Developing and Implementing an Adolescent Suicide Prevention Program in a Community Mental Health Setting

NCT03992391 | Completed

• 1 other identifier: STU 112016-061
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 1

Brief Summary

This is a three phase study to develop and implement an adolescent suicide prevention program in a community mental health setting. In Phase 1, needs assessments using qualitative interviews will be conducted at in a community mental health clinic with suicidal teens and their parents, and with community experts including therapy staff who serve patients at a community mental health clinic. In Phase 2, the investigators will develop a new treatment manual that is guided by information obtained in the previously completed needs assessment. The investigators will pilot the program with one group of adolescents (N=10), and make iterative revisions based on feedback. Training sessions will be implemented. In Phase 3, the investigators will conduct an open trial of a group for 40 adolescents at the community mental health clinic to assess feasibility of recruitment, implementation, satisfaction, and outcome. Program outcomes will be utilization, patient and family satisfaction ratings, and improvement in depression and suicide risk measures at discharge from the program and at one month and six months follow-up. In addition, rate of suicidal events (suicide attempt, hospitalization) at one month and six months post-discharge will be compared to historical controls.

Conditions

Suicide, Attempted; Suicidal Ideation

Outcome Measures

Primary Outcomes (4)

• Quick Inventory of Depressive Symptomatology - Adolescents (QIDS-A)

  measure of depression symptom severity, total range = 0-27, lower values are considered to be better (less depressed) than higher values (which indicate more depressed). Lower scores indicate a better outcome than higher scores. No subscales.

  through program completion, an average of 6 weeks

• Concise Health Risk Tracking (CHRT)

  measure of suicide propensity and risk

  through program completion, an average of 6 weeks

• Client Satisfaction Questionnaire (CSQ)

  measure of client satisfaction

  at program completion, on average 6 weeks after program completion

• Follow-up Interview

  to assess subsequent suicidal behaviors, service utilization, and ongoing psychiatric and psychosocial treatment adherence

  one-month after program completion

Study Arms (3)

Qualitative Interviews

NO INTERVENTION

Qualitative Interviews with adolescents, their parents and clinicians.

Open Pilot

EXPERIMENTAL

Open-label pilot group of adolescents (n=10) in a suicide prevention intensive outpatient program

Behavioral: Suicide Prevention Intensive Outpatient Program

Open-label trial

EXPERIMENTAL

Open-label trial of adolescents (n=40) in a suicide prevention intensive outpatient program

Behavioral: Suicide Prevention Intensive Outpatient Program

Interventions

Suicide Prevention Intensive Outpatient Program BEHAVIORAL

participation in a suicide prevention intensive outpatient program

Open Pilot; Open-label trial

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Self-identifying Latino/Latina adolescents (aged 12-17 years) currently in outpatient treatment at Metrocare and who struggle with depression and/or suicidal ideations
• Adolescents must speak English fluently as the self-report forms do not have normative data for non-English speaking subjects, and the confidential nature of therapy prevents us from being able to use a translator for visits. Parents of participants may speak Spanish or English.

You may not qualify if:

• current psychosis
• mania
• alcohol or substance dependence
• autism spectrum disorders
• \<80% of ideal body weight
• IQ\<70 (based on clinical judgement)

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead

Study Sites (1)

Metrocare Services

Dallas, Texas, 75247, United States

Location

MeSH Terms

Conditions

Suicide, Attempted; Suicidal Ideation

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Beth D. Kennard, PsyD

  University of Texas Southwestern Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Medicine

Model Details: Phase 1: Treatment Development Phase 2: Pilot Group Phase 3: Open Trial

Study Record Dates

• First Submitted: January 2, 2019
• First Posted: June 20, 2019
• Study Start: August 1, 2016
• Primary Completion: August 31, 2020
• Study Completion: December 31, 2020
• Last Updated: March 30, 2021

Record last verified: 2021-03

Locations

US (1)