Safer Still (EP3)- An Interactive Intervention Adjunct to Traditional Care for Adolescents Who Are Discharged From Psychiatric Hospitals and Living in Households Where Firearms Are Stored Unsafely.
Jeff Bridge
Summary
The long-term goal is to decrease suicide and suicidal behaviors in at-risk youth through preventative interventions. Investigators propose to develop an interactive intervention ("Safer Still") to help promote safe storage of firearms during the critical period immediately following high-risk care transitions. The objective of this study is to develop and test the Safer Still intervention as an efficient adjunct to traditional care for adolescents aged 12-17 years who are discharged from psychiatric hospitals and living in households where firearms are stored unsafely.
Description
The objective of this study is to develop and test the Safer Still intervention as an efficient adjunct to traditional care for adolescents aged 12-17 years who are discharged from psychiatric hospitals and living in households where firearms are stored unsafely. Exploratory aims of the study are as follows: (1) Evaluate parental motivation to change firearm storage behavior as a potential mediator of the three-month intervention effect. Investigators hypothesize that higher change scores in the "action" stage of the readiness to change model1 at one month will mediate the intervention effect…
Eligibility
- Age range
- 18–90 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Parent or legal guardian of an adolescent aged 12 to 17 years at time of consent * Have a child who is receiving psychiatric inpatient, crisis, or emergency treatment at Nationwide Children's Hospital * Indicate that at least one firearm is located in or around the residence of the adolescent and is stored unlocked, loaded, or both unlocked and loaded. * Only one parent per household is permitted to participate to avoid contamination across the two study conditions. Exclusion Criteria: * Inability to speak/read English * Lack access to a digital device (smartphone, iPa…
Interventions
- Behavioral" Safer Still " Interactive Intervention
An interactive intervention will be developed to help promote safe storage of firearms during the critical period immediately following high-risk care transitions.
- OtherEnhanced Usual Care (EUC):
Families randomly assigned to the control condition will receive a psychological placebo that will feature an education only website developed by NCH's web design team. This website will cover warning signs for suicide, the leading methods of suicide - so that both conditions have content that features information about firearms - and locating professional help. The control website will NOT feature these three behavioral economic strategies--namely (a) multiple suggested alternatives for means restriction, (b) requests to justify inaction regarding means restriction, and (c) normative feedback about means restriction.
Locations (2)
- Nationwide Children's HospitalColumbus, Ohio
- Nationwide Children's Hospital Behavioral Health PavillionColumbus, Ohio