A New Clinical Model for the Engagement of Latinx Youth With Suicidal Behavior

Part of paid clinical trials in Providence, Rhode Island.

Sponsor
Bradley Hospital
Study ID
NCT06882798
Status
Recruiting

Conditions

  • Depressive Symptoms
  • Suicidal Behaviors
  • Suicide Ideation

Eligibility Criteria

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

Interventions

  • Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB) — BEHAVIORAL
    SCBT-SB is a manualized psychosocial treatment protocol developed specifically with and for L/H youth with suicidal ideation and behaviors. Clinician, adolescents, and caregivers' manuals are available in both Spanish and English. SCBT-SB protocol's main conceptual framework and strategies are informed by Cognitive Behavioral Therapy concepts, psychoeducation, and adolescent parenting strategies. The intervention involves individual, caregivers, and family sessions. SCBT-SB, while maintaining the basic principles of CBT, was further developed to include developmental (e.g., identity), and cultural elements of L/H families (e.g., family communication, language). The protocol has two main phases. Phase 1, the Crisis Module, includes nine standard core sessions, and Phase 2, which proposes a flexible number of sessions, focused on the delivery of interchangeable coping skills modules and the acquisition of skills that reduce STB.
  • SCBT-SB + CHW — BEHAVIORAL
    The New Clinical Model consist of one clinician delivering the SCBT-SB and one CHW per each family. The assigned clinician \& CHW will meet at the beginning of treatment to discuss their assigned case and will have follow-up meetings as needed and at a minimum, once monthly. CHWs will support family engagement in treatment. CHWs will assess each family's social needs and concerns about treatment. The CHW intervention will 1) Assess social determinants of mental health; 2) Provide referrals and serve as a bridge to other community resources; 3) Provide psychoeducation on mental health and services to decrease stigma; and 4) Follow-up and provide support on recommended actions.

Study Details

This study will test a model of providing treatment to Latinx/Hispanic youth, who experience suicidal thoughts and behavior, and their caregivers. An affirmative and culturally relevant treatment will be provided to all youth and half of the families will be assigned to the additional support of a community health worker (CHW). Youth symptoms and family engagement to treatment will be followed for nine months. The potential benefit of adding the CHW intervention will be assessed.

Key Dates

Start date
Mar 28, 2024
Status verified
Mar 2025
Primary completion
Jan 31, 2027
Completion
Jan 31, 2027

Study Design

Enrollment
150 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: SCBT-SB (Only)
    A culturally centered CBT treatment protocol called Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB)
  • Experimental: New Clinical Model: SCBT-SB + Community Health Worker
    SCBT-SB treatment with the additional support of a community health worker (CHW)

Primary Outcome Measure

Suicidal Ideation (SI) [ Time Frame: Change from baseline to 6 months and baseline to 9 months. ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Bradley Hasbro Children's Research CenterProvidenceRhode Island02903
Yovanska Duarte-Velez, PhD
401-432-1651
Gisela Jimenez-Colon, PhD
401-432-1059
Yovanska Duarte-Velez, PhD (PRINCIPAL_INVESTIGATOR)
Gisela Jimenez-Colon, PhD (SUB_INVESTIGATOR)

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