[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100590344":3},{"organization":4,"armGroups":7,"interventions":10,"overallOfficials":10,"centralContacts":18,"locations":10,"responsibleParty":27,"collaborators":31,"id":34,"slug":35,"hasResults":36,"nctId":37,"briefTitle":38,"officialTitle":39,"acronym":10,"eligibilityCriteria":40,"healthyVolunteers":41,"sex":42,"minAge":43,"maxAge":44,"enrollmentInfo":45,"targetDuration":10,"studyType":48,"phases":10,"briefSummary":49,"conditions":50,"keywords":54,"overallStatus":65,"whyStopped":10,"lastUpdateSubmitDate":66,"lastUpdatePostDateStruct":67,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":10},{"fullName":5,"class":6},"King's College London","OTHER",[8,12,15],{"label":9,"type":10,"description":11,"interventionNames":10},"DBT Cohort Young Person Sample 1",null,"Six to 12 young people who have completed at least four months of DBT, including those who did not complete the entire intended duration of the intervention or those still in the intervention, will be recruited via purposive sampling via the National \\& Specialist CAMHS DBT Service. If the investigators are unable to recruit sufficient numbers, they will seek to recruit from the adult DBT service within South London \\& Maudsley NHS Foundation Trust.\n\nInclusion criteria will include that the young person:\n\n1. Is aged 13 to 21 years old;\n2. has completed at least four months of comprehensive DBT (i.e. inclusive of all four modes of intervention; Linehan, 1993; Miller et al., 2006; Rathus \\& Miller, 2015) in the past 24 months or have completed at least four months of DBT and are still in a comprehensive DBT programme;\n3. identifies as LGBTQ+ (including those questioning or unsure about their orientation\u002Fidentity);\n4. is willing and able to participate in the study.",{"label":13,"type":10,"description":14,"interventionNames":10},"Non-DBT Cohort Young Person Sample 2","Six to 12 young people who have experienced difficulties with at least one of the identified intervention targets (identity confusion, managing stigma experiences, and connecting with similar others) will be recruited from CAMHS and from community organisations (e.g. LGBTQ+ charities).\n\nInclusion criteria will follow similar to sample 1. The young person:\n\n1. Is aged 13 to 21 years old;\n2. has not accessed and is not currently enrolled in a comprehensive DBT programme;\n3. has experienced difficulties with LGBTQ-related identity confusion, managing stigma experiences, and connecting with similar others;\n4. identifies as LGBTQ+ (including those questioning or unsure about their orientation\u002Fidentity);\n5. is willing and able to participate in the study (i.e. are based in the UK and can attend the in-person and online groups).",{"label":16,"type":10,"description":17,"interventionNames":10},"DBT Therapist Sample","Four to eight DBT therapists will be recruited via purposive sampling via the National \\& Specialist CAMHS DBT Service and Adult DBT Services in South London \\& Maudsley NHS Foundation Trust. Inclusion criteria will include:\n\n1. Currently practicing or having completed (or recently finished, within the past 12 months) a comprehensive DBT programme as a DBT therapist. In order to practice as a DBT therapist, they must hold a professional qualification recognised by appropriate healthcare regulators.\n2. Having experience working with at least one LGBTQ+ client in DBT, who was aged between 13 and 21 years at the time.\n3. Being willing and able to participate in the study.",[19,24],{"name":20,"role":21,"phone":22,"phoneExt":10,"email":23},"Jake Camp, DClinPsy, MSc, BSc (Hons).","CONTACT","020 7848 0002","Jake.camp@kcl.ac.uk",{"name":25,"role":21,"phone":22,"phoneExt":10,"email":26},"Patrick Smith, PhD, MSc, BSc","Patrick.smith@kcl.ac.uk",{"type":28,"investigatorFullName":29,"investigatorTitle":30,"investigatorAffiliation":5,"oldNameTitle":10,"oldOrganization":10},"PRINCIPAL_INVESTIGATOR","Jake Camp","Adjunct Senior Lecturer",[32],{"name":33,"class":6},"South London and Maudsley NHS Foundation Trust","100590344","co-producing-lgbtq-affirmative-dbt-protocols-100590344",false,"NCT06966193","Co-Producing LGBTQ-Affirmative DBT Protocols.","Co-Producing LGBTQ-Affirmative Intervention Protocols for LGBTQ+ People at Risk of Self-Harm and Suicide: A Co-Production Study","DBT Cohort Young Person Sample 1\n\nInclusion criteria will include that the young person:\n\n1. Is aged 13 to 21 years old;\n2. has completed at least four months of comprehensive DBT (i.e. inclusive of all four modes of intervention; Linehan, 1993; Miller et al., 2006; Rathus \\& Miller, 2015) in the past 24 months or have completed at least four months of DBT and are still in a comprehensive DBT programme;\n3. identifies as LGBTQ+ (including those questioning or unsure about their orientation\u002Fidentity);\n4. is willing and able to participate in the study. While no specific inclusion or exclusion criteria will be placed on other variables, typically to be eligible for a DBT programme, young people would need to have a history of self-harm and\u002For suicidal behaviours, difficulties with emotion regulation, and potentially difficulties with the remaining symptom list within borderline\u002Femotionally unstable personality disorder. Recruitment size is based on PPI recommendations regarding effective group sizes, with allowances for sample attrition.\n\nNon-DBT Cohort Young Person Sample 2\n\nInclusion criteria will follow similar to sample 1. The young person:\n\n1. Is aged 13 to 21 years old;\n2. has not accessed and is not currently enrolled in a comprehensive DBT programme;\n3. has experienced difficulties with LGBTQ-related identity confusion, managing stigma experiences, and connecting with similar others;\n4. identifies as LGBTQ+ (including those questioning or unsure about their orientation\u002Fidentity);\n5. is willing and able to participate in the study (i.e. are based in the UK and can attend the in-person and online groups).\n\nNo other inclusion or exclusion criteria will be systematically implemented for this group.\n\nDBT Therapist Sample\n\nInclusion criteria:\n\n1. Currently practicing or having completed (or recently finished, within the past 12 months) a comprehensive DBT programme as a DBT therapist. In order to practice as a DBT therapist, they must hold a professional qualification recognised by appropriate healthcare regulators.\n2. Having experience working with at least one LGBTQ+ client in DBT, who was aged between 13 and 21 years at the time.\n3. Being willing and able to participate in the study.",true,"ALL","13 Years","21 Years",{"count":46,"type":47},32,"ESTIMATED","OBSERVATIONAL","Aims:\n\n1. To co-produce new intervention parts that meet the needs of LGBTQ+ people at risk of self-harm or suicidal thoughts, with LGBTQ+ people and DBT therapists. These intervention parts will be integrated into a Dialectical Behaviour Therapy (DBT) intervention, that is provided earlier in a persons mental health care journey, than DBT is usually targeted at.\n2. To assess how acceptable and feasible the co-production process was for participants, and how well it achieved co-production principles (e.g. participants feel supported, that the aims were transparent, etc).\n\nWhy is This Important? Young people who identify as lesbian, gay, bisexual, transgender, queer, and with other minoritised gender and sexual identities (LGBTQ+) are much more likely to self-harm and experience suicidal thoughts than cisgender-heterosexual (non-LGBTQ+) people. They also experience barriers when accessing mental health support. Some of these barriers come from a lack of support tailored towards their needs as an LGBTQ+ person. This often means that things get worse before they access the right support, and so are often seen in higher-intensity interventions (tier 4 or tertiary care), like DBT.\n\nWhat The Investigators Plan to Do:\n\nThe investigators plan to hold some focus groups with three different groups of people to co-produce the new intervention parts. The three groups include:\n\n1. A group of LGBTQ+ young people (13-21 years old) who have completed a at full DBT programme recently.\n2. A group of LGBTQ+ young people (13-21 years old) who have never been in a full DBT programme but experienced similar difficulties.\n3. A group of DBT therapists who have supported LGBTQ+ young people before.\n\nThe investigators will seek feedback from participants about how acceptable they found the study (e.g. how satisfied they were with the process), how feasible it was (e.g. were they able to attend and was it practice?), and how well they stuck to the coproduction principles (e.g. how supported they felt).",[51,52,53],"Self-Harm","Suicidal","Emotional Dysregulation",[55,56,51,57,58,59,60,61,62,63,64],"LGBTQ+","DBT","Suicidal Behaviours","Emotion Dysregulation","Young People","Sexual Minorities","Gender Minorities","Co-Production","Adolescents","Therapists","NOT_YET_RECRUITING","2025-05-12",{"date":68,"type":69},"2025-05-15","ACTUAL",{"date":71,"type":47},"2025-10-01",{"date":73,"type":47},"2026-07-30",{"name":5,"class":6}]