Integrated Suicide Supports and Safety Planning for Youth (ISSP)

Integrated Screening and Safety Planning (ISSP) for Adolescents With Suicidal Thoughts

The goal of this clinical trial is to evaluate an app to help keep teens and young adults with suicidal thoughts safe. The app includes a safety plan created by adolescents and healthcare providers, and videos to encourage supportive communication and skills for teens and young adults to stay safe. The main question it aims to answer is whether the use of an app can increase youth suicide-related coping for youth with suicidal ideation, parent/caregiver suicide prevention self-efficacy, and healthcare provider self-efficacy in suicide management. Researchers will compare usual care to usual care with the app. Participants, including adolescents, caregivers, and healthcare providers, will use the ISSP app (if assigned to that group) and view video content and complete three online surveys.

Study Overview

• Status: Recruiting
• Conditions: Suicidal Ideation; Suicidal Behavior
• Intervention / Treatment: Other: Integrated skills and safety planning app

Detailed Description

The current study aims to evaluate the Jaspr app relative to usual care among youth (ages 13-21 years) who indicate suicidal ideation in pediatric medical settings. The Jaspr app includes supported safety planning between the young person and the healthcare provider, as well as skills and support videos for youth and caregivers intended to increase coping and decrease distress with an opportunity to access these resources through an at home app. Adolescents, parents, and clinicians will participate in the project to assess the effectiveness of Jaspr augmenting usual care, compared to usual care alone. The study will use a pre-post design in which each setting begins with a control period and then transitions to the addition of Jaspr following healthcare provider training on use of the app. Participants and their parents/caregivers will receive study assessments at baseline, 1-month, and 2-month follow up timepoints, and healthcare providers complete a survey at baseline, and the end of each period (control and intervention). Study assessments with youth will ask about coping, suicidal ideation and severity, anxiety and depression, service utilization, functional impairment, access to lethal means, and acceptability of the app. Study assessments for parents/caregivers will ask about their self-efficacy in managing their youth's suicidality, acceptability of the videos/app, and service utilization for the youth. Healthcare providers will complete surveys assessing their self-efficacy in managing youth suicidality and feasibility of use of the app. Youth, their legal guardian, and healthcare providers each assent/consent to participate in the research procedures.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Laura Richardson, MD, MPH; Phone Number: 206-987-2028; Email: lpr@uw.edu

Study Locations

• United States
  • Washington
    • Seattle, Washington, United States, 98115
      • Recruiting
      • Seattle Children's Hospital
      • Contact: Adia Abler, BA; Phone Number: 206-884-1895; Email: Adia.Abler@seattlechildrens.org
      • Principal Investigator: Laura Richardson, MD MPH
      • Principal Investigator: Cari McCarty, PhD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: No

Description

Youth Inclusion Criteria:

• Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with active ideation (not solely a history of a prior attempt) but no current plan or intent, or patient-reported suicidal thoughts and behaviors during a clinical assessment in a medical setting who are judged by a clinician to be appropriate for conducting higher level assessment in that setting (including a BSSA and/or safety planning) in order to support care at home.
• Parents/guardians: One "parent" per AYA will also be invited to participate.
• HCPs: All HCPs in participating settings who may conduct assessments of SI and safety planning (physicians, nurse practitioners/physician's assistants, social workers, mental health counselors, psychologists) will be invited to participate.
• All subjects must have access to the internet and a computer or tablet device.

Youth Exclusion Criteria:

• Concurrently enrolled in an affiliated Suicide Care Research Center study, no phone access, or non-English speaking.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Non-Randomized
• Interventional Model: Sequential Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Usual Care
Experimental: Integrated skills and safety planning app; Use of Jaspr app for clinical care + at home	Other: Integrated skills and safety planning app; This is a digital app that includes supported safety planning resources in medical settings as well as coping skills and lived experience videos for adolescents, young adults and parents/caregivers that can be accessed while in the medical setting or at home.; Other Names: Jaspr

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Youth Suicide-Related Coping	Total Score on the 17-item Youth Suicide-Related Coping Scale	Baseline, 1 month, 2 month
Parent suicide prevention self-efficacy	Total score on the Parent suicide prevention self-efficacy scale	Baseline, 1 month, 2 month
Healthcare provider self-efficacy in suicide management	Total score on the Provider suicide Intervention Questionnaire	Baseline, end of control period, and end of intervention period

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Youth Suicide Severity	Total score on the online self-report version of the Columbia Suicide Severity Rating Scale (C-SSRS)	Baseline, 1 month, 2 month
Youth Anxiety Symptoms	Total Score on Youth Self-Reported Generalized Anxiety Disorder -7 item scale	Baseline, 1 month, 2 month
Intervention Acceptability	Youth and Parent Report on the Acceptability of Intervention Measure (AIM)	Baseline, 1 month, 2 month
Functional Impairment	Total score on the youth reported EQ-5D-Y quality of life measure	Baseline, 1 month, 2 month
Youth Suicidal ideation	Total Score on the Harkavy Asnis Suicide Scale ideation subscale (HASS-I),	Baseline, 1 month, 2 month
Youth Depressive Symptoms	Total score on the Patient Health Questionnaire 9	Baseline, 1 month, 2 month
Safety Plan Quality	Safety Planning Scoring Algorithm (SPISA) based on youth medical chart review	Up to 1 month

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Intervention Feasibility	Healthcare Provider Report on the Feasibility of Intervention Measure (FIM)	Baseline, 1 month, 2 month
Mental Health Services Use	Dichotomous rating of any mental health service use following baseline using chart review or indication based on parent or youth report on the Services Assessment for Children and Adolescents (SACA)	Baseline, 2 months
Access to Lethal Means	BRFSS Module 17 - Youth report of access to a firearm	1 month

Collaborators and Investigators

• Sponsor: University of Washington
• Collaborators: National Institute of Mental Health (NIMH); Seattle Children's Hospital
• Investigators: Principal Investigator: Laura Richardson, MD, MPH, University of Washington

Study record dates

Study Major Dates

• Study Start (Actual): August 19, 2025
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 1, 2026

Study Registration Dates

• First Submitted: November 20, 2024
• First Submitted That Met QC Criteria: November 20, 2024
• First Posted (Actual): November 22, 2024

Study Record Updates

• Last Update Posted (Actual): May 18, 2026
• Last Update Submitted That Met QC Criteria: May 14, 2026
• Last Verified: November 1, 2025

More Information

Terms related to this study

• Keywords: adolescents; young adults; health services research; suicide prevention
• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide; Behavior; Suicide Prevention; Suicidal Ideation
• Other Study ID Numbers: STUDY00020199; P50MH129708 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: We plan to share required elements with the NIMH NDA.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No