NCT03586895

Brief Summary

The investigators propose to create e-Connect, a new service delivery model that will enable real time identification and targeted, county-specific referral and linkage of participants with suicidal behavior (SB) and related behavioral health (BH) problems. e-Connect will: (i) establish and formalize interagency referral decisions based on clinical need, jointly derived by JJ (juvenile justice) and BH agencies; (ii) train probation staff to increase BH/SB understanding; (iii) utilize an existing evidence-based (EB) BH/SB screen; and (iv) develop a mobile application to seamlessly integrate screening, classification of clinical need and development of a related referral plan. There are 4 project phases: Development, Baseline, Implementation, and Sustainment/Evaluation. After development, activities take place in 10 NY (New York) counties and all study counties will begin the intervention at the same time. The investigators will examine changes in outcomes (e.g., service use) relative to baseline in (i) identification of participants service need (SB and BH correlates) in juvenile probationers; (ii) cross-system (probation-BH agency) referral; and (iii) participants BH service use (access and engagement). Analyses will further consider contributions of multi-level factors (e.g., staff, organizational, family, and community) that influence implementation (feasibility, acceptability, sustainability) of e-Connect across various probation department processing categories (e.g. status offenders, diversion cases). The investigators will consider the role of mediating elements (e.g., probation practices) in explaining the association between e-Connect and identification, referral, and service use.

Trial Health

57
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
12,838

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

June 21, 2018

Completed
25 days until next milestone

First Posted

Study publicly available on registry

July 16, 2018

Completed
1 year until next milestone

Study Start

First participant enrolled

August 1, 2019

Completed
5.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2025

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

June 24, 2025

Status Verified

June 1, 2025

Enrollment Period

5.9 years

First QC Date

June 21, 2018

Last Update Submit

June 23, 2025

Conditions

Suicide

Keywords

Suicidal BehaviorBehavioral Health Problemse-Connect

Outcome Measures

Primary Outcomes (1)

  • Behavioral health treatment initiation

    Date of first behavioral health appointment/contact extracted from state management information system (MIS)

    Monthly in years 2- 5

Secondary Outcomes (4)

  • Behavioral health referral

    Day one of probation

  • Youth screened for risk of suicide

    Day one of probation

  • Family Experience and Fidelity of e-Connect

    Bimonthly years 2-5

  • e-Connect Sustainability

    end of implementation through sustainment period, monthly

Other Outcomes (2)

  • Suicidal Behavior, Non-Suicidal Self-Injury (NSSI), BH knowledge

    Years 1-5

  • Perceived importance of screening and referral to BH - Baseline Phase services

    2 months

Study Arms (2)

e-Connect

EXPERIMENTAL

County receives training and materials and subsequently begins the e-Connect intervention

Behavioral: e-Connect

Standard of care

NO INTERVENTION

Counties use the standard of care and there is no intervention in practices.

Interventions

e-ConnectBEHAVIORAL

e-Connect

e-Connect

Eligibility Criteria

Age10 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may not qualify if:

  • Sample: Youth on Probation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Columbia University

New York, New York, 10032, United States

RECRUITING

Related Publications (1)

  • Wasserman GA, Elkington KS, Robson G, Taxman F. Bridging juvenile justice and behavioral health systems: development of a clinical pathways approach to connect youth at risk for suicidal behavior to care. Health Justice. 2021 Nov 29;9(1):36. doi: 10.1186/s40352-021-00164-4.

    PMID: 34845569DERIVED

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious BehaviorBehavioral SymptomsBehavior

Study Officials

  • Katherine Elkington, PhD

    Columbia University/New York State Psychiatric Institute

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Katherine Elkington, PhD

CONTACT

16467746965ke2143@cumc.columbia.edu

Shelly Qu

CONTACT

6467745781mengxue.qu@nyspi.columbia.edu

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: pre-post design
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Clinical Medical Psychology (in Psychiatry)

Study Record Dates

First Submitted

June 21, 2018

First Posted

July 16, 2018

Study Start

August 1, 2019

Primary Completion

June 30, 2025

Study Completion

December 1, 2025

Last Updated

June 24, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations

US(1)