Involving Young People With Lived and Living Experience of Suicide in Suicide Research.

Background: Research into youth suicide prevention rarely involves young people with lived and living experiences as collaborators. Key barriers include a lack of guidelines or frameworks to inform collaboration, appropriate ethical approval processes, perceived risk, and recruitment. Aim: To develop guidelines for involving young people with lived and living experiences in suicide research as collaborators. Method: A Delphi expert consensus study was conducted with two expert panels: a youth lived and living experiences panel and a traditionally qualified researcher panel. Items rated as essential or important using a five-point Likert scale by more than 80% of both panels were included in the guidelines. Results: Forty-nine experts completed two consensus rounds. The guidelines are organized as follows: (1) preparation, (2) supporting safety and well-being, (3) evaluating involvement, and (4) tips for young people. Limitations: Participants were from English-speaking, Western countries only. Conclusion: These world-first guidelines address the unique challenges and opportunities for involving young people with lived and living experiences in suicide research.

Cognitive health treatment priorities and preferences among young people with mental illness: The your mind, your choice survey.

AIM: Cognitive impairments negatively impact the everyday functioning of young people with mental illness. However, no previous study has asked young people (1) how much of a priority cognitive functioning is within mental health treatment, and (2) what types of cognition-focused treatments are most appealing. The current study aimed to address these questions. METHODS: Your Mind, Your Choice was a survey-based study involving an Australian sample of young people who were receiving mental health treatment. The survey asked participants to (1) provide demographic and mental health history, (2) rate the importance of 20 recovery domains, including cognition, when receiving mental health treatment, (3) share their experiences of cognitive functioning, and (4) rate their likelihood of trying 14 different behavioural, biochemical, and physical treatments that may address cognitive functioning. RESULTS: Two-hundred and forty-three participants (Mage = 20.07, SD = 3.25, range = 15-25, 74% female) completed the survey. Participants reported that addressing cognitive functioning in mental health care was very important (M = 76.33, SD = 20.7, rated on a scale from 0 = not important to 100 = extremely important), ranking cognition among their top six treatment needs. Seventy percent of participants reported experiencing cognitive difficulties, but less than one-third had received treatment for these difficulties. Compensatory training, sleep interventions and psychoeducation were ranked as treatments that participants were most likely to try to support their cognitive functioning. CONCLUSIONS: Young people with mental ill-health commonly experience cognitive difficulties and would like this to be a focus of treatment; however, this need is often unmet and should be a focus of research and implementation.

A novel method for captive rearing and translocation of juvenile common loons.

Common loons (Gavia immer) are diving waterbirds that are particularly challenging to keep in captivity due to their specific behavioral and physiologic needs, special housing requirements, and susceptibility to stress-related disease. We report a novel method for housing and captive rearing common loon chicks that was developed as part of the first-ever loon translocation effort in southeast Massachusetts, from 2015 to 2017. Thirteen loon chicks were reared in aquatic pens in a natural lake environment, utilizing noninvasive feeding and monitoring techniques that avoided human habituation. Chicks were reared in aquatic pens for 16-28 days before being released onto the lake. All chicks remained clinically normal and were monitored on the lake for up to 4 months following release. At least four of the chicks were subsequently confirmed to have survived to adulthood when they returned to the area in breeding plumage two to 3 years following release. Two of these confirmed adults displayed prolonged territorial pair behavior together, and this is an encouraging early sign that captive-reared individuals may form successful breeding pairs in the future. Because most immature loons remain on the ocean until at least 3 years of age, we expect additional captive-reared loons to return to the release area in subsequent years. These husbandry techniques could be applied to other loon and diving bird species that are notoriously difficult to house in captivity. The novel feeding techniques described here could also be adapted for loon chicks being reared in pools or other traditional captive settings.