Task-Shifting Adapted IPT-A for Youth Suicide Prevention

Официальное название

Youth Mentor-Led Brief Interpersonal Psychotherapy for Youth Suicide Prevention

Обзор

The goal of this randomized pragmatic clinical trial is to examine the feasibility, acceptability, and mechanisms of change of a brief adaptation of Interpersonal Psychotherapy for Adolescents (BIPT-A), adapted and task-shifted to lay providers (mentors, youth trusted adults) in youth community centers (YCCs) as an upstream approach to suicide. It focuses on Hispanic adolescents ages 12-17 enrolled in these YCCs. The pragmatic clinical trial will evaluate the acceptability and feasibility of adapted IPT-A delivered by mentors in YCCs and whether adapted BIPT-A impacts mechanisms of change (depressive symptoms, belongingness, and burdensomeness or feeling like a burden to others). The main questions to answer are: * Is adapted BIPT-A, when delivered by trained lay providers (youth mentors), feasible and acceptable in youth community centers? * Does adapted BIPT-A, delivered by lay providers, change key risk factors (i.e., key mechanisms: depressive symptoms, low belongingness, and perceived burdensomeness) associated with suicide ideation? The investigators will compare adolescents randomized to adapted BIPT-A (6 sessions) delivered by a trained youth mentor with those receiving usual services at the community center (one individual session focused on active listening). Participants will: 1. Be screened for subthreshold depression using the Patient Health Questionnaire Adolescent version (PHQ-A). Adolescent participants will be included if they score between 4 and 9 (mild depression). Participants with a PHQ-A score of 10 or higher (severe depression) will not be eligible and will be referred to a licensed mental health provider for appropriate care. 2. Be randomized to adapted BIPT-A or usual care. Adolescent participants in the intervention arm will participate in 6 weekly, adapted BIPT-A sessions with a trained youth mentor. Intervention focuses on education, affect identification, and interpersonal skills.

Вмешательства

• Поведенческое Adapted Brief Interpersonal Psychotherapy for Adolescents (IPT-A LAZOS)
  Adolescents in this intervention will receive 6 weekly sessions of an adapted brief version of Interpersonal Psychotherapy for Adolescents (BIPT-A), delivered by trained lay providers (i.e., youth mentors) in youth community centers. The adaptation used a community-participatory research approach to culturally and contextually meet the needs of immigrant-origin inner-city adolescents. The adapted intervention keeps core elements (education, affect identification, and interpersonal skills) and bo
• Другое Usual Community Center Services
  Participants in this arm will continue to receive the standard youth programs and services offered by the youth community centers, including mentoring, academic support, and recreational activities. They will not receive BIPT-A.

Первичные конечные точки

• Feasibility of the intervention [Срок оценки: Up to 7 weeks.]
• Acceptability of the intervention [Срок оценки: Up to 7 weeks]

Вторичные конечные точки (2)

• Change in depressive symptoms [Срок оценки: Up to 7 weeks.]
• Change in interpersonal factors associated with passive suicide ideation. [Срок оценки: Up to 7 weeks.]

Критерии участия

Критерии включения

• Parent consent
• Adolescent consent
• Enrolled in youth community centers
• Self-identified as Hispanic or Latine
• Between 12 and 17 years old.
• Scoring threshold for depression (4-9) as indicated in the PHQ-A.
• No current report of suicide ideation with plan or self-harming behaviors

Критерии исключения

• Not consented to participate in the study
• Scoring 10 or higher in the PHQ-A, indicating depressive disorder
• Active suicide ideation (i.e., having thoughts of killing oneself, thinking about how in the past month).

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

Открытое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Boston College — Chestnut Hill

Идентификаторы

NCT: NCT07383831 · 24.274 · K23MH137405

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗