Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care: CRT
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Suicide
- Sponsor
- Elizabeth Arnold
- Enrollment
- 1485
- Locations
- 3
- Primary Endpoint
- Change in suicidal ideation as measured by the Adult Suicidal Ideation Questionnaire (ASIQ)
- Status
- Recruiting
- Last Updated
- 5 months ago
Overview
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 multiple metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.
Investigators
Elizabeth Arnold
Professor
University of Kentucky
Eligibility Criteria
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
Outcomes
Primary Outcomes
Change in suicidal ideation as measured by the Adult Suicidal Ideation Questionnaire (ASIQ)
Time Frame: baseline and months 1, 3, 6
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 Outcomes
- 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)
- Change in number of suicide attempts(baseline and months 1, 3, 6)
- Deaths by suicide(baseline to 6 months)
- Change in depressive symptoms as measured by Center for Epidemiologic Studies Depression Scale-Revised CESD-R(baseline and months 1, 3, 6)
- Change in social support as measured by the Multidimensional Scale of Perceived Social Support (MSPSS)(baseline and months 1, 3, 6)
- Change in internalized stigma as measured by Internalized Transphobia Scale (ITS)-adapted(baseline and months 1, 3, 6)