Adapting a Brief Suicide Intervention for Pediatric Primary Care: Enhancing Uptake and Impact
University of Washington
Summary
Suicide is a leading cause of death among adolescents in the United States and improving access to high quality just-in-time suicide interventions to reduce risk has important public health implications. Integrating such interventions into routinely accessed settings, such as pediatric primary care, holds promise; however, many clinicians in these settings fail to adequately screen or intervene in youth suicidal thoughts and behaviors, representing a key barrier to reducing suicide. The proposed study is a pre-post quasi-experimental pilot feasibility and preliminary efficacy trial of a suicide prevention intervention informed by evidence based interventions including the SAFETY-Acute suicide prevention intervention implemented in 3 pediatric primary care clinics.
Description
This project aims to take an innovative, user-centered design approach to improve suicide prevention in primary care settings to support primary care management of adolescents with suicidal thoughts and behaviors (STB), drawing on the evidence-based SAFETY-Acute (SAFETY-A; formerly known as Family Intervention for Suicide Prevention -aka FISP) intervention. In this trial, the investigators will conduct a pre-post quasi-experimental pilot feasibility and preliminary efficacy study of an adapted STB model of care compared to treatment as usual, with 3 primary care clinics. The trial will include…
Eligibility
- Age range
- 10+ years
- Sex
- All
- Healthy volunteers
- No
Adolescent Inclusion Criteria: * adolescent between the ages of 10 and 18 years old * speaks fluent English * current or recent suicide risk Adolescent Exclusion Criteria: * high suicide risk (in need of immediate crisis stabilization services such as inpatient medical or psychiatric hospitalization) * does not speak fluent English * does not have a primary care provider Caregiver Inclusion Criteria: * has a child who meets inclusion criteria * Age 18 years or older Caregiver Exclusion Criteria: * does not have a child who meets inclusion criteria * does not speak English Provider Incl…
Interventions
- BehavioralPilot Intervention
This intervention is a suicide prevention intervention that will be adapted from evidence-based suicide prevention interventions including the SAFETY-Acute program. The specific intervention components will be determined from information gathered in this study but the investigators anticipate will include components such as identifying strengths, coping skills, safety planning, lethal means restriction, psychoeducation, motivation building, and care linkage.
- BehavioralTreatment as Usual
Treatment as usual delivered in participating clinics.
Locations (3)
- Northwest PediatricsCentralia, Washington
- Richmond PediatricsMountlake Terrace, Washington
- Olympia PediatricsOlympia, Washington