Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Conditions

• Suicide
• Suicide Ideation
• Suicide Prevention
• Suicide, Attempted

Eligibility Criteria

Sex

ALL

Age

12 Years - 24 Years

Healthy Volunteers

Not accepted

Interventions

• Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+) — BEHAVIORAL
  Stanley Brown Safety Planning completed in the emergency department with 3 follow-up contacts after discharge
• Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI) — BEHAVIORAL
  Five session crisis focused version of IPT for adolescents.

Study Details

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.

Key Dates

Start date

Mar 10, 2025

Status verified

Apr 2026

Primary completion

Oct 14, 2028

Completion

Oct 14, 2028

Study Design

Enrollment

1,000 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Arms

• Active Comparator: Safety Planning Intervention
  The SPI is a brief, evidence- based intervention that provides people with an individualized set of steps that can be used progressively to both reduce risk and maintain safety when suicide ideation (SI) emerges. Safety plans are developed collaboratively between providers, at risk youth, and family members when possible. Core SPI components include recognizing warning signs of an imminent suicidal crisis (e.g., changes in mood, thoughts or behaviors); using internal coping skills to reduce distress; using people or places in the individual's support network as a means of distraction from SI; reaching out to family or friends to help manage the crisis; contacting health professionals or emergency services; and reducing access to lethal means. SPI+ includes a brief follow-up component post- discharge that includes contacting the patient for a mood and risk check-in; reviewing and revising the safety plan; and facilitating connection with community mental health services.
• Active Comparator: Ultra-Brief Crisis IPT-A
  Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI) is a scalable, flexible, and extensively examined mental health treatment developed to reduce depressive symptoms and improve interpersonal functioning, and has been adapted for use in adolescents (IPT-A SCI) and shown to be effective in treating depression and reducing associated suicide risk. Interpersonal problems are often at the core of suicidal thinking and behavior in youths including minority youths.

Primary Outcome Measure

Change in Suicidal ideation as assessed by the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recent [ Time Frame: baseline, 3 months, 6 months, 12 months ]

Central Contacts

• Holly C Wilcox, PhD
  4103700081
  [email protected]
• Taylor Ryan, MA
  4846835824
  [email protected]

Locations (6)

Find similar trials in St. Petersburg, FL

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