Information Dissemination
Conditions
Brief summary
This project addresses the pressing need for tools to identify suicidal thoughts and behaviors in children aged 4-7. Although young children can experience STBs, current screening tools and guidelines often overlook this age group, partly due to challenges in directly assessing young children. The investigators developed a promising caregiver-report screener that identified at-risk children. This study will evaluate the screener's feasibility and effectiveness in clinical settings, gather feedback from clinicians and caregivers, and refine the screening process. The goal is to facilitate early intervention, improving mental health care and outcomes for young children.
Detailed description
This project aims to evaluate the feasibility, acceptability, and efficacy of a caregiver-report suicide risk (STB) screening tool for children under age 8. Despite the rising rates of STBs in young children, tools for identifying at-risk individuals in this age group are limited, and significant resistance remains to screening children for STBs. Given the challenges in directly assessing young children and the lack of validated tools, the investigators developed a caregiver-report screener to detect early signs of STBs. Preliminary data indicate that this screener is both sensitive and specific, showing promise in identifying at-risk children. The proposed study will evaluate the implementation of this screener in a child behavioral health clinic, obtaining qualitative and quantitative feedback from both clinicians and caregivers to refine the screener and its integration into clinical workflows. Additionally, the investigators will assess how clinicians use the screener results in diagnostic and treatment planning. This study will provide critical insights into barriers and best practices for STB screening in young children, ultimately improving early identification and clinical care for at-risk youth.
Interventions
OTHERSITB information
childhood SITB information
Sponsors
Washington University School of Medicine
National Center for Advancing Translational Sciences (NCATS)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* licensed mental health clinician (e.g., LPC, LMSW, LCSW, MD) in the Hermann Center * provides care to children 4-7 years of age * provides care through the Early Child Intervention, Early Psychiatric Care, or Trauma Response program * must be currently seeing and/or accepting new patients
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinician report of SITB screen acceptability | From time of intervention until the follow-up interviews 3-4 months later. | Interview data from clinicians will be qualitatively analyzed to identify patterns in feedback related to acceptability of the screen. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinician report of hesitancies regarding use of SITB screen | From time of intervention until the follow-up interviews 3-4 months later. | Interview data from clinicians will be qualitatively analyzed to identify patterns in feedback related to hesitancies with including the screen in the intake packet. |
| Clinicians' incorporation of SITB Screen in Child Treatment Plans | From time of intervention until the follow-up interviews 3-4 months later. | Interview data from clinicians will be qualitatively analyzed to identify patterns in feedback related clinician's incorporation of the SITB screen results into their treatment plans. |
Countries
United States
Outcome results
None listed