Implementing Evidence Informed Practices in Schools to Address LGBTQ Adolescent Suicide

NCT02875535 | Active Not Recruiting DMC

• 2 other identifiers: 0838.01.01R01HD083399
• Study Type: interventional
• Target: 43
• Locations: 0 countries
• Sites: N/A

Brief Summary

Reducing youth suicide in the U.S. is a national public health priority. Sexual and gender minority adolescents are at elevated risk for suicide. Safer school environments, however, can decrease this risk. This study capitalizes on the critical role of school nurses in improving the mental health of this vulnerable population through implementation and sustainment of evidence-based strategies to enhance school environments. In addition to suicide, the conceptual framework and methods for this novel, nurse-led intervention can be applied to address the health-related concerns of other pediatric populations encountered in school settings as well.

Conditions

Suicide

Keywords

Evidence-based; lesbian, gay, bisexual, transgender, intersex, and queer; adolescent; Suicide prevention; Implementation study

Outcome Measures

Primary Outcomes (1)

• Adherence to EB strategy implementation

  Demonstration of adherence to the Centers for Disease Control and Prevention recommended EB strategies to enhance school environments

  5 years

Secondary Outcomes (3)

• Reduced suicidality and depression measured by the New Mexico Youth Risk and Resiliency Study (NM-YRRS)

  5 years

• Substance use measured by the NM-YRRS

  5 years

• Feelings of safety measured by the NM-YRRS

  5 years

Study Arms (2)

Usual Care

NO INTERVENTION

Standard school nurse care for suicide prevention.

Dynamic Adaption Process

EXPERIMENTAL

Investigators will train school nurses statewide. Using the Dynamic Adaptation Process, the nurses will then convene and lead Implementation Resource Teams (IRTs). With the assistance of RLAS coaches, the school nurse-led IRTs will engage in an iterative process of assessment and planning to build school capacity and implement up to six evidence-base strategies to reduce adolescent suicide.

Behavioral: RLAS

Interventions

RLAS BEHAVIORAL

The implementation model for this intervention will increase school-based supports and safety for gender and sexual minorities and broader student bodies, and be applicable to addressing other priority child and adolescent health and mental health issues within schools. The investigators refer to the model as "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide).

Also known as: Dynamic Adaptation Process

Dynamic Adaption Process

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Located within New Mexico;
• Designated public high school;
• School nurse that is willing and available to support the RLAS intervention and to lead and convene an IRT; and
• School administrator that is willing and available to support the RLAS intervention.

You may not qualify if:

• Unable to participate in the NM-YRRS.

Sponsors & Collaborators

• Pacific Institute for Research and Evaluation: lead
• University of New Mexico: collaborator
• University of California, San Diego: collaborator
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator

Related Publications (1)

• Willging CE, Green AE, Ramos MM. Implementing school nursing strategies to reduce LGBTQ adolescent suicide: a randomized cluster trial study protocol. Implement Sci. 2016 Oct 22;11(1):145. doi: 10.1186/s13012-016-0507-2.

  PMID: 27770819 DERIVED

MeSH Terms

Conditions

Suicide; Homosexuality, Female; Homosexuality; Bisexuality; Ovotesticular Disorders of Sex Development; Suicide Prevention

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Sexuality; Sexual Behavior; Disorders of Sex Development; Urogenital Abnormalities; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Gonadal Disorders; Endocrine System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Center Director

Study Record Dates

• First Submitted: August 18, 2016
• First Posted: August 23, 2016
• Study Start: May 1, 2016
• Primary Completion: December 31, 2021
• Study Completion: April 30, 2026
• Last Updated: June 4, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share