Implementing a Brief Suicide Intervention for High Risk Youth With Front-Line Juvenile Justice Staff

NCT02981420 | Unknown

• 2 other identifiers: 927079K23MH111606
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

A youth's contact with the juvenile justice system represents an opportune moment for suicide screening and brief suicide intervention for indicated youth. This study will provide data on the novel implementation of an evidence-based brief suicide intervention, safety planning, administered by front-line juvenile court staff for suicidal court-involved non-incarcerated youth. Data will inform the dissemination and implementation of suicide brief interventions to be delivered by front-line staff at the time of mental health screening in the juvenile justice system. The proposed study is consistent with the NIMH Strategic Plan by testing an intervention for effectiveness in community settings (Strategy 3.3) and establishing a research-practice partnership to improve D\&I of evidence-based MH services (4.2). The unique service delivery by JJ court staff also supports the NIMH goals to develop innovative service delivery models (Strategy 4.3) as well as validate a MH intervention for an underserved population (Strategy 4.1). This proposal also addresses the Healthy People 2020 goals of reducing suicide attempts (MHMD-2).

Conditions

Suicide and Self Harm

Outcome Measures

Primary Outcomes (5)

• Self-Injurious Thoughts and Behaviors Interview 2.0 (SITBI 2.0) Short Form

  Structured interview designed to assess the presence, frequency, and characteristics of a broad array of self-injurious thoughts and behaviors

  3 months

• Suicide Ideation Questionnaire (SIQ) - Junior

  assesses the frequency of suicidal ideation

  3 months

• Child and Adolescent Services Assessment

  parent report of utilization of MH services and operationalized as a composite score of suicide attempts and emergency interventions for acute suicidality assessed by the Child and Adolescent Services Assessment (CASA)

  3 months

• Treatment Attendance

  Attendance at first treatment appointment and total number of treatment sessions attended will be collected by contacting each juveniles' treatment provider at the 3-month follow-up

  3 months

• Recidivism

  Collateral data gathered from court database). Juveniles' recidivism rates (e.g., new arrests), description of related charges (e.g., substance-related, property) and time detained/incarcerated

  3 months

Study Arms (3)

Pre-intervention

NO INTERVENTION

Pre-intervention baseline comparison

Safety Planning

EXPERIMENTAL

Intervention group

Behavioral: Safety planning

Regression discontinuity

NO INTERVENTION

Subthreshold no intervention

Interventions

Safety planning BEHAVIORAL

Safety Planning Intervention. This brief one-session intervention, based on cognitive behavioral principles, is designed to help individuals identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of suicidal behavior. In youth who also report nonsuicidal self-injurious behavior (NSSI), the safety plan will address both suicidal and nonsuicidal behavior. The plan helps youth identify possible triggers to SI/crisis including self-monitoring of suicidal thoughts, feelings, and behaviors; advance planning to remove lethal means; determine distress tolerance/emotion regulation skills that may be helpful; identify accessible social supports to target hopelessness/sense of isolation; reinforce the commitment to seek treatment; and, how and where to access emergency care.

Safety Planning

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Court-involved non-incarcerated (CINI) youth,
• ages 12-17
• Legal guardian available to consent for juvenile's participation,
• Juvenile is English speaking, and
• Juvenile flags in the caution or warning range of the MAYSI-2.
• Court-involved non-incarcerated (CINI) youth,
• ages 12-17
• Legal guardian available to consent for juvenile's participation,
• Juvenile is English speaking, and
• Juvenile does not flag in the caution or warning range of the MAYSI-2

You may not qualify if:

• observable cognitive, developmental delays, or psychosis that would interfere with completing consent, assessment or intervention, and
• Juvenile meets hospital level of care for imminent suicide risk.

Sponsors & Collaborators

• Rhode Island Hospital: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

Rhode Island Family Court

Providence, Rhode Island, 02903, United States

RECRUITING

MeSH Terms

Conditions

Suicide; Self-Injurious Behavior

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Kathleen Kemp, Ph.D.

  RIH/Brown University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Kathleen Kemp, Ph.D.

CONTACT

4017938269; kkemp@lifespan.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 28, 2016
• First Posted: December 5, 2016
• Study Start: December 1, 2016
• Primary Completion: May 1, 2019
• Study Completion: May 1, 2020
• Last Updated: March 6, 2017

Record last verified: 2016-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)