Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings
Johns Hopkins University
Summary
The study will compare the effectiveness of two relatively brief and scalable evidence-based interventions: the Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), a suicide-specific intervention that helps people prevent suicidal crises from escalating, and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a psychotherapeutic crisis intervention treatment for suicidal adolescents that teaches youth skills to prevent suicidal crises and addresses interpersonal problems that lead to suicidal crises. The results will inform the future standard of care for youth at risk for suicide presenting in the ED setting. This project focuses on suicidal youth ages 12-24 in five ethnically and racially diverse urban areas: Philadelphia, Pennsylvania; Baltimore, Maryland; Chapel Hill, North Carolina; St. Petersburg, Florida; and Northern Manhattan/lower Bronx/eastern Queens communities in New York City, New York.
Description
Emergency department (ED) visits for suicide-related concerns have been increasing in youth over the past decade, a trend potentially exacerbated by the COVID-19 pandemic. Also, youth suicidal thoughts and attempts have increased with the 2019 Centers for Disease Control and Prevention (CDC) Youth Risk Behavior Surveillance System (YRBSS) finding that 18.8 percent of high school students have seriously considered suicide and 8.9 percent had attempted suicide in the past year. Furthermore, suicide rates are increasing more rapidly in Latino/Latina, Black, and multiracial youth, especially Black…
Eligibility
- Age range
- 12–24 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Suicide Risk During Acute Care Visit (At least one item in risk assessment is required; check all that apply): \_\_\_ Chief complaint of suicide-related concern (via Medical Record/Other), \_\_\_ Active suicidal ideation endorsed in past 1 month on validated suicide screener, \_\_\_ Suicidal behavior in the past 3 months on validated suicide screener, \_\_\_ Clinician indicated SI in past month or SA in past 3 months. * Have access to a cellular phone with the ability to receive phone calls and text messages over the 12-month follow- up period * Adolescent must be verbal…
Interventions
- BehavioralStanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+)
Stanley Brown Safety Planning completed in the emergency department with 3 follow-up contacts after discharge
- BehavioralInterpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI)
Five session crisis focused version of IPT for adolescents.
Locations (6)
- Johns Hopkins All Children's HospitalSt. Petersburg, Florida
- Johns Hopkins UniversityBaltimore, Maryland
- Columbia University Irving Medical Center (CUMC)New York, New York
- Weill-Cornell MedicineNew York, New York
- University of North Carolina Medical CenterChapel Hill, North Carolina
- Childrens Hospital of PhiladelphiaPhiladelphia, Pennsylvania