STAT-ED: Suicidal Teens Accessing Treatment After an Emergency Department Visit
STAT-ED
1 other identifier
interventional
169
1 country
2
Brief Summary
This study looks to implement a novel intervention (STAT-ED) for children who screen positive to suicide ideation. The intervention looks to collect data from several different measures and then randomize participants into one of two groups: a control group where the participant will be set up with a mental health referral from a psychiatric social worker; or if randomized into the STAT-ED intervention, the adolescent and parent will receive a brief motivational interview, barrier reduction discussion, referral and limited case management by the study social worker to enhance outpatient mental health follow up after discharge from the ED. The hypothesis of the study is patients who are randomized into the STAT-ED intervention group will have a significantly higher rate of initiating mental health treatment and will attend more mental health treatment sessions in the two months after the ED visit compared with adolescents in the control group. Secondary aims of this study look to determine whether the effectiveness of the STAT-ED intervention differs by age, gender, or ethnicity; and evaluate predictors and mediators of mental health treatment engagement.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2013
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 2, 2013
CompletedFirst Posted
Study publicly available on registry
January 30, 2013
CompletedStudy Start
First participant enrolled
February 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2016
CompletedAugust 1, 2016
July 1, 2016
3.2 years
January 2, 2013
July 28, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
STAT-ED Intervention Superior to EUC Group
Adolescents receiving the STAT-ED intervention will have a significantly higher rate of initiating mental health treatment and will attend more mental health treatment sessions in the two months after the ED visit compared with adolescents in the EUC condition. STAT-ED will also be superior to the EUC arm in reducing suicidal ideation and depression symptoms at two months and six months.
Three years
Study Arms (2)
Enhanced Usual Care
NO INTERVENTIONParticipants in this arm of the study will receive a standard, usual care psychological risk assessment by a social worker and then recommended to a mental health referral.
STAT-ED Intervention
EXPERIMENTALParticipants in this group will receive a motivational interview conducted by a study trained social worker, where the social worker and the family will discuss the participants issues, thoughts and feelings about receiving treatment, barriers to treatment and methods of overcoming those barriers. The study trained social worker will also make a referral for a mental health follow-up for the patient.
Interventions
Participants in this group will receive a motivational interview conducted by a study trained social worker, where the social worker and the family will discuss the participants issues, thoughts and feelings about receiving treatment, barriers to treatment and methods of overcoming those barriers. The study trained social worker will also make a referral for a mental health follow-up for the patient.
Eligibility Criteria
You may qualify if:
- Patients who arrive in the ED who are between the ages of 12-17 years old
- Screen positive on the Ask Suicide-Screening Questions (ASQ) tool
- Have had no contact with a mental health provider in the 90 days preceding the current ED visit
- Are stable as determined by vital signs and triage criteria (triage levels 2-5)
You may not qualify if:
- Patients who present in the ED with a chief complaint of suicidal behavior will be excluded to comply with the requirements of the RFA.
- Those who present in the ED with a primary or secondary psychiatric concern
- Those without access to a telephone/cell phone
- Those unable to adequately understand the study process
- Those families unable to speak or read English adequately to participate in study procedures
- Patients who have altered mental status either due to illness or medication (pain medications)
- Patients who live greater than 100 miles away form the enrolling site
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
Related Publications (1)
Grupp-Phelan J, Stevens J, Boyd S, Cohen DM, Ammerman RT, Liddy-Hicks S, Heck K, Marcus SC, Stone L, Campo JV, Bridge JA. Effect of a Motivational Interviewing-Based Intervention on Initiation of Mental Health Treatment and Mental Health After an Emergency Department Visit Among Suicidal Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1917941. doi: 10.1001/jamanetworkopen.2019.17941.
PMID: 31860104DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jacqueline Grupp-Phelan, M.D., M.P.H.
Children's Hospital Medical Center, Cincinnati
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 2, 2013
First Posted
January 30, 2013
Study Start
February 1, 2013
Primary Completion
May 1, 2016
Study Completion
May 1, 2016
Last Updated
August 1, 2016
Record last verified: 2016-07