Youth-Nominated Support Team Intervention for Suicidal Adolescents
Youth Support Team Intervention for Suicidal Adolescents
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Despite substantial knowledge about adolescent suicide risk factors, few studies have been conducted to identify effective interventions for suicidal adolescents.
Youth-Nominated Support Team (YST) is an intervention designed to help suicidal adolescents after hospitalization. It is a psychoeducational social network intervention that targets poor treatment adherence and difficulties with social support. YST is designed to be a supplement to traditional or usual treatments.
Participants are randomly assigned to receive either treatment as usual (TAU) or TAU plus YST for 3 months. Adolescents who receive TAU plus YST nominate three or four adults from their family, school, and community settings to function as support persons. The support persons participate in a psychoeducation session that focuses on the adolescent's psychiatric disorder(s), individualized treatment plan, importance of treatment adherence, and suicide risk factors. They also maintain regular contact with the adolescent to support treatment adherence and progress toward treatment goals. Adolescents have assessments at 6 weeks, 3 months, 6 months, and 12 months. Internalizing behavior problems, perceived social support, treatment adherence, adaptive functioning, severity of depression and anxiety, severity and frequency of suicidal thoughts, and suicide attempts are assessed.
Type d'étude
Inscription (Réel)
Phase
- Phase 2
Contacts et emplacements
Lieux d'étude
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Michigan
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Ann Arbor, Michigan, États-Unis, 48109
- Child and Adolescent Psychiatry Hospital, University of Michigan
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Hospitalization in a participating psychiatric facility
- Suicidal ideation, intent, or attempt
Exclusion Criteria:
- Severe physical or cognitive impairment that makes informed consent, nominations, or participation in assessments impossible
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Youth-Nominated Support Team
Adolescents nominate up to 4 caring adults from family, school, community settings.
These adults participate in psychoeducation sessions regarding adolescent's treatment plan and support needs.
They maintain regular, supportive contact with the adolescent for 3 months -- with ongoing consultation and support check-ins from study clinical staff.
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|
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Aucune intervention: Enhanced Treatment as Usual
Adolescents in this condition receive study assessments and risk management services (at time of assessments) only
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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suicidal ideation - Suicidal Ideation Questionnaire-JR
Délai: 3 month
|
Type, frequency, and severity of suicidal thoughts
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3 month
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
|
Depression - Children's Depression Rating Scale-Revised
Délai: 3 months
|
3 months
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Autres mesures de résultats
Mesure des résultats |
Délai |
|---|---|
|
functional impairment - Child and Adolescent Functional Assessment Scale
Délai: 3 months
|
3 months
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Cheryl A. King, Ph.D., University of Michigan
Publications et liens utiles
Publications générales
- Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Interventions for self-harm in children and adolescents. Cochrane Database Syst Rev. 2021 Mar 7;3(3):CD013667. doi: 10.1002/14651858.CD013667.pub2.
- King CA, Arango A, Kramer A, Busby D, Czyz E, Foster CE, Gillespie BW; YST Study Team. Association of the Youth-Nominated Support Team Intervention for Suicidal Adolescents With 11- to 14-Year Mortality Outcomes: Secondary Analysis of a Randomized Clinical Trial. JAMA Psychiatry. 2019 May 1;76(5):492-498. doi: 10.1001/jamapsychiatry.2018.4358.
Liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- R01MH063881 (Subvention/contrat des NIH des États-Unis)
- DSIR 84-CTS (Division of Services and Intervention Research)
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