Culturally Centered CBT for Latinx Youth

NCT04278157 | Completed DMC

• 1 other identifier: 1437564-1
• Study Type: interventional
• Target: 114
• Locations: 1 country
• Sites: 2

Brief Summary

The primary aim of the proposed research is to test the effect of a culturally centered treatment protocol, the Socio-cognitive behavioral therapy (SCBT), versus Treatment as Usual on suicidal thoughts and attempts, and depressive symptoms, in a clinical sample of Latinx adolescents. The study is trying to determine, if we take into account perspectives of Latin immigrant families and minority youth, whether better outcomes can be found for this high risk group.

Conditions

Suicide

Keywords

Suicidal Ideation; Suicide Attempt; Latina, Latino, Latinx youth

Outcome Measures

Primary Outcomes (3)

• Suicidal ideation

  Suicidal ideation measured using the Suicide Ideation Questionnaire-Junior (SIQ-JR), the minimum score is 0 and the maximum 90. A higher score represents increase severity and frequency of suicidal thoughts.

  Change from baseline to 3 month, 6 month, and 12 month follow up points.

• Depressive symptoms by self-report

  Level of depressive symptomatology using the Children Depression Inventory 2 (CDI-2), the minimum score is 0 and the maximum 56. A higher score means higher level of depressive symptoms.

  Change from baseline to 3 month, 6 month, and 12 month follow up points.

• Depressive symptoms by clinical interview

  Depressive symptoms using the Children's Depression Rating Scale-Revised (CDRS-R), the minimum raw score is 17 and the maximum 113. A higher score means higher level of depressive symptoms.

  Change from baseline to 3 month, 6 month, and 12 month follow up points.

Secondary Outcomes (3)

• Suicide Attempts

  Change from baseline to 6 months follow-up

• Suicide Attempts

  Change from 6 months to 12 months follow-up

• Suicide Attempts

  Change from baseline to 12 months follow-up

Study Arms (2)

SCBT-SB

EXPERIMENTAL

A culturally centered CBT treatment protocol called Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB)

Behavioral: Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB)

Treatment as Usual

ACTIVE COMPARATOR

Treatment as usual is base on the standard care for teens and their parents under a community mental health center.

Behavioral: Treatment as Usual

Interventions

Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB) BEHAVIORAL

The SCBT-SB is a manualized and flexible intervention that uses a modular approach to the treatment of adolescent suicidality. After the first mandatory module (Crisis module), and at the end of each subsequent module, the therapist works with the teen and caregivers to determine the next one. The Crisis Module is fixed and represent the intervention core skills with 9 sessions. The optional coping skills modules include Thoughts, Emotional Regulation, Family Communication, Social Interaction, Activity, Trauma, and Substance Use.

SCBT-SB

Treatment as Usual BEHAVIORAL

Therapy that typically consist of eclectic individual therapy including CBT, emphasizing psychoeducation and providing support, with occasional conjoint parent sessions or individual caregiver sessions. The treatment as usual primarily focuses on generating solutions to the adolescent and caregivers most urgent concerns.

Treatment as Usual

Eligibility Criteria

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

You may qualify if:

• Latinx, defined as have been born in a Latin country or having at least one biological parent, grandparent or an ancestor that was born in a Latin country
• Severe Suicidal Ideation (SI), defined as a score of 22 or above on the SIQ-JR or having made a Suicide Attempts (SA) within the last 3 months
• Caregivers and adolescents fluent in Spanish or English language and legal guardian willing to participate

You may not qualify if:

• psychosis
• substance use disorder, rated severe on the DSM-5
• cognitive impairment represented by an IQ below 85

Sponsors & Collaborators

• Bradley Hospital: lead
• Brown University: collaborator

Study Sites (2)

Hasbro Children's Hospital (Inpatient Psychiatric Unit)

Providence, Rhode Island, 02903, United States

Location

Bradley Hospital

Riverside, Rhode Island, 02915, United States

Location

Related Publications (2)

• Duarte-Velez Y, Torres-Davila P, Spirito A, Polanco N, Bernal G. Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors. Psychotherapy (Chic). 2016 Mar;53(1):45-56. doi: 10.1037/pst0000044.

  PMID: 26928136 BACKGROUND

• Duarte-Velez Y, Jimenez-Colon G, Jones RN, Spirito A. Socio-Cognitive Behavioral Therapy for Latinx Adolescent with Suicidal Behaviors: A Pilot Randomized Trial. Child Psychiatry Hum Dev. 2024 Jun;55(3):754-767. doi: 10.1007/s10578-022-01439-z. Epub 2022 Oct 1.

  PMID: 36183051 BACKGROUND

MeSH Terms

Conditions

Suicide; Suicidal Ideation; Suicide, Attempted

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Yovanska Duarte-Velez, PhD

  Bradley Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 13, 2020
• First Posted: February 20, 2020
• Study Start: February 27, 2020
• Primary Completion: November 25, 2024
• Study Completion: November 25, 2024
• Last Updated: February 6, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: One year following collection and final analyses.
• Access Criteria: By email contact with PI.

Locations

US (2)