Safer Still (Exploratory Project 3)

ConditionSuicide Prevention

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age18-90

SponsorJeff Bridge

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

Inability to speak/read English

Lack access to a digital device (smartphone, iPad, tablet computer, desktop, laptop PC).

Trial design

Design model

Parallel

Treatments tested in this trial

" Safer Still " Interactive Intervention
Behavioral
An interactive intervention will be developed to help promote safe storage of firearms during the critical period immediately following high-risk care transitions.
Enhanced Usual Care (EUC):
Other intervention
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.

Treatment groups

80 Participants

are divided into 2 treatment groups

Group A: Safer Still InterventionExperimental treatment 1 intervention

Group B: Enhanced Usual Care (EUC)Placebo comparator 1 intervention

Trial outcomes

Primary outcomes

Household Lethal Means Survey (HLMS)

The Household Lethal Means Survey (HLMS) asks the parent to indicate whether there are any guns kept in or around the home, and if so to describe how the gun(s) and ammunition are stored. The HLMS will be supplemented with three questions from the 2018 California Safety and Well-Being Survey. These three questions address reasons for firearm ownership, loaded handgun carrying in the past 30 days, and high-capacity magazine ownership. At follow-up, the study survey assesses whether and how firearm ownership and storage practices changed since baseline. Similar questions at baseline and follow-up are asked about lethal medications.

Time frame

Baseline, One month and Three months

Secondary outcomes

Stages of Change Questionnaire (SOCQ)

Readiness to change firearm and medication storage practices will be assessed using the Stages of Change Questionnaire (SOCQ), a psychometrically sound 12-item self-report measure ( 5-point Likert scale; -2 = "Strongly Disagree"; +2 = " Strongly Agree"). The scale will be used to measure the four stages of change (Pre-contemplation, Contemplation, Action, and Maintenance). Items numbered 1,3,6,10 Precontemplation, items numbered 2,4,7,11 = Contemplation and items numbered 5,8,9,12 = Action. A negative scale score reflects an overall disagreement with items measuring the stage of change, whereas a positive score represents overall agreement. The highest scale score represents the Stage of Change Designation.

Time frame

Baseline, One month, and Three months

Sponsors and contacts

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

Jeff Bridge

Lead sponsor

Nationwide Children's Hospital

Sponsor institution

Ohio Chapter American Academy of Pediatrics

Collaborator

Source ClinicalTrials.gov

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