- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05398250
A Comparison of Two Brief Suicide Prevention Interventions Tailored for Youth on the Autism Spectrum
Study Overview
Status
Detailed Description
This study includes three aims:
Aim 1: Among autistic youth (age 12-24) at risk for suicide, compare the effectiveness of SPI-A vs. SPI-A+. The primary outcomes of interest are suicidal ideation (SI) and suicidal behavior (SB). Secondary patient-centered outcomes are mental health treatment initiation and engagement, quality of life, well-being, skills to manage SI, access to lethal means, safety plan use, and acute care services for suicidality.
Aim 2: Compare implementation outcomes of acceptability and feasibility for the two interventions from the perspectives of patients, clinicians, and health system administrators.
Aim 3: Explore patient characteristics that may moderate the relationship between intervention and SI and SB.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Danielle Roubinov, PhD
- Phone Number: 919-843-5898
- Email: danielle_roubinov@med.unc.edu
Study Locations
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Maryland
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Baltimore, Maryland, United States, 21113
- Recruiting
- Kennedy Krieger Institute
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Contact:
- Paul Lipkin, MD
- Phone Number: 443-923-3240
- Email: Lipkin@KennedyKrieger.org
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North Carolina
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Chapel Hill, North Carolina, United States, 27510
- Recruiting
- University of North Carolina at Chapel Hill
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Contact:
- Danielle Roubinov, PhD
- Phone Number: 919-843-5898
- Email: danielle_roubinov@med.unc.edu
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Ohio
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Columbus, Ohio, United States, 43205
- Recruiting
- Nationwide Children's Hospital
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Contact:
- Eric Butter, PhD
- Phone Number: 614-722-4700
- Email: eric.butter@nationwidechildrens.org
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Children's Hospital of Pennsylvania
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Contact:
- Amanda Bennett, MD
- Phone Number: 267-426-7540
- Email: bennettam@chop.edu
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Patient Participants
Inclusion Criteria:
- 12-24 years old
- Able and willing to provide informed consent (age ≥18) or assent and parental consent (age <18)
- Able to speak English
- Have received a safety plan tailored for autistic youth during a clinical visit
Exclusion Criteria:
- Altered mental status that precludes ability to provide informed assent or consent (acute psychosis, intoxication, or mania)
Clinician Participants
Inclusion Criteria:
- Employment as a provider serving autistic patients at one of the study sites
- Employment in a role that involves suicide risk intervention with youth patients at a participating clinic
- Able to read and speak English
- Able and willing to provide informed consent
- 18-99 years old
Exclusion Criteria:
- There are no exclusion criteria for the clinician participants
Health System Leader Participants
Inclusion Criteria:
- Health system or clinic leader at one of the study sites
- Employed in a role that provides administrative oversight to clinicians conducting safety plans with patients
- Able to read and speak English
- Able and willing to provide informed consent
- 18-99 years old
Exclusion Criteria:
- There are no exclusion criteria for the health system leader participants
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Safety Planning Intervention Tailored for Autistic Individuals
The Safety Planning Intervention Tailored for Autistic individuals (SPI-A) is a brief collaborative intervention that results in an individually tailored plan designed to lower the short-term risk of suicide in autistic youth.
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To develop the SPI-A, clinicians work collaboratively with patients, and when indicated, their family members, to create a list of concrete coping mechanisms to be enacted leading up to or during a crisis.
This list can be depicted in writing or pictorially, depending on patient preference.
As part of the intervention, patients (and family members, when appropriate) also identify warning signs that signal the need to use the safety plan, as well as a detailed plan for reducing access to lethal means.
SPI-A is a stand-alone intervention without a follow-up component.
Other Names:
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Active Comparator: Safety Planning Intervention Tailored for Autistic Individuals Plus Structured Follow-Up Contacts
The Safety Planning Intervention Tailored for Autistic individuals plus structured follow-up contacts (SPI-A+) is a multi-component intervention comprised of SPI-A and structured follow-up consisting of at least 2 brief contacts.
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SPI-A+ includes SPI-A plus a structured follow-up component. The structured follow-up component of SPI-A+ includes three elements:
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in suicidal ideation and behavior
Time Frame: Through 12 months of follow-up
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The Columbia-Suicide Severity Rating Scale (C-SSRS) is a clinical interview that measures suicidal ideation (range 0-5, with higher scores indicating more severe ideation) and suicidal behavior (count of total number of actual attempts, interrupted attempts, aborted attempts, and preparatory acts or behavior).
The C-SSRS will be administered at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Through 12 months of follow-up
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in mental health treatment utilization
Time Frame: Up to 12 months
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The Service Assessment for Children and Adolescents (SACA) is an interview designed to gather information on the patient participants' use of mental health services, including residential (e.g., hospital), outpatient (e.g., outpatient mental health clinic), and school (e.g., counseling) services.
The SACA will be administered at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Change in quality of life
Time Frame: Up to 12 months
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The Patient-Reported Outcomes Measurement Information System (PROMIS) Autism Battery - Lifespan (PAB-L) is a subset of PROMIS measures that has been validated for assessment of quality of life among autistic individuals.
The PAB-L youth self-report includes four domains: Subjective Well-being, Relationships, Emotional Distress, and Health.
Items are rated on a 1-5 scale, with higher scores indicating a greater presence of the measured construct.
Patient participants will complete the PAB-L at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Change in well-being
Time Frame: Up to 12 months
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Well-being will be measured with the Outcome Rating Scale (ORS), a 4-item visual analog scale assessing functioning in individual, interpersonal, social, and overall functioning over the past week.
Item scores range from 0-10, with higher scores indicating better functioning.
Patient participants will complete the ORS at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Change in skills to manage suicidal ideation
Time Frame: Up to 12 months
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The Suicide-Related Coping Scale (SRCS) assesses knowledge of and confidence in using coping strategies and supports to manage suicidal thoughts and urges.
The SRCS items are rated on a 5-point scale ("strongly disagree" to "strongly agree").
Higher scores indicate greater coping skills to manage suicidal crises.
Patient participants will complete the SRCS at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Change in access to lethal means
Time Frame: Up to 12 months
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The patient participants will answer the three access to lethal means questions from the Adapted Behavioral Risk Factor Surveillance System Survey (BRFSS), selected from the PhenX Toolkit, at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
These questions capture whether firearms are present in the home and, if so, how they are stored (e.g., loaded and unlocked).
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Up to 12 months
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Change in safety plan use
Time Frame: Up to 12 months
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The Brief Safety Plan Use Scale (BSPUS) will be used to assess the extent to which patient participants have utilized their safety plans since the prior assessment timepoint (e.g., "How many times did you use the safety plan since last meeting?"
"Where have you been keeping the safety plan?").
Patient participants will complete the BSPUS at 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Change in acute care services for suicidality
Time Frame: Up to 12 months
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The Service Assessment for Children and Adolescents (SACA) will be used to assess patient participants' acute care services for suicidal thoughts and behaviors.
The SACA will be administered at baseline, 1-month follow-up, 6-month follow-up, and 12-month follow-up.
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Up to 12 months
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Intervention acceptability
Time Frame: Patient Participants: 1-month follow-up; Clinician and Health System Leader Participants: up to 4 years
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Patient, clinician, and health system leader participants will complete the Acceptability of Intervention Measure (AIM), a widely used four-item measure that can be administered to a wide range of stakeholders to determine the extent to which they believe an intervention is acceptable.
Items are rated from 1-5, with higher scores indicating greater acceptability.
Patient participants will complete the AIM at the 1-month follow-up timepoint.
Clinician and health system leader participants will complete the AIM in Year 1 and Year 4 of the study.
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Patient Participants: 1-month follow-up; Clinician and Health System Leader Participants: up to 4 years
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Intervention feasibility
Time Frame: Patient Participants: 1-month follow-up; Clinician and Health System Leader Participants: up to 4 years
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Patient, clinician, and health system leader participants will complete the Feasibility of Intervention Measure (FIM), a widely used four-item measure that can be administered to a wide range of stakeholders to determine the extent to which they believe an intervention is feasible.
Items are rated from 1-5, with higher scores indicating greater feasibility.
Patient participants will complete the FIM at the 1-month follow-up timepoint.
Clinician and health system leader participants will complete the FIM in Year 1 and Year 4 of the study.
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Patient Participants: 1-month follow-up; Clinician and Health System Leader Participants: up to 4 years
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Shari Jager-Hyman, PhD, University of Pennsylvania
- Principal Investigator: Danielle Roubinov, PhD, University of North Carolina, Chapel Hill
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 21-2110
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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