Collaborative Hub to Reduce the Burden of Suicide Among Urban American Indian and Alaska Native Young Adults
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 698
- 试验地点
- 1
- 主要终点
- Change in Suicidal Ideation
研究概览
简要总结
This study compares the effectiveness of a program to detect and manage suicide risk among American-Indian and Alaska Native (AI/AN) youth. Half of the participants will receive caring text messages to reduce suicidal thoughts, attempts, and hospitalizations and to increase engagement, social connectedness, and resilience in at-risk youth. The other half will receive usual care that does not include the caring text messages.
详细描述
The study, "Suicide in Urban Natives: Detection and Networks to Combat Events," builds on Screening, Brief Intervention and Referral to treatment (SBIRT), carried out through the primary care setting, to detect and manage suicide risk. This approach is multilevel, targeting both the healthcare system and the individual, and links screening to existing mobile phone technologies shown to promote resilience and to tap the protective benefits of social connectedness. This Collaborative Hub will conduct a randomized control trial that compares the effectiveness of enhancing these SBIRT programs by sending caring text messages to reduce suicidal ideation, attempts, and hospitalizations, and to increase engagement, social connectedness, and resilience. The Investigators' long-term goal is to disseminate and translate the lessons learned into practical policy, organizational changes, and preventive innovations that optimize patient-centered health outcomes and ultimately reduce or eliminate the dramatic and tragic suicide-related health disparities among urban AI/AN youth and young adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Patients will not be given details about how text messaging differs for the 2 study groups. Instead, patients will be told that the clinic is testing a program to support people who are having hard times, and that they will receive periodic text messages from the Site Coordinator for the next 12 months.
入排标准
- 年龄范围
- 18 Years 至 34 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Self-identify as American Indian or Alaska Native;
- •Screen positive for mild, moderate, or severe risk of suicidality (referred by a clinical provider);
- •Have a text-enabled mobile phone;
- •Willing to be contacted by text;
- •Able to participate voluntarily;
- •Speak and read English;
- •Cognitively able to independently provide written informed consent
排除标准
- •Under age 18
- •In danger of imminent self-harm;
- •Hospitalized
研究组 & 干预措施
SBIRT+Usual Care
The control arm of the trial will receive the usual care prescribed in the Screening, Brief Intervention and Referral to Treatment (SBIRT) model.
干预措施: SBIRT+Usual Care (Behavioral)
SBIRT+12
The standard SBIRT model is augmented by a 12 month period following identification of suicide risk during which participants will receive caring text messages adapted from empirically-based, effective interventions for suicide prevention among American Indian and Alaska Native young adults.
干预措施: SBIRT+12 (Behavioral)
结局指标
主要结局
Change in Suicidal Ideation
时间窗: Baseline, 6 months, 12 months
The 15-item Suicidal Ideation Questionnaire Jr. assesses frequency of suicidal thoughts in the past month. Item content ranges from general thoughts of death and wishes that one were dead to specific thoughts of self-injurious behavior. Responses are on a 7-point scale ranging from never to almost daily. Items are summed for a total score (range 0-90).
Change in Self-Reported Suicide Attempts
时间窗: Baseline, 6 months, 12 months
The investigators will use the interviewer-administered Suicide Attempt and Self-Injury Count to assess the method, intent, treatment received, and lethality for all suicide attempts over the respondent's lifetime.
Change in Hospitalizations and Behavioral Health Treatment
时间窗: Baseline, 6 months, 12 months
The investigators will assess self-reported hospitalizations over the previous 12 months with a measure of health service use previously applied to AI/ANs. It captures information on inpatient and outpatient medical care, emergency room visits, and use of traditional practices.
次要结局
- Change in Social Connectedness(Baseline, 6 months, 12 months)
- SBIRT Retention and Uptake of Referral to Therapy(6 months, 12 months)