Youth-Nominated Support Team Intervention for Suicidal Adolescents
Youth Support Team Intervention for Suicidal Adolescents
研究概览
详细说明
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.
研究类型
注册 (实际的)
阶段
- 阶段2
联系人和位置
学习地点
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Michigan
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Ann Arbor、Michigan、美国、48109
- Child and Adolescent Psychiatry Hospital, University of Michigan
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
实验性的: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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无干预:Enhanced Treatment as Usual
Adolescents in this condition receive study assessments and risk management services (at time of assessments) only
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
suicidal ideation - Suicidal Ideation Questionnaire-JR
大体时间:3 month
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Type, frequency, and severity of suicidal thoughts
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3 month
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次要结果测量
结果测量 |
大体时间 |
---|---|
Depression - Children's Depression Rating Scale-Revised
大体时间:3 months
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3 months
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其他结果措施
结果测量 |
大体时间 |
---|---|
functional impairment - Child and Adolescent Functional Assessment Scale
大体时间:3 months
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3 months
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合作者和调查者
调查人员
- 首席研究员:Cheryl A. King, Ph.D.、University of Michigan
出版物和有用的链接
一般刊物
- 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.
有用的网址
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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