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

Not Applicable

Recruiting

• Conditions: Suicide; Suicidal Ideation
• Interventions: Other: STAT-PC; Other: YST-III

• Registration Number: NCT05869552
• Lead Sponsor: Elizabeth Arnold

Brief Summary

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 Texas metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-05-11
• Study First Submitted QC: 2023-05-11
• Study First Posted: 2023-05-22
• Study Start: 2023-07-13
• Status Verified: 2024-08
• Last Update Submitted: 2025-01-02
• Last Update Posted: 2025-01-03
• Primary Completion: 2026-07
• Study Completion: 2026-07

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 1485

Inclusion Criteria

• be aged 18-24 at the time of enrollment
• not have received mental health services in the past 90 days, excluding medication and case management
• English-speaking
• screen positive for suicide risk

Exclusion Criteria

• are actively suicidal
• have a developmental disability that would preclude them from participating in the study intervention
• who are impaired due to psychosis, mania, or substance use that would prevent them from providing consent.
• Participants will also be excluded at YST-III sites if they are unable to identify a minimum of one support person to participate in the intervention with them

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Suicidal Teens Accessing Treatment - Primary Care (STAT-PC)	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.
Youth-Nominated Support Team (YST-III)	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 Measures

Name	Time	Method
Change in suicidal ideation as measured by the Adult Suicidal Ideation Questionnaire (ASIQ)	baseline and months 1, 3, 6, 9, and 12	ASIQ is a 25-item, self-report assessment of suicidal thoughts designed specifically for adult populations. Possible scores range from 1 (Not at All) to 6 (Extreme), with lower scores indicating less severe suicidal ideation (better outcome).

Secondary Outcome Measures

Name	Time	Method
Deaths by suicide	baseline to study completion up to 12 months	The data on any reported deaths due to suicide during the study period will be collected.
Change in depressive symptoms as measured by Center for Epidemiologic Studies Depression Scale-Revised CESD-R	baseline and months 1, 3, 6, 9, and 12	CESD-R is a 20-item measure of depression that assesses the duration symptoms across a period of two weeks. Possible scores range from 0-60, with lower scores indicating less depressive symptoms (better outcome).
Change in number of mental healthcare service utilization as measured by Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) mental health service utilization check list	baseline and months 1, 3, 6, 9, and 12	ED-STARS mental health service utilization check list will be used to assess the number of different types of mental health services that participants receive
Change in number of suicide attempts	baseline and months 1, 3, 6, 9, and 12	measured by the number of suicide attempts using the Columbia-Suicide Severity Rating Scale (CSSRS)
Change in social support as measured by the Multidimensional Scale of Perceived Social Support (MSPSS)	baseline and months 1, 3, 6, 9, and 12	12-item measure with three subscales that assesses family, friend, and significant other support. Response categories are on a 7-point Likert-scale from 1=very strongly disagree to 7=very strongly agree. The overall score will be used to assess change. The 12-item MSPSS scale has a mean continuous score ranging from 1-84. Higher scores indicate greater perceived social support (better outcome).
Change in internalized stigma as measured by Internalized Transphobia Scale (ITS)-adapted	baseline and months 1, 3, 6, 9, and 12	an adapted version of the Internalized Transphobia Scale (ITS). The measure consists of 22 questions. Possible score ranges from 1-4 with lower scores indicating less internalized stigma (better outcome)

Trial Locations

Locations (2)

Steve Hicks School of Social Work at the University of Texas at Austin; 🇺🇸 Austin, Texas, United States

University of Texas Southwestern Medical Center; 🇺🇸 Dallas, Texas, United States