Recruiting

Observational Study

Sponsor:

Rhode Island Hospital

Code:

NCT02981420

Conditions

Suicide and Self Harm

Eligibility Criteria

Sex: All

Age: 12 - 17

Healthy Volunteers: Accepted

Interventions

Safety planning

Study Details

Brief summary:

A youth's contact with the juvenile justice system represents an opportune moment for suicide screening and brief suicide intervention for indicated youth. This study will provide data on the novel implementation of an evidence-based brief suicide intervention, safety planning, administered by front-line juvenile court staff for suicidal court-involved non-incarcerated youth. Data will inform the dissemination and implementation of suicide brief interventions to be delivered by front-line staff at the time of mental health screening in the juvenile justice system. The proposed study is consistent with the NIMH Strategic Plan by testing an intervention for effectiveness in community settings (Strategy 3.3) and establishing a research-practice partnership to improve D\&I of evidence-based MH services (4.2). The unique service delivery by JJ court staff also supports the NIMH goals to develop innovative service delivery models (Strategy 4.3) as well as validate a MH intervention for an underserved population (Strategy 4.1). This proposal also addresses the Healthy People 2020 goals of reducing suicide attempts (MHMD-2).

Conditions

Suicide and Self Harm

Study ID

NCT02981420

Start date

Dec, 2016

Status verified date

Nov, 2016

Completion date

May, 2020

Anticipated

Primary completion date

May, 2019

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 12 - 17

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Court-involved non-incarcerated (CINI) youth,
  • ages 12-17
  • Legal guardian available to consent for juvenile's participation,
  • Juvenile is English speaking, and
  • Juvenile flags in the caution or warning range of the MAYSI-2.

Inclusion for second cohort:

  • Court-involved non-incarcerated (CINI) youth,
  • ages 12-17
  • Legal guardian available to consent for juvenile's participation,
  • Juvenile is English speaking, and
  • Juvenile does not flag in the caution or warning range of the MAYSI-2

Exclusion Criteria:

  • observable cognitive, developmental delays, or psychosis that would interfere with completing consent, assessment or intervention, and
  • Juvenile meets hospital level of care for imminent suicide risk.

Study Design

Enrollment

300 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

no intervention: Pre-intervention

Pre-intervention baseline comparison

experimental: Safety Planning

Intervention group

no intervention: Regression discontinuity

Subthreshold no intervention

Interventions

Safety planning

Safety Planning Intervention. This brief one-session intervention, based on cognitive behavioral principles, is designed to help individuals identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of suicidal behavior. In youth who also report nonsuicidal self-injurious behavior (NSSI), the safety plan will address both suicidal and nonsuicidal behavior. The plan helps youth identify possible triggers to SI/crisis including self-monitoring of suicidal thoughts, feelings, and behaviors; advance planning to remove lethal means; determine distress tolerance/emotion regulation skills that may be helpful; identify accessible social supports to target hopelessness/sense of isolation; reinforce the commitment to seek treatment; and, how and where to access emergency care.

Primary outcome measure

  • Self-Injurious Thoughts and Behaviors Interview 2.0 (SITBI 2.0) Short Form [ Time Frame: 3 months ]
  • Suicide Ideation Questionnaire (SIQ) - Junior [ Time Frame: 3 months ]
  • Child and Adolescent Services Assessment [ Time Frame: 3 months ]
  • Treatment Attendance [ Time Frame: 3 months ]
  • Recidivism [ Time Frame: 3 months ]

Central Contacts and Locations

Central contacts

Kathleen Kemp, Ph.D.

4017938269kkemp@lifespan.org

Locations

Rhode Island Family Court

Recruiting

Providence, Rhode Island, United States, 02903

Contacts

More Information

Sponsor

Rhode Island Hospital

Last update posted

Mar 6, 2017

Last verified

Nov, 2016

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Rhode Island Hospital on 2017-03-06.