- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00071617
Youth-Nominated Support Team Intervention for Suicidal Adolescents
Youth Support Team Intervention for Suicidal Adolescents
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Registrering (Faktiske)
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
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Michigan
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Ann Arbor, Michigan, Forente stater, 48109
- Child and Adolescent Psychiatry Hospital, University of Michigan
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: 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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Ingen inngripen: Enhanced Treatment as Usual
Adolescents in this condition receive study assessments and risk management services (at time of assessments) only
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
suicidal ideation - Suicidal Ideation Questionnaire-JR
Tidsramme: 3 month
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Type, frequency, and severity of suicidal thoughts
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3 month
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Sekundære resultatmål
Resultatmål |
Tidsramme |
---|---|
Depression - Children's Depression Rating Scale-Revised
Tidsramme: 3 months
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3 months
|
Andre resultatmål
Resultatmål |
Tidsramme |
---|---|
functional impairment - Child and Adolescent Functional Assessment Scale
Tidsramme: 3 months
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3 months
|
Samarbeidspartnere og etterforskere
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Cheryl A. King, Ph.D., University of Michigan
Publikasjoner og nyttige lenker
Generelle publikasjoner
- 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.
Hjelpsomme linker
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- R01MH063881 (U.S. NIH-stipend/kontrakt)
- DSIR 84-CTS (Division of Services and Intervention Research)
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