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.
adolescent between the ages of 10 and 18 years old
speaks fluent English
current or recent suicide risk
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
has a child who meets inclusion criteria
Parallel
Pilot Intervention
BehavioralThis 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.
Treatment as Usual
BehavioralTreatment as usual delivered in participating clinics.
Feasibility of Intervention Measure
Feasibility of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater feasibility.)
Acceptability of Intervention Measure
Participant rated acceptability of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater acceptability.)
Intervention Appropriateness Measure
Participant rated appropriateness of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater appropriateness.)
Client Satisfaction Questionnaire
Participant rated satisfaction with the intervention (includes 8 items scored on a 4 point likert scale with higher scores representing greater satisfaction.)
Parent Self Efficacy Scale
Caregiver rated self-efficacy of being able to keep youth safe (includes 5 items scored on a 5 point likert scale with greater total score representing greater parent self-efficacy).
Adapted General Self-Efficacy Scale
Patient rated self-efficacy of being able to keep self safe (includes 10 items scored on a 4 point likert scale with greater total score representing greater self-efficacy).
Adult Child Relationship Scale (ACRS)/Child Parent Relationship Scale (CPRS)
Patient and caregiver rated family involvement/relationship quality (includes 19 items scored on a 5 point likert scale with two subscales \[closeness and conflict\] where higher total score on each subscale represents greater closeness or conflict).
Ask Suicide Screening Questions (ASQ)
Exploratory suicide and mental health outcomes (includes 5 items scored as yes/no with greater number of yes or a yes on item 5 representing greater suicide risk).
Revised Children's Anxiety and Depression Scale-25
Exploratory suicide and mental health outcomes (includes 25 items scored on a 4 point likert scale with higher total score representing greater symptom severity).
Diagnostic and Statistical Manual of Mental Disorders-5 cross cutting assessment
Exploratory suicide and mental health outcomes (includes 25 items scored on a 4 point likert scale with higher scores representing greater symptom severity).
Click on the lead sponsor to view all of their trials.
University of Washington
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator
