Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care in Texas

NCT05270785 | Terminated DMC

• 2 other identifiers: STU-2022-0351SP-2020C3-210
• Study Type: interventional
• Target: 3
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this pilot study is to reduce suicide among sexual and gender diverse youth ages 18-24 years old. This pilot study will compare two brief suicide prevention interventions that have been adapted for use with this population to use in primary care via telehealth and will recruit 40 youth from 4-6 primary care clinics in the Dallas and Austin, Texas metropolitan areas. Each clinic will be randomly assigned to deliver one of the two study interventions.

Conditions

Suicidal Ideation

Keywords

suicidal ideation; depression; suicide; sexual and gender minority youth

Outcome Measures

Primary Outcomes (1)

• Change in suicidal ideation as measured by ASIQ

  Change in suicidal ideation is measured by Adult Suicidal Ideation Questionnaire (ASIQ). It is a 25-item, self-report assessment of suicidal thoughts designed specifically for adult populations. Possible scores range from 1 (Not at All) to 6 (Extreme), with lower scores indicating less severe suicidal ideation (better outcome)

  Baseline, 2 months

Secondary Outcomes (8)

• Change in number of mental healthcare service utilization as measured by ED-STARS mental health service utilization check list

  Baseline, 2 months

• Number of past 2 months suicide attempts at baseline

  Baseline

• Number of lifetime suicide attempts at baseline

  Baseline

• Number of suicide attempts at 2 months

  2 months

• Change in depressive symptoms as measured by CESD-R

  Baseline, 2 months

Other Outcomes (7)

• Number of participants who had access to means for suicide at baseline

  Baseline

• Number of participants who had access to means for suicide at 2 months

  2 months

• Proportion of participants who screened and met criteria

  Last day of study recruitment period (approx. week 14)

Study Arms (2)

Suicidal Teens Accessing Treatment - Primary Care (STAT-PC)

EXPERIMENTAL

This group will undergo a brief, suicide prevention intervention based on motivational interviewing that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management

Other: STAT-PC

Youth-Nominated Support Team (YST-III)

EXPERIMENTAL

This group will undergo a brief, suicide prevention intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation that has been adapted

Other: YST-III

Interventions

STAT-PC OTHER

STAT-PC is an adapted version of Suicidal Teens Accessing Treatment after an ED Visit (STAT-ED). It is a brief intervention based on motivational interviewing (MI) that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management (2-3 follow-up calls). The intervention will consist of an initial session with the youth focusing on accessing mental health care plus two case management calls. The interventionist will also be available to assist with referrals for connection to other services later during the study period as needed for up to two months. The intervention may include contact with the youth's mental health provider to make sure linkages are made.

Suicidal Teens Accessing Treatment - Primary Care (STAT-PC)

YST-III OTHER

YST-III is an adapted version of Youth-Nominated Support Team for Suicidal Adolescents (YST-II). The intervention is a brief intervention developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation (SI). Participants will nominate 1-2 supportive adults (age 18 and older) from their lives who agree to provide ongoing contact and support for up to 2 months. YST-III will include an introductory session with the youth who will nominate their support persons plus referrals for mental health services. The support persons will receive training on how to best support their youth partner and then ongoing calls to support them in working with their youth partner for up to 2 months.

Youth-Nominated Support Team (YST-III)

Eligibility Criteria

• Age: 18 Years - 24 Years
• Gender Eligibility Details: To enroll, participants must identify as a sexual or gender minority individual (i.e., LGBTQ+) and be a patient of the one the clinic sites
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• be aged 18-24 at the time of enrollment; and
• not have received mental health services in the past 90 days, excluding medication;
• English-speaking, and
• screen positive for suicidal ideation.

You may not qualify if:

• are actively suicidal
• have a developmental disability that would preclude them from participating in the study intervention or
• who are impaired due to psychosis, mania, or substance use that would prevent them from providing consent.
• Participants will also be excluded at YST-III sites if they are unable to identify a minimum of one support person to participate in the intervention with them.
• Those who are excluded will be provided with referrals for treatment services.

Sponsors & Collaborators

• University of Texas Southwestern Medical Center: lead
• Patient-Centered Outcomes Research Institute: collaborator

Study Sites (1)

UT Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

MeSH Terms

Conditions

Suicidal Ideation; Depression; Suicide; Coitus

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Sexual Behavior

Study Officials

• Elizabeth Arnold, PhD

  University of Texas Southwestern Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: February 25, 2022
• First Posted: March 8, 2022
• Study Start: July 25, 2022
• Primary Completion: December 20, 2022
• Study Completion: December 20, 2022
• Last Updated: January 20, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)