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Recruiting NCT05869552

Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care

No phase Interventional Suicide Suicidal Ideation

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: STAT-PC, YST-III.
Who it may be relevant to
Registry conditions: Suicide, Suicidal Ideation. Basic parameters: 18 years — 24 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care: CRT

Overview

The overall aim of this study is to reduce suicide among sexual and gender diverse youth ages 18-24 years old. This study will compare the effectiveness of two brief suicide prevention interventions that have been adapted for use with this population to use in primary care via telehealth and will recruit youth from primary care clinics in multiple metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.

Interventions

  • Other STAT-PC
    STAT-PC is an adapted version of Suicidal Teens Accessing Treatment after an ED Visit (STAT-ED). It is a brief intervention based on motivational interviewing (MI) that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management. The intervention will consist of an initial session with the youth focusing on accessing mental health care plus case management calls. The interventionist will also be available to assist with referrals for connection to ot
  • Other YST-III
    YST-III is an adapted version of Youth-Nominated Support Team for Suicidal Adolescents (YST-II). The intervention is a brief intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation (SI). Participants will nominate supportive adults (age 18 and older) from their lives who agree to provide ongoing contact and support for up to 3 months. YST-III will include an introductory session with the youth who will nominate their su

Primary outcome measures

  • Change in suicidal ideation as measured by the Adult Suicidal Ideation Questionnaire (ASIQ) [Time frame: baseline and months 1, 3, 6]
Secondary outcome measures (6)
  • Change in number of mental healthcare service utilization as measured by Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) mental health service utilization check list [Time frame: baseline and months 1, 3, 6]
  • Change in number of suicide attempts [Time frame: baseline and months 1, 3, 6]
  • Deaths by suicide [Time frame: baseline to 6 months]
  • Change in depressive symptoms as measured by Center for Epidemiologic Studies Depression Scale-Revised CESD-R [Time frame: baseline and months 1, 3, 6]
  • Change in social support as measured by the Multidimensional Scale of Perceived Social Support (MSPSS) [Time frame: baseline and months 1, 3, 6]
  • Change in internalized stigma as measured by Internalized Transphobia Scale (ITS)-adapted [Time frame: baseline and months 1, 3, 6]

Eligibility criteria

Inclusion criteria

  • be aged 18-24 at the time of enrollment
  • not have received mental health services in the past 90 days, excluding medication and case management
  • English-speaking
  • screen positive for suicide risk

Exclusion criteria

  • are actively suicidal
  • have a developmental disability that would preclude them from participating in the study intervention
  • who are impaired due to psychosis, mania, or substance use that would prevent them from providing consent.
  • Participants will also be excluded at YST-III sites if they are unable to identify a minimum of one support person to participate in the intervention with them

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

United States · 3 centers
  • University of Pittsburgh — Pittsburgh
  • Steve Hicks School of Social Work at the University of Texas at Austin — Austin
  • University of Texas Southwestern Medical Center — Dallas

Identifiers

NCT: NCT05869552 · 86014 · SP-2020C3-21020-IC

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗