Integrated Suicide Supports and Safety Planning for Youth

ConditionsSuicidal Ideation Suicidal Behavior

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age13-21

SponsorUniversity of Washington

About this trial

The goal of this clinical trial is to evaluate an app to help keep teens and young adults with suicidal thoughts safe. The app includes a safety plan created by adolescents and healthcare providers, and videos to encourage supportive communication and skills for teens and young adults to stay safe. The main question it aims to answer is whether the use of an app can increase youth suicide-related coping for youth with suicidal ideation, parent/caregiver suicide prevention self-efficacy, and healthcare provider self-efficacy in suicide management. Researchers will compare usual care to usual care with the app. Participants, including adolescents, caregivers, and healthcare providers, will use the ISSP app (if assigned to that group) and view video content and complete three online surveys.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with active ideation (not solely a history of a prior attempt) but no current plan or intent, or patient-reported suicidal thoughts and behaviors during a clinical assessment in a medical setting who are judged by a clinician to be appropriate for conducting higher level assessment in that setting (including a BSSA and/or safety planning) in order to support care at home.

Parents/guardians: One "parent" per AYA will also be invited to participate.

HCPs: All HCPs in participating settings who may conduct assessments of SI and safety planning (physicians, nurse practitioners/physician's assistants, social workers, mental health counselors, psychologists) will be invited to participate.

All subjects must have access to the internet and a computer or tablet device.

Disqualifiers

Concurrently enrolled in an affiliated Suicide Care Research Center study, no phone access, or non-English speaking.

Trial design

Design model

Sequential

Treatments tested in this trial

Integrated skills and safety planning app
Other intervention
This is a digital app that includes supported safety planning resources in medical settings as well as coping skills and lived experience videos for adolescents, young adults and parents/caregivers that can be accessed while in the medical setting or at home.

Treatment groups

60 Participants

are divided into 2 treatment groups

Group A: Usual CareNo intervention 0 interventions

Group B: Integrated skills and safety planning appExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Youth Suicide-Related Coping

Total Score on the 17-item Youth Suicide-Related Coping Scale

Time frame

Baseline, 1 month, 2 month

Parent suicide prevention self-efficacy

Total score on the Parent suicide prevention self-efficacy scale

Time frame

Baseline, 1 month, 2 month

Healthcare provider self-efficacy in suicide management

Total score on the Provider suicide Intervention Questionnaire

Time frame

Baseline, end of control period, and end of intervention period

Secondary outcomes

Safety Plan Quality

Safety Planning Scoring Algorithm (SPISA) based on youth medical chart review

Time frame

Up to 1 month

Youth Suicide Severity

Total score on the online self-report version of the Columbia Suicide Severity Rating Scale (C-SSRS)

Time frame

Baseline, 1 month, 2 month

Youth Anxiety Symptoms

Total Score on Youth Self-Reported Generalized Anxiety Disorder -7 item scale

Time frame

Baseline, 1 month, 2 month

Intervention Acceptability

Youth and Parent Report on the Acceptability of Intervention Measure (AIM)

Time frame

Baseline, 1 month, 2 month

Other outcomes

Access to Lethal Means

BRFSS Module 17 - Youth report of access to a firearm

Time frame

1 month

Intervention Feasibility

Healthcare Provider Report on the Feasibility of Intervention Measure (FIM)

Time frame

Baseline, 1 month, 2 month

Mental Health Services Use

Dichotomous rating of any mental health service use following baseline using chart review or indication based on parent or youth report on the Services Assessment for Children and Adolescents (SACA)

Time frame

Baseline, 2 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Washington

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator

Seattle Children's Hospital

Collaborator

Source ClinicalTrials.gov

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