Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-24
SponsorJohns Hopkins University
About this trial
The study will compare the effectiveness of two relatively brief and scalable evidence-based interventions: the Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), a suicide-specific intervention that helps people prevent suicidal crises from escalating, and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a psychotherapeutic crisis intervention treatment for suicidal adolescents that teaches youth skills to prevent suicidal crises and addresses interpersonal problems that lead to suicidal crises. The results will inform the future standard of care for youth at risk for suicide presenting in the ED setting. This project focuses on suicidal youth ages 12-24 in five ethnically and racially diverse urban areas: Philadelphia, Pennsylvania; Baltimore, Maryland; Chapel Hill, North Carolina; St. Petersburg, Florida; and Northern Manhattan/lower Bronx/eastern Queens communities in New York City, New York.
Eligibility criteria
Qualifiers
Suicide Risk During Acute Care Visit (At least one item in risk assessment is required; check all that apply): ___ Chief complaint of suicide-related concern (via Medical Record/Other), ___ Active suicidal ideation endorsed in past 1 month on validated suicide screener, ___ Suicidal behavior in the past 3 months on validated suicide screener, ___ Clinician indicated SI in past month or SA in past 3 months.
Have access to a cellular phone with the ability to receive phone calls and text messages over the 12-month follow- up period
Adolescent must be verbally fluent and can communicate, understand, and read in either English or Spanish
Adolescent has been/will be discharged from a higher level of care (i.e. inpatient, day hospital, partial hospitalization program (PHP), or residential treatment program) and back in the community within 4 weeks of their acute care visit. [Note: this criterion does not apply to all patients - select N/A if this is the case.
Disqualifiers
Significant cognitive or developmental delays that prevent understanding or using SPI+ or IPT-A-SCI (includes inability to communicate verbally)
Altered mental status (acute psychosis, intoxication, or mania)
Unable or unwilling to provide informed consent (adults), assent (minors), or permission (parents/caregivers)
The services offered through the study are not in the best clinical interest of the patient (e.g., presenting problem requires a different level of care or treatment approach).
Trial design
Treatments tested in this trial
- Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+)
- Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI)
Treatment groups
1,000 Participants
are divided into 2 treatment groupsSponsors and collaborators
Johns Hopkins University
Lead sponsor
Johns Hopkins All Children's Hospital
Collaborator
Children's Hospital of Philadelphia
Collaborator
Reichman University
Collaborator
Patient-Centered Outcomes Research Institute
Collaborator
Columbia University
Collaborator
Source ClinicalTrials.gov