Implementation of a Caregiver-Report Suicide-Risk Screener in Children Under Age 8 in a Behavioral Health Center

Официальное название

Implementation of a Caregiver-Report Suicide-Risk Screener in Children Under Age 8 in a Behavioral Health Center: A Pilot Study

Обзор

This project addresses the pressing need for tools to identify suicidal thoughts and behaviors in children aged 4-7. Although young children can experience STBs, current screening tools and guidelines often overlook this age group, partly due to challenges in directly assessing young children. The investigators developed a promising caregiver-report screener that identified at-risk children. This study will evaluate the screener's feasibility and effectiveness in clinical settings, gather feedback from clinicians and caregivers, and refine the screening process. The goal is to facilitate early intervention, improving mental health care and outcomes for young children.

Подробное описание

This project aims to evaluate the feasibility, acceptability, and efficacy of a caregiver-report suicide risk (STB) screening tool for children under age 8. Despite the rising rates of STBs in young children, tools for identifying at-risk individuals in this age group are limited, and significant resistance remains to screening children for STBs. Given the challenges in directly assessing young children and the lack of validated tools, the investigators developed a caregiver-report screener to detect early signs of STBs. Preliminary data indicate that this screener is both sensitive and specific, showing promise in identifying at-risk children. The proposed study will evaluate the implementation of this screener in a child behavioral health clinic, obtaining qualitative and quantitative feedback from both clinicians and caregivers to refine the screener and its integration into clinical workflows. Additionally, the investigators will assess how clinicians use the screener results in diagnostic and treatment planning. This study will provide critical insights into barriers and best practices for STB screening in young children, ultimately improving early identification and clinical care for at-risk youth.

Вмешательства

• Другое SITB information
  childhood SITB information

Первичные конечные точки

• Clinician report of SITB screen acceptability [Срок оценки: From time of intervention until the follow-up interviews 3-4 months later.]

Вторичные конечные точки (2)

• Clinician report of hesitancies regarding use of SITB screen [Срок оценки: From time of intervention until the follow-up interviews 3-4 months later.]
• Clinicians' incorporation of SITB Screen in Child Treatment Plans [Срок оценки: From time of intervention until the follow-up interviews 3-4 months later.]

Критерии участия

Критерии включения

• licensed mental health clinician (e.g., LPC, LMSW, LCSW, MD) in the Hermann Center
• provides care to children 4-7 years of age
• provides care through the Early Child Intervention, Early Psychiatric Care, or Trauma Response program
• must be currently seeing and/or accepting new patients

Критерии исключения

• none

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

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Скрининг

Центры проведения

США · 1 центр

• Washington University School of Medicine — St Louis

Идентификаторы

NCT: NCT07350161 · 202501012 · UL1TR002345

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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