Youth Partners in Care for Suicide Prevention
University of California, Los Angeles
Summary
This randomized comparative effectiveness trial will compare two evidence-based approaches to emergency care for youth ages 13-24 who present to the Emergency Department (ED) with suicidal ideation or behavior. Outcomes will be monitored at baseline and at 3, 6 \& 12 month follow-up assessments.
Description
Rationale and Importance of Study: Suicide is currently the second leading cause of death for U.S. youth ages 13-24, responsible for more deaths than any major illness. Youth with serious suicidal behavior or thoughts often present to the nation's Emergency Departments (EDs), particularly youth who make potentially deadly suicide attempts. Evidence is limited regarding optimal interventions for reducing the risk of fatal and nonfatal suicide attempts in these youth, and tested interventions include multiple components. One dimension along which these interventions vary is timing. Some interve…
Eligibility
- Age range
- 13–24 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * age 13-24; * past-week suicidal behavior or ideation with plan or intent Exclusion Criteria: * symptoms or illness that precludes informed consent or engagement in study procedures (e.g., active psychosis; drug dependence, no locator information); * youth not fluent in English * parent not fluent in English or Spanish.
Interventions
- BehavioralSAFETY-A within usual ED Care
SAFETY-A is a single session collaborative, strengths-based, developmentally nuanced, cognitive-behavioral intervention (CBT) to increase safety and mental health treatment initiation. The therapist works with the youth and family (or significant other, SO) separately and together to build hope and reasons for living, develop a personal safety plan, increase protective supports; and increase motivation for and linkage to treatment.
- BehavioralCombined SAFETY-A within usual ED Care + CLASP Therapeutic Follow-Up Contacts
COMB, includes SAFETY-A within usual ED care plus CLASP therapeutic and caring follow-up contacts designed to strengthen safety and treatment initiation and engagement. Core functions of CLASP include: building hope/reducing hopelessness; enhancing social/family support; strengthening problem-solving; and increasing treatment initiation and engagement.
Locations (5)
- Ronald Reagan Medical CenterLos Angeles, California
- Olive View UCLA Education and Research CenterSylmar, California
- Duke UniversityDurham, North Carolina
- Brown UniversityProvidence, Rhode Island
- University of UtahSalt Lake City, Utah