Suicide Prevention
Conditions
Keywords
Black youth, Acute suicide risk, Youth Nominated Support Team, Cognitive Behavioral therapy for Suicide Prevention, Community Mental Health, Suicide prevention
Brief summary
The investigators are modifying and testing the preliminary effectiveness and implementation of the combination of two psychosocial interventions, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the computer-assisted version of the Youth-Nominated Support Team (eYST). This registration will be for Aim 2 and a pilot randomized clinical trial for Aim 3 will be registered separately. In this phase of the study, CBT-SP+eYST will be tested in an initial open trial (number of youth=6) to examine its feasibility and acceptability. Investigators will recruit Black adolescents that come to an urban emergency department (ED) for suicidal thoughts and/or behaviors to receive the intervention in an outpatient community mental health agency. The study focuses on the acute phase of CBT-SP, which is 12 sessions. Participants will nominate up to 4 caring adults in the participants lives to serve as support persons. These support persons will attend an education/orientation session to learn more about their role and how to support the youth. Youth will be assessed at baseline, 6 weeks, and 14 weeks. Parents will be assessed at baseline and 14 weeks. Support persons will be assessed at baseline and 14 weeks. Fidelity assessments will be completed by clinicians after each CBT-SP session, after the YST psycho-ed session, and weekly to document contact with the support team.
Interventions
Clinicians will provide this specialized evidence-based mental health care. The study focuses on the acute phase of CBT-SP, which is 12 sessions. CBT-SP's goals are to reduce suicide risk factors, enhance coping, and prevent future suicidal behavior. Identifying the emotional, cognitive, behavioral, or familial processes that precede a suicide crisis is a major focus, which yields an individualized treatment plan. Each session lasts one hour and can be completed either in person or via a secure telehealth platform. Most youths will attend sessions on a weekly basis and therapists typically like to be in contact with parents as well.
BEHAVIORALYouth-Nominated Support Team
Youth will nominate up to 4 trusted adults. Following parental approval, Support Persons will attend an orientation session with their assigned intervention specialist, learn about the youth's difficulties, treatment plan, and receive ideas for supporting the youth. Support Persons will be asked to have contact with the youth each week for up to three months to offer emotional support, encourage participation in treatment, and support the youth's healthy behaviors. Support Persons will have weekly check-ins with their intervention specialist every week for the 3 months of the study. During these calls, Support Persons have an opportunity to discuss any questions or concerns they may have about the youth and how best to support them.
Sponsors
University of Michigan
National Institute of Mental Health (NIMH)
MiSide
Children's Hospital of Michigan
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
This study will recruit 6 youth and 6 parents/guardians, as well as up to 24 support individuals.
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
for youth: * Patients of any gender between the ages of 12 and 17 years * Patients that are able to provide at least one verifiable contact for emergency or tracking purposes * Eligible for care at MiSide * Present to the ED with suicide risk (per protocol) * Self-identify as Black (obtain from face sheet collected in triage) * Willing and able to complete enrollment procedures * Willing and able to provide signed and dated informed assent
Exclusion criteria
for youth: * Unable to be consented in English * Do not have a parent/legal guardian available to provide consent * Are not able to provide informed assent or to participate in the assessment due to significant agitation, psychosis, cognitive impairment, learning disability, or medical trauma * Actively engaged in specialty mental health treatment Parent/Guardian Inclusion Criteria: * Adults 18 years old and older * The parent or legal guardian of a youth participating in Aim 2 * Understand written and spoken English * Willing and able to complete enrollment procedures * Willing and able to provide signed and dated informed consent Parent/Guardian
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability - percent of eligible youth consented | Baseline | The intervention will be considered acceptable if at least 50% of eligible youth choose to enroll in the study. |
| Feasibility - Mean number of support people | 6 weeks | The intervention will be considered feasible if the mean number of support people per youth is at least 3. |
| Acceptability - Mean number of support person contacts | 14 weeks | The intervention will be considered acceptable if the mean number of support person contacts with youth is at least 7. |
| Feasibility - Number of CBT-SP sessions attended | 14 weeks | Number of CBT-SP sessions attended by youth |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORCynthia Ewell Foster, PhD
University of Michigan
Outcome results
None listed