Suicide in Urban Natives: Detection and Networks to Combat Events

NCT03136094 | Recruiting DMC

• 2 other identifiers: 18-0186U19MH113135
• Study Type: interventional
• Target: 698
• Locations: 1 country
• Sites: 1

Brief Summary

This study compares the effectiveness of a program to detect and manage suicide risk among American-Indian and Alaska Native (AI/AN) youth. Half of the participants will receive caring text messages to reduce suicidal thoughts, attempts, and hospitalizations and to increase engagement, social connectedness, and resilience in at-risk youth. The other half will receive usual care that does not include the caring text messages.

Conditions

Suicide Prevention

Keywords

American Indian; Alaska Native; Youth and Young Adult; SBIRT

Outcome Measures

Primary Outcomes (3)

• Change in Suicidal Ideation

  The 15-item Suicidal Ideation Questionnaire Jr. assesses frequency of suicidal thoughts in the past month. Item content ranges from general thoughts of death and wishes that one were dead to specific thoughts of self-injurious behavior. Responses are on a 7-point scale ranging from never to almost daily. Items are summed for a total score (range 0-90).

  Baseline, 6 months, 12 months

• Change in Self-Reported Suicide Attempts

  The investigators will use the interviewer-administered Suicide Attempt and Self-Injury Count to assess the method, intent, treatment received, and lethality for all suicide attempts over the respondent's lifetime.

  Baseline, 6 months, 12 months

• Change in Hospitalizations and Behavioral Health Treatment

  The investigators will assess self-reported hospitalizations over the previous 12 months with a measure of health service use previously applied to AI/ANs. It captures information on inpatient and outpatient medical care, emergency room visits, and use of traditional practices.

  Baseline, 6 months, 12 months

Secondary Outcomes (2)

• Change in Social Connectedness

  Baseline, 6 months, 12 months

• SBIRT Retention and Uptake of Referral to Therapy

  6 months, 12 months

Study Arms (2)

SBIRT+Usual Care

PLACEBO COMPARATOR

The control arm of the trial will receive the usual care prescribed in the Screening, Brief Intervention and Referral to Treatment (SBIRT) model.

Behavioral: SBIRT+Usual Care

SBIRT+12

EXPERIMENTAL

The standard SBIRT model is augmented by a 12 month period following identification of suicide risk during which participants will receive caring text messages adapted from empirically-based, effective interventions for suicide prevention among American Indian and Alaska Native young adults.

Behavioral: SBIRT+12

Interventions

SBIRT+12 BEHAVIORAL

The standard SBIRT model is augmented by a 12 month period following identification of suicide risk during which participants received caring text messages adapted from empirically-based, effective interventions for suicide prevention among American Indian and Alaska Native young adults.

SBIRT+12

SBIRT+Usual Care BEHAVIORAL

Patients receive usual SBIRT care

SBIRT+Usual Care

Eligibility Criteria

• Age: 18 Years - 34 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Self-identify as American Indian or Alaska Native;
• Screen positive for mild, moderate, or severe risk of suicidality (referred by a clinical provider);
• Have a text-enabled mobile phone;
• Willing to be contacted by text;
• Able to participate voluntarily;
• Speak and read English;
• Cognitively able to independently provide written informed consent

You may not qualify if:

• Under age 18
• In danger of imminent self-harm;
• Hospitalized

Sponsors & Collaborators

• University of Colorado, Denver: lead
• Washington State University: collaborator
• University of New Mexico: collaborator
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

First Nations Community HealthSource

Albuquerque, New Mexico, 87108, United States

RECRUITING

Related Publications (5)

• Herne MA, Bartholomew ML, Weahkee RL. Suicide mortality among American Indians and Alaska Natives, 1999-2009. Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S336-42. doi: 10.2105/AJPH.2014.301929. Epub 2014 Apr 22.

  PMID: 24754665 BACKGROUND

• Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, Mehlum L, Patton G, Phillips M, Rutz W, Rihmer Z, Schmidtke A, Shaffer D, Silverman M, Takahashi Y, Varnik A, Wasserman D, Yip P, Hendin H. Suicide prevention strategies: a systematic review. JAMA. 2005 Oct 26;294(16):2064-74. doi: 10.1001/jama.294.16.2064.

  PMID: 16249421 BACKGROUND

• Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002 Jun;159(6):909-16. doi: 10.1176/appi.ajp.159.6.909.

  PMID: 12042175 BACKGROUND

• Beals J, Novins DK, Whitesell NR, Spicer P, Mitchell CM, Manson SM. Prevalence of mental disorders and utilization of mental health services in two American Indian reservation populations: mental health disparities in a national context. Am J Psychiatry. 2005 Sep;162(9):1723-32. doi: 10.1176/appi.ajp.162.9.1723.

  PMID: 16135633 BACKGROUND

• Morgan ER, Bogic M, Hebert L, Poole E, Tsosie N, Tsosie N, Garcia K, O'Leary M, Mettler R, Johnson G, Son-Stone L, Parker T, Buchwald D, Manson S. Caring Text Messages for Suicide Prevention in Urban American Indian Youth: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2025 Sep 26;14:e71344. doi: 10.2196/71344.

  PMID: 41004795 DERIVED

MeSH Terms

Conditions

Suicide Prevention

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Spero Manson, PhD

  University of Colorado, Denver

  PRINCIPAL INVESTIGATOR

• Dedra Buchwald, MD

  University of Washington

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Erin Poole, MS

CONTACT

(303) 724-0177; erin.poole@CUAnschutz.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Patients will not be given details about how text messaging differs for the 2 study groups. Instead, patients will be told that the clinic is testing a program to support people who are having hard times, and that they will receive periodic text messages from the Site Coordinator for the next 12 months.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The Investigators will conduct a randomized controlled trial to test the effectiveness of an augmented Screening, Brief Intervention, and Referral to Treatment (SBIRT) model that includes sending caring text messages for 12 months after an at-risk patient is identified.

Study Record Dates

• First Submitted: April 27, 2017
• First Posted: May 2, 2017
• Study Start: March 15, 2020
• Primary Completion: May 31, 2025
• Study Completion: May 31, 2025
• Last Updated: June 27, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)