Navigating Mental Health Treatment for Black Youth

NCT05334381 | Completed Results

• 2 other identifiers: 21-0191411P50MH127511-01
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

This study looks to conduct a systematic adaptation of Suicidal Teens Accessing Treatment (STAT-ED) for Black youth presenting in the emergency department who have suicide risk. A randomized controlled trial of STAT-ED adapted for Black youth and their caregivers will examine whether patient navigation intervention can increase mental health treatment initiation and number of visits.

Conditions

Adolescent Behavior; Suicidal Ideation

Keywords

Youth Suicide; Cultural Adaptation; Mental Health Treatment; Health Disparities; Black Adolescents; Patient navigation

Outcome Measures

Primary Outcomes (1)

• Mental Health Treatment Initiation

  ED STARS mental health service use is a 8-item interview that measures mental health services children receive and actions taken by family to obtain services. This measure was used with over 6000 adolescents from the Pediatric Emergency Care Applied Research Network (PECARN) that spanned diverse geographic regions of the US. Caregeivers will complete this interview unless youth is participating without a parent. The outcome represents the number of participants who received outpatient behavioral health treatment.

  at approximately 2 months and 6 months

Secondary Outcomes (1)

• Suicidal Ideation and Behavior

  at approximately 2 months and 6 months

Study Arms (2)

Adapted STAT-ED

EXPERIMENTAL

Patient navigation intervention (Suicidal Teens Accessing Treatment) with caregivers and/or adolescents that includes psychoeducation, motivational interviewing, problem solving logistical barriers, and assistance with making, following up with mental health appointments, and providing assistance with additional resources. Intervention is delivered by study social worker by telephone, video, texting or in-person.

Behavioral: Adapted STAT-ED

Standard Enhanced Treatment As Usual

ACTIVE COMPARATOR

Telephone contacts to check in, assist and remind caregivers and/or adolescents about mental health care referrals and appointments. Telephone contacts are consistent with current emergency department practice.

Behavioral: Standard Enhanced Treatment As Usual

Interventions

Standard Enhanced Treatment As Usual BEHAVIORAL

Follow up phone calls following discharge from the emergency department to assist with mental health treatment referral recommendations.

Standard Enhanced Treatment As Usual

Adapted STAT-ED BEHAVIORAL

Patient navigator assigned to provide culturally informed motivational interviews, brief case management, psychoeducation and telephone contacts.

Adapted STAT-ED

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Identify as Black
• Are between ages of 6-18 years
• Endorse suicidal ideation and/or behaviors, or non-suicidal self harm within the last year at an ED or crisis response center visit
• Live within Pennsylvania, Delaware, or New Jersey
• Must be able to read and understand English

You may not qualify if:

• Does not identify Black as one of their races
• Under 6 or over 18 years old
• Does not speak English
• No history of suicidal ideation, suicidal behavior, or non-suicidal self harm
• Currently engaged in mental health treatment
• Parent or legal guardian of eligible youth
• Must be able to read and understand English

Sponsors & Collaborators

• University of Pennsylvania: collaborator
• National Institute of Mental Health (NIMH): collaborator
• Children's Hospital of Philadelphia: lead

Study Sites (1)

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (2)

• Grupp-Phelan J, Stevens J, Boyd S, Cohen DM, Ammerman RT, Liddy-Hicks S, Heck K, Marcus SC, Stone L, Campo JV, Bridge JA. Effect of a Motivational Interviewing-Based Intervention on Initiation of Mental Health Treatment and Mental Health After an Emergency Department Visit Among Suicidal Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1917941. doi: 10.1001/jamanetworkopen.2019.17941.

  PMID: 31860104 BACKGROUND

• King CA, Brent D, Grupp-Phelan J, Shenoi R, Page K, Mahabee-Gittens EM, Chernick LS, Melzer-Lange M, Rea M, McGuire TC, Littlefield A, Casper TC; Pediatric Emergency Care Applied Research Network (PECARN). Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use. J Am Acad Child Adolesc Psychiatry. 2020 Sep;59(9):1058-1068.e5. doi: 10.1016/j.jaac.2019.10.015. Epub 2019 Dec 9.

  PMID: 31830523 BACKGROUND

MeSH Terms

Conditions

Adolescent Behavior; Suicidal Ideation

Condition Hierarchy (Ancestors)

Behavior; Suicide; Self-Injurious Behavior; Behavioral Symptoms

Results Point of Contact

• Title: Dr. Jason Jones
• Organization: Children's Hospital of Philadelphia

jonesjd@chop.edu

267-425-1326

Study Officials

• Rhonda Boyd, PhD

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 5, 2022
• First Posted: April 19, 2022
• Study Start: September 28, 2023
• Primary Completion: December 28, 2024
• Study Completion: December 28, 2024
• Last Updated: May 1, 2026
• Results First Posted: May 1, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)