Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Description

The study will compare the effectiveness of two relatively brief and scalable evidence-based interventions: the Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), a suicide-specific intervention that helps people prevent suicidal crises from escalating, and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a psychotherapeutic crisis intervention treatment for suicidal adolescents that teaches youth skills to prevent suicidal crises and addresses interpersonal problems that lead to suicidal crises. The results will inform the future standard of care for youth at risk for suicide presenting in the ED setting. This project focuses on suicidal youth ages 12-19 in three ethnically and racially diverse urban areas: Philadelphia, Pennsylvania; Baltimore, Maryland; and upper Manhattan/lower Bronx in New York City.

Conditions

Suicide, Attempted, Suicide Ideation, Suicide, Suicide Prevention

Study Overview

Study Details

Study overview

The study will compare the effectiveness of two relatively brief and scalable evidence-based interventions: the Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), a suicide-specific intervention that helps people prevent suicidal crises from escalating, and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a psychotherapeutic crisis intervention treatment for suicidal adolescents that teaches youth skills to prevent suicidal crises and addresses interpersonal problems that lead to suicidal crises. The results will inform the future standard of care for youth at risk for suicide presenting in the ED setting. This project focuses on suicidal youth ages 12-19 in three ethnically and racially diverse urban areas: Philadelphia, Pennsylvania; Baltimore, Maryland; and upper Manhattan/lower Bronx in New York City.

Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Condition
Suicide, Attempted
Intervention / Treatment

-

Contacts and Locations

Saint Petersburg

Johns Hopkins All Children's Hospital, Saint Petersburg, Florida, United States, 33701

Baltimore

Johns Hopkins University, Baltimore, Maryland, United States, 21205

New York

Columbia University Irving Medical Center (CUMC), New York, New York, United States, 10032

New York

Weill-Cornell Medicine, New York, New York, United States, 10065

Chapel Hill

University of North Carolina Medical Center, Chapel Hill, North Carolina, United States, 27514

Philadelphia

Childrens Hospital of Philadelphia, Philadelphia, Pennsylvania, United States, 19104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Acute care visit for suicide-related concern or screen positive on a suicide risk screener (serious SI as indicated by a C-SSRS screening endorsing question two "Have you actually had any thoughts of killing yourself?" in past four weeks or SA in past four weeks);
  • * Has a cell phone with ability to receive phone calls and text messages over the 12-month follow-up;
  • * Ability to speak, understand, and read in English or Spanish
  • * Significant cognitive or developmental delays that prevent understanding or using SPI or IPT-A SCI. Participants must be verbally fluent and have the ability to communicate verbally. This will, in part, be determined by notes in Epic and/or by asking one of the patient's parents/clinicians;
  • * Altered mental status that precludes ability to provide informed assent or consent (acute psychosis, intoxication, or mania);
  • * Unable to provide informed consent (adults); assent (minors); permission (parents/caregivers).

Ages Eligible for Study

12 Years to 19 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Johns Hopkins University,

Holly C Wilcox, PhD, PRINCIPAL_INVESTIGATOR, Johns Hopkins Bloomberg School of Public Health

Study Record Dates

2028-10-14