Adapting Youth Nominated Support Team (YST) to Prevent Suicide

NCT07559955 | Recruiting DMC

• 2 other identifiers: AAAV62651R34MH139837-01
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care they need due to multi-level barriers. YST-P is adapted from an existing evidence-based, social support intervention, Youth-Nominated Support Team (YST), which is a psychoeducational, social support intervention originally created as an adjunctive to standard behavioral health (BH) treatment for youth with suicide risk following psychiatric hospitalization. YST-P is an adaptation of YST designed to meet the unique needs of youth on probation, addressing their SIB and increasing their uptake of treatment, by leveraging their existing social networks. YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them to care. The study entails a single-arm pilot to examine reductions in SIB (within-subject comparison), and increased treatment uptake (comparing YST-P participants to a propensity-matched, historical control). This study will additionally explore theorized mechanisms of intervention action as well as implementation outcomes and barriers/facilitators to YST-P. The goal is for results from this study to inform a larger, fully powered effectiveness trial, as well as future studies leveraging youths' existing social support networks to prevent SIB and bridge them to care.

Conditions

Suicidal Ideation and Behavior

Keywords

Behavioral Health; Suicide; Suicidal Ideation and Behavior; Suicidal Ideation and Behaviors; Suicidal Ideation in Teens; Mental Health; Teen Mental Health; Adolescent Mental Health; Probation; Teens Probation Mental Health; Probation Mental Health; Probation Behavioral Health; Implementation; Implementation Science; Partnerships; e-Connect; YST; Youth Nominated Support Team; Caregiver Teens; Caregiver Mental Health; Teen Behavioral Health; Caregiver Behavioral Health; Probation Officer; Probation Officer Mental Health; Probation Staff Mental Health; Probation Staff; Social Workers; Social Workers Mental Health; Intervention; Interventions; Mental Health Interventions; Behavioral Health Interventions; Teen Probation Intervention; Youth Intervention; Youth Mental Health Intervention; Adolescent Probation; Juvenile Justice System; Juvenile Justice System Mental Health; Juvenile Probation; Juvenile Probation Mental Health; SIB; Teen SIB; Youth SIB; Adolescent SIB; Teen Suicidal Ideation and Behavior; Youth Suicidal Ideation and Behavior; Adolescent Suicidal Ideation and Behavior; Implementations

Outcome Measures

Primary Outcomes (1)

• Youth Suicide Ideation and Behaviors

  Youth suicide ideation and behaviors will be calculated using the GAIN Short Screener (GAIN-SS) ver. 3.0.2. The GAIN-SS is scored on five items, each ranging from 0 to 4, where 0 = never and 4 = problems reported in the past month. Lower scores indicate better outcomes.

  Assessed at baseline, at completion of the 3-month intervention, and also 6-month post-baseline

Secondary Outcomes (1)

• Youth treatment uptake

  Up to 14 months

Study Arms (1)

Youth

EXPERIMENTAL

Youth with an active probation case with reported past year suicidal ideation who receive the YST-P intervention (n=40).

Behavioral: Youth-Nominated Support Team for Probation

Interventions

Youth-Nominated Support Team for Probation BEHAVIORAL

YST-P is a social support intervention to leverage youths' existing relationships as an approach to decrease SIB and address multilevel barriers to care for youth on probation.

Youth

Eligibility Criteria

• Age: 12 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist
• Conversational in English (self-report/caregiver)
• Age 12-17years 11months (self-report/caregiver)
• Probation involvement (probation staff)
• Have a caregiver who is willing to participate (caregiver)
• Endorsed PY suicidal ideation (probation staff)
• Nominated 2-4 supportive adults, at least 2 of whom are willing to participate (Intervention Specialist, supportive adult)
• Caregivers, referred to study by YST Intervention Specialist
• Conversational in English (self-report)
• Caregiver of a youth who is eligible and willing to participate (probation referral, youth report)
• Supportive adults, referred to study by YST Intervention Specialist
• Participating as a supportive adult in YST-P as indicated by completion of YST-P psychoeducational session (Intervention Specialist report)
• Conversational in English (self-report)
• Approved by youths' caregiver (caregiver)
• Be appropriate as determined by the YST-P Intervention Specialist (Intervention Specialist).

Sponsors & Collaborators

• Columbia University: lead
• National Institute of Mental Health (NIMH): collaborator

Study Sites (1)

Columbia University Irving Medical Center (CUIMC) Alianza Dominicana Triangle Building

New York, New York, 10032, United States

RECRUITING

Related Publications (2)

• King CA, Arango A, Kramer A, Busby D, Czyz E, Foster CE, Gillespie BW; YST Study Team. Association of the Youth-Nominated Support Team Intervention for Suicidal Adolescents With 11- to 14-Year Mortality Outcomes: Secondary Analysis of a Randomized Clinical Trial. JAMA Psychiatry. 2019 May 1;76(5):492-498. doi: 10.1001/jamapsychiatry.2018.4358.

  PMID: 30725077 BACKGROUND

• King CA, Klaus N, Kramer A, Venkataraman S, Quinlan P, Gillespie B. The Youth-Nominated Support Team-Version II for suicidal adolescents: A randomized controlled intervention trial. J Consult Clin Psychol. 2009 Oct;77(5):880-93. doi: 10.1037/a0016552.

  PMID: 19803568 BACKGROUND

MeSH Terms

Conditions

Suicidal Ideation; Behavior; Suicide; Psychological Well-Being

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Personal Satisfaction

Study Officials

• Corianna E Sichel, PhD

  Columbia University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Quinn R Anderson, MS

CONTACT

650-283-2448; qra2000@cumc.columbia.edu

Francesca Agnello, MPH

CONTACT

646-548-9096; fa2786@cumc.columbia.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Behavioral Sciences in Emergency Medicine

Model Details: This study is a single-arm YST-P pilot trial.

Study Record Dates

• First Submitted: April 24, 2026
• First Posted: April 30, 2026
• Study Start (Estimated): September 1, 2026
• Primary Completion (Estimated): July 31, 2028
• Study Completion (Estimated): July 31, 2028
• Last Updated: April 30, 2026

Record last verified: 2026-04

Locations

US (1)