Virginia
SMHPs on communication between schools, hospitals, and families during the
process, and to identify barriers and facilitators to this communication.
Thematic analysis was used to analyze the data. There were no distinct barriers
or facilitators, instead there were communication needs that could facilitate
communication if available and strong or could be a barrier to communication if
non-existent or insufficient. These needs were organized into three themes:
School-Family Communication Needs, School-Hospital Communication Needs, and
Family-Hospital Communication Needs. Findings revealed several administrative
needs for communication during the hospital-to-school transition process
including the need to 1) establish evidence-based practice guidelines for
hospital to school transition communication, 2) incorporate communication
considerations when developing a training for SMHPs on supporting students in the
hospital to school transition, 3) provide clear guidance on communication
guidelines for SMHPs, 4) address any psychoeducation needs with families, and 5)
prioritize building strong relationships between SMHPs and families, as well as
SMHPs and hospitals.
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