Integrating the Youth Nominated Support Team (YST) With CBT for Black Youth With Acute Suicide Risk: Aim 2b

Official title

Integrating the Youth Nominated Support Team (YST) With CBT for Black Youth With Acute Suicide Risk

Overview

This is a second pilot study being completed based on lessons learned from the Aim 2a feasibility pilot study (NCT06941311). Following modifications, the investigators are testing the acceptability, feasibility, and preliminary effectiveness of the combination of two psychosocial interventions, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the computer-assisted version of the Youth-Nominated Support Team (eYST). In this phase of the study, CBT-SP + eYST will be tested in an open trial (number of youth = 15). Investigators will recruit Black adolescents (ages 12-17) that come to an urban acute care setting for suicidal thoughts and/or self-injurious behaviors to receive the intervention in an outpatient community mental health agency. Participants will receive 12-14 sessions of CBT-SP in addition to YST. Participants will nominate up to 5 caring adults in their lives to serve as support persons. These support persons will attend an education/orientation session to learn more about their role and how to support the youth. Support persons will have weekly contact with the youth and weekly follow up contacts from the youth's clinician/YST intervention specialist. Youth will be assessed at baseline, 6 weeks, and 14 weeks. Parents will be assessed at baseline and 14 weeks. Support persons will be assessed at baseline and 14 weeks. Fidelity assessments will be completed by clinicians after each session, after the YST psycho-ed session, and weekly to document contact with the support team.

Interventions

• Behavioral Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP)
  Clinicians will provide this specialized evidence based mental health care. The study focuses on the acute phase of CBT-SP, which is 12 sessions. CBT-SP's goals are to reduce suicide risk factors, enhance coping, and prevent future suicidal behavior. Identifying the emotional, cognitive, behavioral, or familial processes that precede a suicide crisis is a major focus, which yields an individualized treatment plan. Each session lasts one hour and can be completed either in person or via a secure
• Behavioral Youth-Nominated Support Team
  Youth will nominate up to 5 trusted adults. Following parental approval, Support Persons will attend a psychoeducational orientation session with their assigned intervention specialist (i.e., the youth's clinician), learn about the youth's difficulties, treatment plan, and receive ideas for supporting the youth. Support Persons will be asked to have contact with the youth each week for the 3 months of the study. During these calls, Support Persons have an opportunity to discuss any questions or

Primary outcome measures

• Acceptability - percent of eligible youth consented [Time frame: Baseline]
• Feasibility - Mean number of support people [Time frame: 6 weeks]
• Acceptability - Mean number of support person contacts [Time frame: 14 weeks]
• Feasibility - Number of CBT-SP sessions attended [Time frame: 14 weeks]

Eligibility criteria

Youth Inclusion Criteria:

• Patients that are able to provide at least one verifiable contact for emergency or tracking purposes
• Willing to receive care at MiSide
• Present to an acute emergency care setting with suicide risk (per protocol)
• Self-identify as Black
• Willing and able to complete enrollment procedures
• Willing and able to provide signed and dated informed assent

Youth Exclusion Criteria:

• Unable to be consented in English
• Do not have a parent/legal guardian available to provide consent
• Are not able to provide informed assent or to participate in the assessment due to significant agitation, psychosis, cognitive impairment, learning disability, or medical trauma
• Actively engaged in specialty mental health treatment
• Participated in the Aim 2a open trial

Parent/Guardian Inclusion Criteria:

• Adults 18 years and older
• The parent or legal guardian of a youth participating in this Aim
• Understand written and spoken English
• Willing and able to complete enrollment procedures
• Willing and able to provide signed and dated informed consent
• Need to have access to technology, either cell or an email address

Parent/Guardian Exclusion Criteria:

\- Do not understand written and spoken English

Support Person Inclusion Criteria:

• Adults 18 years and older
• Understand written and spoken English
• Approved to serve as a support person by the parent/legal guardian

Support Person Exclusion Criteria:

• Do not understand written and spoken English
• Not approved to serve as a support person by the parent/guardian

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

Healthy volunteers: No

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Prevention

Study locations

United States · 2 centers

• Children's Hospital of Michigan (CHM) Emergency Department — Detroit
• MiSide — Detroit

Identifiers

NCT: NCT07506460 · HUM00225071b · 5R34MH131722-02

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗