Safe Treatment for Emergency Presentation for Suicidal Ideation and Behavior in Youth

Part of paid clinical trials in Los Angeles, California.

Sponsor
University of California, Los Angeles
Study ID
NCT05304065
Phase
PHASE2
Status
Recruiting
Apply to this trial

Conditions

  • Self-Harm
  • Suicidal
  • Suicide

Eligibility Criteria

Sex
ALL
Age
13 Years - 24 Years
Healthy Volunteers
Not accepted

Interventions

  • SAFETY-A within usual ED Care — BEHAVIORAL
    SAFETY-A is a single session collaborative, strengths-based, developmentally nuanced, cognitive-behavioral intervention (CBT) to increase safety and mental health treatment initiation. The therapist works with the youth and family (or significant other, SO) separately and together to build hope and reasons for living, develop a personal safety plan, increase protective supports; and increase motivation for and linkage to treatment.
  • Combined SAFETY-A within usual ED Care + CLASP Therapeutic Follow-Up Contacts — BEHAVIORAL
    COMB, includes SAFETY-A within usual ED care plus CLASP therapeutic and caring follow-up contacts designed to strengthen safety and treatment initiation and engagement. Core functions of CLASP include: building hope/reducing hopelessness; enhancing social/family support; strengthening problem-solving; and increasing treatment initiation and engagement.

Study Details

This randomized comparative effectiveness trial will compare two evidence-based approaches to emergency care for youth ages 13-24 who present to the Emergency Department (ED) with suicidal ideation or behavior. Outcomes will be monitored at baseline and at 3, 6 \& 12 month follow-up assessments.

Key Dates

Start date
Oct 17, 2022
Status verified
Dec 2025
Primary completion
Dec 31, 2026
Completion
Dec 31, 2026

Study Design

Enrollment
1,600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: SAFETY-Acute within Usual ED Care
    The SAFETY-Acute (A) approach to safety planning and stabilization will be integrated within usual ED Care. SAFETY-A was formerly called the Family Intervention for Suicide Prevention, FISP.
  • Active Comparator: Combined
    The combined treatment arm includes both 1) SAFETY-A integrated within usual ED Care, and 2) therapeutic follow-up contacts using the Coping Long Term with Active Suicidality Program (CLASP) model.

Primary Outcome Measure

Suicide Attempts: Primary Clinical Outcome [ Time Frame: Through 12 months of follow-up ]

Central Contacts

Locations (5)

FacilityCityStateZIPSite coordinators
Ronald Reagan Medical CenterLos AngelesCalifornia90095-6968
Joan Asarnow, PhD
[email protected]
310-794-4962
Olive View UCLA Education and Research CenterSylmarCalifornia91342
Naser Ahmadi, MD, Ph.D.
[email protected]
310-478-3711
Duke UniversityDurhamNorth Carolina27708
David Goldston, Ph.D.
[email protected]
Brown UniversityProvidenceRhode Island02912
Anthony Spirito, Ph.D.
[email protected]
University of UtahSalt Lake CityUtah84112
Brooks Keeshin, MD
[email protected]

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By research site
Ronald Reagan Medical Center· Los Angeles, CAOlive View UCLA Education and Research Center· Sylmar, CADuke University· Durham, NCBrown University· Providence, RIUniversity of Utah· Salt Lake City, UT

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