About this trial
Suicide is the leading cause of death among YEH and most youth do not access services that may be available to them. Therefore, this study seeks to address this gap in the research literature with the goal to identify an effective intervention that can be readily adopted by communities that serve these youth. We will test the effects of outreach-worker delivered Cognitive Therapy for Suicide Prevention (CTSP)+Services as Usual (SAU) versus SAU alone on suicidal ideation (primary outcome), substance use and depressive symptoms (secondary outcomes) at 3, 6, 9 and 12- months.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
15-24 years
SSI-W score > 4 or at least one suicide attempt in prior 12 months
Meets criteria for homelessness
At least four uses of alcohol/drugs in prior 30 days
Disqualifiers
Youth requires psychiatric hospitalization
Trial design
Parallel
Treatments tested in this trial
Cognitive Therapy for Suicide Prevention
Behavioral10 sessions of cognitive therapy for suicide prevention plus 9 optional booster sessions
Services as Usual
BehavioralParticipants will receive services that they would normally receive in the community.
Treatment groups
Trial outcomes
Primary outcomes
Suicidal Ideation: Scale for Suicidal Ideation-Worst Point (SSI-W)
Change in suicidal ideation is measured using the Scale for Suicidal Ideation-Worst Point (SSI-W). Each item consists of three options, which are rated on a 3-point scale from 0 to 2, and each item is graded according to the intensity of the suicidality. Total scores are calculated by summing the 19 ratings, and these total scores can range from 0 to 38 with higher scores indicating worse severity.
Secondary outcomes
Depressive Symptoms: Beck Depression Inventory II
The Beck Depression Inventory II is a 21-item inventory that assesses the severity of depressive symptomatology. Each item is rated on a 0-3 scale with summary scores ranging between 0 and 63 and higher scores indicating higher depressive symptomatology.
Substance use: Form 90
Frequency of substance use is measured using the Form-90, a semi-structured questionnaire that uses the timeline follow-back method. Form yields percentage of days in the prior 90 days using alcohol and drugs.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.