Youth Mentor-Led Brief Interpersonal Psychotherapy for Youth Suicide Prevention
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Acceptability of the intervention
研究概览
简要总结
The goal of this randomized pragmatic clinical trial is to examine the feasibility, acceptability, and mechanisms of change of a brief adaptation of Interpersonal Psychotherapy for Adolescents (BIPT-A), adapted and task-shifted to lay providers (mentors, youth trusted adults) in youth community centers (YCCs) as an upstream approach to suicide.
It focuses on Hispanic adolescents ages 12-17 enrolled in these YCCs. The pragmatic clinical trial will evaluate the acceptability and feasibility of adapted IPT-A delivered by mentors in YCCs and whether adapted BIPT-A impacts mechanisms of change (depressive symptoms, belongingness, and burdensomeness or feeling like a burden to others).
The main questions to answer are:
- Is adapted BIPT-A, when delivered by trained lay providers (youth mentors), feasible and acceptable in youth community centers?
- Does adapted BIPT-A, delivered by lay providers, change key risk factors (i.e., key mechanisms: depressive symptoms, low belongingness, and perceived burdensomeness) associated with suicide ideation? The investigators will compare adolescents randomized to adapted BIPT-A (6 sessions) delivered by a trained youth mentor with those receiving usual services at the community center (one individual session focused on active listening).
Participants will:
- Be screened for subthreshold depression using the Patient Health Questionnaire Adolescent version (PHQ-A). Adolescent participants will be included if they score between 4 and 9 (mild depression). Participants with a PHQ-A score of 10 or higher (severe depression) will not be eligible and will be referred to a licensed mental health provider for appropriate care.
- Be randomized to adapted BIPT-A or usual care. Adolescent participants in the intervention arm will participate in 6 weekly, adapted BIPT-A sessions with a trained youth mentor. Intervention focuses on education, affect identification, and interpersonal skills.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Parent consent
- •Adolescent consent
- •Enrolled in youth community centers
- •Self-identified as Hispanic or Latine
- •Between 12 and 17 years old.
- •Scoring threshold for depression (4-9) as indicated in the PHQ-A.
- •No current report of suicide ideation with plan or self-harming behaviors
排除标准
- •Not consented to participate in the study
- •Scoring 10 or higher in the PHQ-A, indicating depressive disorder
- •Active suicide ideation (i.e., having thoughts of killing oneself, thinking about how in the past month).
研究组 & 干预措施
Usual Community Center Services
Participants in this arm will continue to receive the standard youth programming and services offered at the participating community centers. This is an individual session focused on active listening.
干预措施: Usual Community Center Services (Other)
Adapted IPT-A Delivered by Youth Mentors
Participants in this arm will receive 6 weekly sessions of an adapted, brief Interpersonal Psychotherapy for Adolescents (BIPT-A) delivered by trained youth mentors (n=5) at the partnering youth community centers. The intervention focuses on improving interpersonal functioning, communication skills, and supportive relationships to reduce depressive symptoms, low belongingness, and perceived burdensomeness.
干预措施: Adapted Brief Interpersonal Psychotherapy for Adolescents (IPT-A LAZOS) (Behavioral)
结局指标
主要结局
Acceptability of the intervention
时间窗: Up to 7 weeks
The Acceptability and Appropriateness of Intervention Measure (AIM) is an 8-item self-report survey that assesses whether the intervention is satisfactory (acceptability) and relevant (appropriateness). The measure is divided into 4-item subscales: acceptability and appropriateness. These constructs are evaluated separately, with an average score ranging from 1 (low) to 5 (high) (Weiner et al., 2017). Higher scores indicate higher satisfaction (acceptability) and relevance (appropriateness), meaning a better outcome.
Feasibility of the intervention
时间窗: Up to 7 weeks.
The Feasibility of Intervention Measure (FIM) is a 4-item self-report survey (Weiner et al., 2017) used to assess whether the intervention can be successfully carried out (feasible). The scores for the 4 items are averaged, yielding a total score of 1-5, where 1-2 indicates low perceived feasibility, 3 indicates moderate, and 4-5 indicates high perceived feasibility. In summary, higher scores indicate higher perceived feasibility (a better outcome).
次要结局
- Change in interpersonal factors associated with passive suicide ideation.(Up to 7 weeks.)
- Change in depressive symptoms(Up to 7 weeks.)
- Change in depressive symptoms as measured by PHQ-A(Up to 7 weeks.)