Alcohol, Suicide and HIV Prevention for Teens in Mental Health Treatment

Alcohol, Suicide, and HIV Prevention for Teens in Mental Health Treatment

This study examines whether an integrated alcohol/substance abuse, suicide, and HIV prevention protocol is associated with lower onset and frequency of alcohol and other drug use, suicidal behavior, and high risk sexual behavior among adolescents receiving community based mental health care.

Study Overview

• Status: Completed
• Conditions: HIV; Suicide; Drug Abuse; Alcohol Abuse
• Intervention / Treatment: Behavioral: Prevention program

Detailed Description

The purpose of this study is to compare an integrated adolescent alcohol/drug, suicide, and HIV prevention program to an assessment only control condition in a randomized clinical trial. This prevention protocol is designed as an "add-on" intervention to standard mental health care. We will examine the extent to which the addition of this prevention protocol is associated with lower rates of alcohol use and drug use, suicidal behavior, and HIV related risk behaviors.

• Study Type: Interventional
• Enrollment (Actual): 81
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Virginia
    • Fairfax, Virginia, United States, 22030
      • George Mason University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 13 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• ages 13-18
• English speaking adolescent and at least one English speaking parent
• receiving mental health treatment
• living with a parent or guardian willing to participate

Exclusion Criteria:

• Active Alcohol or Marijuana Dependence Diagnosis
• HIV infection
• Pregnant
• Current psychosis
• Cognitively unable to give assent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Assessment Only
Experimental: Prevention Program; This is a cognitive-behavioral substance abuse, suicide, and HIV prevention program delivered in a workshop format to adolescent participants and their parents/legal guardians.	Behavioral: Prevention program

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
adolescent alcohol use and binge drinking (any, number of days, number of related problems)	This was assessed using the Customary Drinking and Drug Use Record	change from baseline to 6 months (prior 3 months)
adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior)	This was assessed using the Suicidal ideation Questionnaire and the Self-Injurious Thoughts and Behavior Interview	change from baseline to 6 months (prior month to 6 months)
adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts)	This was assessed using the Adolescent Risk Behavior Assessment.	change from baseline to 6 months (prior 3 months)
adolescent marijuana use (any use, number of days, related problems)	This was assessed with the Customary Drinking and Drug Use Measure	change from baseline to 6 months (prior 3 months)
adolescent alcohol use and binge drinking (any, number of days, number of related problems)	This was assessed using the Customary Drinking and Drug Use Measure	change from baseline to 12 months (prior 3 months)
adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior)	This was assessed with the Suicidal Ideation Questionnaire and the Self-Injurious Thoughts and Behavior Questionnaire	change from baseline to 12 months (prior month to 6 months)
adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts)	This was assessed with the Adolescent Risk Behavior Assessment	change from baseline to 12 months (prior 3 months)
adolescent marijuana use (any use, number of days, related problems)	This was assessed with the Customary Drinking and Drug Use Record	change from baseline to 12 months (prior 3 months)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
frequency of parental monitoring behavior	This was assessed with the Parental Monitoring Questionnaire	change from baseline to 1 month
quality of parent-child communication around high risk behaviors	This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior	change from baseline to 1 month
adolescent perceptions of parental degree of disapproval of high risk behavior	This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use	change from baseline to 1 month
adolescent perception of degree of interpersonal coping and stress management skills	This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version	change from baseline to 6 months
adolescent degree of perceived self-efficacy for condom use	This was assessed with the Self-Efficacy for Condom Use Scale	change from baseline to 1 month
adolescent degree of HIV related knowledge	This was assessed with the HIV Knowledge Scale	change from baseline to 1 month
adolescent perceptions of degree of peer substance use and tolerance of use	This was assessed with Peer Substance Use and Tolerance of Use scale	change from baseline to 6 months
adolescent perception of the degree of peer approval of sexual activity	This was assessed with the Peer Norms Scale for Sexual Activity scale	change from baseline to 6 months
adolescent degree of perceived self-efficacy for HIV prevention	This was assessed with the Self-Efficacy for HIV Prevention Scale	change from baseline to 1 month
frequency of positive and negative thoughts related to suicide	This was assessed with the Positive and Negative Suicide Ideation Inventory	change from baseline to 1 month
degree of adolescent positive/negative attitudes and beliefs about alcohol	This was assessed with the Youth Alcohol and Drug Survey	change from baseline to 1 month
degree of adolescent positive/negative attitudes and beliefs about marijuana use	This was assessed with the Youth Alcohol and Drug Survey	change from baseline to 1 month
frequency of parental monitoring behavior	This was assessed with the parental monitoring questionnaire	change from baseline to 6 months
frequency of parental monitoring behavior	This was assessed with the parental monitoring questionnaire	change from baseline to 12 months
quality of parent-child communication around high risk behaviors	This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior	change from baseline to 6 months
quality of parent-child communication around high risk behaviors	This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior	change from baseline to 12 months
adolescent perceptions of parental degree of disapproval of high risk behavior	This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use	change from baseline to 6 months
adolescent perceptions of parental degree of disapproval of high risk behavior	This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use	change from baseline to 12 months
adolescent perception of degree of interpersonal and stress management coping skills	This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version	change from baseline to 12 months
adolescent perceptions of degree of peer substance use and approval of use	This was assessed with Peer Substance Use and Tolerance of Use scale	change from baseline to 12 months
adolescent perception of the degree of peer approval of sexual activity	This was assessed with the Peer Norms Scale for Sexual Activity scale	change from baseline to 12 months

Collaborators and Investigators

• Sponsor: George Mason University
• Collaborators: National Institute on Alcohol Abuse and Alcoholism (NIAAA)
• Investigators: Principal Investigator: Christianne Esposito-Smythers, Ph.D., George Mason University

Publications and helpful links

General Publications

• Esposito-Smythers C, Hadley W, Curby TW, Brown LK. Randomized pilot trial of a cognitive-behavioral alcohol, self-harm, and HIV prevention program for teens in mental health treatment. Behav Res Ther. 2017 Feb;89:49-56. doi: 10.1016/j.brat.2016.11.005. Epub 2016 Nov 12.

Study record dates

Study Major Dates

• Study Start: September 1, 2008
• Primary Completion (Actual): March 1, 2014
• Study Completion (Actual): March 1, 2014

Study Registration Dates

• First Submitted: August 25, 2014
• First Submitted That Met QC Criteria: August 26, 2014
• First Posted (Estimate): August 28, 2014

Study Record Updates

• Last Update Posted (Estimate): August 28, 2014
• Last Update Submitted That Met QC Criteria: August 26, 2014
• Last Verified: August 1, 2014

More Information

Terms related to this study

• Keywords: HIV; adolescent; alcohol; prevention; suicide; marijuana
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Chemically-Induced Disorders; Alcohol-Related Disorders; Self-Injurious Behavior; Substance-Related Disorders; Alcoholism; Suicide
• Other Study ID Numbers: 5970; R01AA016854 (U.S. NIH Grant/Contract)