Integrating the Youth Nominated Support Team (YST) With CBT for Black Youth With Acute Suicide Risk
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Acceptability - percent of eligible youth consented
研究概览
简要总结
The investigators are modifying and testing the preliminary effectiveness and implementation of the combination of two psychosocial interventions, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the computer-assisted version of the Youth-Nominated Support Team (eYST). This registration will be for Aim 2 and a pilot randomized clinical trial for Aim 3 will be registered separately.
In this phase of the study, CBT-SP+eYST will be tested in an initial open trial (number of youth=6) to examine its feasibility and acceptability. Investigators will recruit Black adolescents that come to an urban emergency department (ED) for suicidal thoughts and/or behaviors to receive the intervention in an outpatient community mental health agency. The study focuses on the acute phase of CBT-SP, which is 12 sessions. Participants will nominate up to 4 caring adults in the participants lives to serve as support persons. These support persons will attend an education/orientation session to learn more about their role and how to support the youth.
Youth will be assessed at baseline, 6 weeks, and 14 weeks. Parents will be assessed at baseline and 14 weeks. Support persons will be assessed at baseline and 14 weeks. Fidelity assessments will be completed by clinicians after each CBT-SP session, after the YST psycho-ed session, and weekly to document contact with the support team.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of any gender between the ages of 12 and 17 years
- •Patients that are able to provide at least one verifiable contact for emergency or tracking purposes
- •Eligible for care at MiSide
- •Present to the ED with suicide risk (per protocol)
- •Self-identify as Black (obtain from face sheet collected in triage)
- •Willing and able to complete enrollment procedures
- •Willing and able to provide signed and dated informed assent
排除标准
- •Unable to be consented in English
- •Do not have a parent/legal guardian available to provide consent
- •Are not able to provide informed assent or to participate in the assessment due to significant agitation, psychosis, cognitive impairment, learning disability, or medical trauma
- •Actively engaged in specialty mental health treatment
- •Parent/Guardian Inclusion Criteria:
- •Adults 18 years old and older
- •The parent or legal guardian of a youth participating in Aim 2
- •Understand written and spoken English
- •Willing and able to complete enrollment procedures
- •Willing and able to provide signed and dated informed consent
- •Parent/Guardian Exclusion Criteria:
- •- Do not understand written and spoken English
- •Support Person Inclusion Criteria:
- •Adults 18 years and older
- •Understand written and spoken English
- •Approved to serve as a support person by the parent/legal guardian
- •Support Person Exclusion Criteria:
- •Do not understand written and spoken English
- •Not approved to serve as a support person by the parent/guardian
研究组 & 干预措施
CBT for Suicide Prevention and the Youth-Nominated Support Team
Participation will be 3 months.
干预措施: Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) (Behavioral)
CBT for Suicide Prevention and the Youth-Nominated Support Team
Participation will be 3 months.
干预措施: Youth-Nominated Support Team (Behavioral)
结局指标
主要结局
Acceptability - percent of eligible youth consented
时间窗: Baseline
The intervention will be considered acceptable if at least 50% of eligible youth choose to enroll in the study.
Feasibility - Mean number of support people
时间窗: 6 weeks
The intervention will be considered feasible if the mean number of support people per youth is at least 3.
Acceptability - Mean number of support person contacts
时间窗: 14 weeks
The intervention will be considered acceptable if the mean number of support person contacts with youth is at least 7.
Feasibility - Number of CBT-SP sessions attended
时间窗: 14 weeks
Number of CBT-SP sessions attended by youth
次要结局
未报告次要终点
研究者
Cynthia Ewell Foster
Clinical Associate Professor of Psychiatry
University of Michigan