Adapting a Brief Suicide Intervention for Pediatric Primary Care: Enhancing Uptake and Impact

Обзор

Suicide is a leading cause of death among adolescents in the United States and improving access to high quality just-in-time suicide interventions to reduce risk has important public health implications. Integrating such interventions into routinely accessed settings, such as pediatric primary care, holds promise; however, many clinicians in these settings fail to adequately screen or intervene in youth suicidal thoughts and behaviors, representing a key barrier to reducing suicide. The proposed study is a pre-post quasi-experimental pilot feasibility and preliminary efficacy trial of a suicide prevention intervention informed by evidence based interventions including the SAFETY-Acute suicide prevention intervention implemented in 3 pediatric primary care clinics.

Подробное описание

This project aims to take an innovative, user-centered design approach to improve suicide prevention in primary care settings to support primary care management of adolescents with suicidal thoughts and behaviors (STB), drawing on the evidence-based SAFETY-Acute (SAFETY-A; formerly known as Family Intervention for Suicide Prevention -aka FISP) intervention. In this trial, the investigators will conduct a pre-post quasi-experimental pilot feasibility and preliminary efficacy study of an adapted STB model of care compared to treatment as usual, with 3 primary care clinics. The trial will include 48 10-18-year-old patients with STB and their parents/caregivers. The investigators will assess acceptability and feasibility of the STB model of care, preliminary intervention impacts, and need for further adaptation.

Вмешательства

• Поведенческое Pilot Intervention
  This intervention is a suicide prevention intervention that will be adapted from evidence-based suicide prevention interventions including the SAFETY-Acute program. The specific intervention components will be determined from information gathered in this study but the investigators anticipate will include components such as identifying strengths, coping skills, safety planning, lethal means restriction, psychoeducation, motivation building, and care linkage.
• Поведенческое Treatment as Usual
  Treatment as usual delivered in participating clinics.

Первичные конечные точки

• Feasibility of Intervention Measure [Срок оценки: Participant and providers complete approximately 2 weeks after completing intervention]
• Acceptability of Intervention Measure [Срок оценки: Participant and providers complete approximately 2 weeks after completing intervention]
• Intervention Appropriateness Measure [Срок оценки: Participant and providers complete approximately 2 weeks after completing intervention]
• Client Satisfaction Questionnaire [Срок оценки: Participant completes approximately 2 weeks after completing intervention]
• Intervention Usability Scale [Срок оценки: Provider completes approximately 2 weeks after completing intervention]

Вторичные конечные точки (3)

• Parent Self Efficacy Scale [Срок оценки: Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention]
• Adapted General Self-Efficacy Scale [Срок оценки: Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention]
• Adult Child Relationship Scale (ACRS)/Child Parent Relationship Scale (CPRS) [Срок оценки: Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention]

Критерии участия

Adolescent Inclusion Criteria:

• adolescent between the ages of 10 and 18 years old
• speaks fluent English
• current or recent suicide risk

Adolescent Exclusion Criteria:

• high suicide risk (in need of immediate crisis stabilization services such as inpatient medical or psychiatric hospitalization)
• does not speak fluent English
• does not have a primary care provider

Caregiver Inclusion Criteria:

• has a child who meets inclusion criteria
• Age 18 years or older

Caregiver Exclusion Criteria:

• does not have a child who meets inclusion criteria
• does not speak English

Provider Inclusion Criteria:

• Age 18 years or older
• works in primary care/outpatient healthcare setting

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

США · 3 центра

• Northwest Pediatrics — Centralia
• Richmond Pediatrics — Mountlake Terrace
• Olympia Pediatrics — Olympia

Идентификаторы

NCT: NCT06499740 · STUDY00019327 · 1K23MH134229-01A1

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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