Adapting Youth Nominated Support Team (YST) to Prevent Suicide

Conditions

• Suicidal Ideation and Behavior

Eligibility Criteria

Sex

ALL

Age

12 Years - 80 Years

Healthy Volunteers

Not accepted

Interventions

• Youth-Nominated Support Team for Probation — BEHAVIORAL
  YST-P is a social support intervention to leverage youths' existing relationships as an approach to decrease SIB and address multilevel barriers to care for youth on probation.

Study Details

The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care they need due to multi-level barriers. YST-P is adapted from an existing evidence-based, social support intervention, Youth-Nominated Support Team (YST), which is a psychoeducational, social support intervention originally created as an adjunctive to standard behavioral health (BH) treatment for youth with suicide risk following psychiatric hospitalization. YST-P is an adaptation of YST designed to meet the unique needs of youth on probation, addressing their SIB and increasing their uptake of treatment, by leveraging their existing social networks. YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them to care. The study entails a single-arm pilot to examine reductions in SIB (within-subject comparison), and increased treatment uptake (comparing YST-P participants to a propensity-matched, historical control). This study will additionally explore theorized mechanisms of intervention action as well as implementation outcomes and barriers/facilitators to YST-P. The goal is for results from this study to inform a larger, fully powered effectiveness trial, as well as future studies leveraging youths' existing social support networks to prevent SIB and bridge them to care.

Key Dates

Start date

Sep 1, 2026

Status verified

May 2026

Primary completion

Jul 31, 2028

Completion

Jul 31, 2028

Study Design

Enrollment

137 participants (estimated)

Allocation

NA

Intervention model

SINGLE_GROUP

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Experimental: Youth
  Youth with an active probation case with reported past year suicidal ideation who receive the YST-P intervention (n=40).

Primary Outcome Measure

Youth Suicide Ideation and Behaviors [ Time Frame: Assessed at baseline, at completion of the 3-month intervention, and also 6-month post-baseline ]

Central Contacts

• Quinn R Anderson, MS
  650-283-2448
  [email protected]
• Francesca Agnello, MPH
  646-548-9096
  [email protected]

Locations (1)

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