Adapting Youth Nominated Support Team (YST) to Prevent the Escalation of Suicide Risk Among Youth on Probation
Columbia University
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.
Description
The goal of YST-P is to improve youths' SIB and their uptake of behavioral health (BH) services (defined as intake +1 session), examining multilevel inner/outer context and bridging factors that influence implementation of YST-P. The proposed hybrid (Type I) effectiveness-implementation study will occur in two counties on Long Island in New York State: Suffolk County and Nassau County. Guided by Heaney and Israel's Social Support for Health (SSH) framework, Social Cognitive Theory (SCT), and the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, the larger project comp…
Eligibility
- Age range
- 12–80 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist 1. Conversational in English (self-report/caregiver) 2. Age 12-17years 11months (self-report/caregiver) 3. Probation involvement (probation staff) 4. Have a caregiver who is willing to participate (caregiver) 5. Endorsed PY suicidal ideation (probation staff) 6. 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 1. Conversational in English (self-report) 2. Ca…
Interventions
- BehavioralYouth-Nominated Support Team for Probation
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.
Location
- Columbia University Irving Medical Center (CUIMC) Alianza Dominicana Triangle BuildingNew York, New York