Experimental Evaluation of a Multi-site Suicide Intervention for Youth During and After Residential Placement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Decreased burnout and increased job efficacy on the Professional Quality of Life measure (Stramm, 2016) and the Maslach Burnout Inventory
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •Not placed in an ACS run-or contracted facility enrolled in the study during the study period
- •Lack of proficiency in English.
研究组 & 干预措施
SAFE Spaces training and coaching
Staff in facilities assigned to this arm are offered the SAFE Spaces training and coaching model.
干预措施: SAFE Spaces training and coaching (Behavioral)
Training as Usual
Staff in facilities assigned to this arm receive training as usual.
结局指标
主要结局
Decreased burnout and increased job efficacy on the Professional Quality of Life measure (Stramm, 2016) and the Maslach Burnout Inventory
时间窗: 1 year
Change in staff burnout and job efficacy
Increased self-harm knowledge response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)
时间窗: 1 year
Change in self-harm knowledge and response skills
Increased suicide knowledge and response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)
时间窗: 1 year
Change in suicide knowledge and response skills
Change in responses on the Inventory of Depression and Anxiety Symptoms (Watson et al., 2007)
时间窗: 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)
时间窗: 1 year
Change in suicide ideation, thoughts, and behaviors
Decreases on Self-Injurious Thoughts and Behaviors Interview (Nock et al., 2007)
时间窗: 1 year
Change in self-harm thoughts and behaviors
Decreases on internalizing and externalizing subscales of Massachusetts Youth Screening Instrument (Grisso et al., 2001)
时间窗: 1 year
Change in mental health correlates of suicide
次要结局
未报告次要终点