Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care

Part of paid clinical trials in Pittsburgh, Pennsylvania.

Sponsor
Elizabeth Arnold
Study ID
NCT05869552
Status
Recruiting

Conditions

  • Suicidal Ideation
  • Suicide

Eligibility Criteria

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

Interventions

  • STAT-PC — OTHER
    STAT-PC is an adapted version of Suicidal Teens Accessing Treatment after an ED Visit (STAT-ED). It is a brief intervention based on motivational interviewing (MI) that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management. The intervention will consist of an initial session with the youth focusing on accessing mental health care plus case management calls. The interventionist will also be available to assist with referrals for connection to other services later during the study period as needed for up to three months. The intervention may include contact with the youth's mental health provider to make sure linkages are made.
  • YST-III — OTHER
    YST-III is an adapted version of Youth-Nominated Support Team for Suicidal Adolescents (YST-II). The intervention is a brief intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation (SI). Participants will nominate supportive adults (age 18 and older) from their lives who agree to provide ongoing contact and support for up to 3 months. YST-III will include an introductory session with the youth who will nominate their support persons plus referrals for mental health services. The support persons will receive training and support on how to best support their youth partner and then ongoing calls to support them in working with their youth partner for up to 3 months.

Study Details

The overall aim of this study is to reduce suicide among sexual and gender diverse youth ages 18-24 years old. This study will compare the effectiveness of two brief suicide prevention interventions that have been adapted for use with this population to use in primary care via telehealth and will recruit youth from primary care clinics in multiple metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.

Key Dates

Start date
Jul 13, 2023
Status verified
Nov 2025
Primary completion
Mar 31, 2027
Completion
Mar 31, 2027

Study Design

Enrollment
1,485 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Suicidal Teens Accessing Treatment - Primary Care (STAT-PC)
    This group will participate in a brief, suicide prevention intervention based on motivational interviewing that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management that has been adapted.
  • Experimental: Youth-Nominated Support Team (YST-III)
    This group will participate in a brief, suicide prevention intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation that has been adapted.

Primary Outcome Measure

Change in suicidal ideation as measured by the Adult Suicidal Ideation Questionnaire (ASIQ) [ Time Frame: baseline and months 1, 3, 6 ]

Central Contacts

Locations (3)

FacilityCityStateZIPSite coordinators
University of PittsburghPittsburghPennsylvania15261
Phillip Schnarrs, PhD
Steve Hicks School of Social Work at the University of Texas at AustinAustinTexas78705
Lauren Gulbas, PhD
University of Texas Southwestern Medical CenterDallasTexas75390
Emily Levy-Kamugisha, MD

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