Systems Aligning for Equity (SAFE) Spaces

Not Applicable

Recruiting

• Conditions: Suicide; Mental Health; Self Harm; Mental Disorder; Burnout, Professional
• Interventions: Behavioral: SAFE Spaces training and coaching

• Registration Number: NCT05658068
• Lead Sponsor: New York University

Brief Summary

The goal of this 2-arm cluster randomized clinical trial is to test whether an evidence-based staff training and coaching model specifically designed as a response to legal system-involved youths' and frontline staff's mental health needs can improve the safety and suicide outcomes, mental health challenges, and wellness and facility climate for youth and staff in facilities assigned to the intervention condition. Staff in facilities assigned to the intervention are eligible to receive evidence-based programming in suicide detection and prevention (Shield of Care; SOC) and wellness skill-building (Skills for Life) through training and personalized coaching. Multiple training sessions will be offered to small groups of staff in-person in residential facilities and paired with personalized in-person and virtual coaching. Staff and youth in all facilities will be asked to complete periodic surveys assessing experiences in the facility, suicide and safety knowledge and risk, and their mental health and wellness. Researchers will compare outcomes of staff in youth in facilities assigned to the intervention compared to facilities in the training-as-usual condition.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-23
• Study First Submitted: 2022-12-01
• Study First Submitted QC: 2022-12-19
• Study First Posted: 2022-12-20
• Status Verified: 2024-01
• Last Update Submitted: 2024-03-21
• Last Update Posted: 2024-03-22
• Primary Completion: 2024-08-01
• Study Completion: 2025-05-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 800

Inclusion Criteria

• Placement in in ACS-run or contracted residential facilities enrolled in the study during the first 2 years of the intervention period
• Proficiency in English

Exclusion Criteria

• Not placed in an ACS run-or contracted facility enrolled in the study during the study period
• Lack of proficiency in English.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
SAFE Spaces training and coaching	SAFE Spaces training and coaching	Staff in facilities assigned to this arm are offered the SAFE Spaces training and coaching model.

Primary Outcome Measures

Name	Time	Method
Increased self-harm knowledge response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)	1 year	Change in self-harm knowledge and response skills
Decreased burnout and increased job efficacy on the Professional Quality of Life measure (Stramm, 2016) and the Maslach Burnout Inventory	1 year	Change in staff burnout and job efficacy
Increased suicide knowledge and response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)	1 year	Change in suicide knowledge and response skills
Change in responses on the Inventory of Depression and Anxiety Symptoms (Watson et al., 2007)	1 year	Change in staff mental health
Decreases in Suicidal Ideation Questionnaire (Davis, 1992) and suicide subscale of Massachusetts Youth Screening Instrument (Grisso et al., 2001)	1 year	Change in suicide ideation, thoughts, and behaviors
Decreases on Self-Injurious Thoughts and Behaviors Interview (Nock et al., 2007)	1 year	Change in self-harm thoughts and behaviors
Decreases on internalizing and externalizing subscales of Massachusetts Youth Screening Instrument (Grisso et al., 2001)	1 year	Change in mental health correlates of suicide

Trial Locations

Locations (1)

New York University; 🇺🇸 New York, New York, United States