Observational Study to Compare Outcomes of Different Psychiatric Treatment of Suicidal Adolescents

Completed

Brief Summary: To address the unmet need of optimizing the treatment and management for adolescent suicidality, the investigators propose to evaluate the effectiveness and safety of telehealth services compared to inpatient and OCIC for suicidal adolescents in target population. To achieve this goal, the investigators propose a multi- site study to compare telehealth, OCIC, and inpatient care, and see which can lead to a lower risk of a suicidal event (primary outcome) as well as higher treatment satisfaction (TS) and satisfaction with life (SL) (secondary outcomes) of both the legal guardians/parents and patients.

Detailed Description: The investigators have proposed an observational design. Eligible individuals will be identified during a crisis assessment, either in the emergency department or during an emergency phone or telehealth assessment. Once the individual has been assessed and assigned to the clinician for treatment, study staff will assess if the patient is appropriate for the study using the study eligibility criteria. Individuals who receive treatment in one of the following treatment arms will be eligible for this observation study: inpatient, in-person OCIC or telehealth crisis intervention service. Eligible individuals will be contacted by study staff to introduce and offer the study. If patient and guardian agree, they will complete surveys at baseline and every 2 weeks for 6 months to evaluate outcomes.

Recruitment & Eligibility

Inclusion Criteria

Adolescents that are 12 through 18 years old.
Adolescents that are brought to the Emergency Department for crisis evaluation due to suicidal thoughts or behaviors.
Require a higher level of care.
The presence of a legal guardian for consent.
Capable of giving signed informed consent/assent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion Criteria

Adolescents with suicidal thoughts who had prior OCIC treatment in the past 12 months.
Adolescents without the ability to answer survey questions.
Adolescents that are non-English speaking due to the scales and surveys that are used for this study only being available in English.

Arm && Interventions

Group	Intervention	Description
Inpatient Treatment	Mental Health Treatment	Inpatient psychiatric treatment
OCIC Treatment	Mental Health Treatment	In-person outpatient crisis intervention
Telehealth Therapy Treatment	Mental Health Treatment	Virtual outpatient therapy

Primary Outcome Measures

Name	Time	Method
Number of Recurrent Suicidal Events Measured by Treatment Arm	6 Months	Compare the number of recurrent suicidal event across three treatment groups. Suicidal events were measured by hospitalizations during the study time frame in analysis.

Secondary Outcome Measures

Name	Time	Method
Which Treatment Leads to Better Life Satisfaction	6 Months	The Patient-Reported Outcomes Measurement Information System (PROMIS) Pediatric Item Bank v1.0 - Short Form 4a was used to measure life satisfaction and response pattern scoring was calculated in RedCap.• Each question has five response options (1 to 5), with the total score ranging from 4 to 20, where higher values indicate better life satisfaction.

Locations (4): Northwell Health
🇺🇸
Queens, New York, United States
Nationwide Children's Hospital
🇺🇸
Columbus, Ohio, United States
Cincinnati Children's Hospital Medical Center
🇺🇸
Cincinnati, Ohio, United States
UT Southwestern Medical Center
🇺🇸
Dallas, Texas, United States