RecruitingNot ApplicableNCT05078970

Advancing Suicide Intervention Strategies for Teens During High Risk Periods

Sponsor

Seattle Children's Hospital

Enrollment

306 participants

Start Date

Aug 11, 2022

Study Type

INTERVENTIONAL

Conditions

Suicide Attempts Suicidal Ideation Suicide and Self-harm Suicide Threat

Summary

To inform the effective management of adolescent suicide risk by evaluating promising treatments and developing the evidence-base for interventions that are well suited for widespread adoption, sustained quality, and impact.

Eligibility

Min Age: 11 YearsMax Age: 17 Years

Inclusion Criteria4

Provision of signed and dated informed consent form
Youth, aged 11-17
Endorse suicidal ideation and/or behavior
Admitted to acute care (emergency, inpatient medical or inpatient psychiatric) due to suicidality

Exclusion Criteria2

Presence of psychosis, intellectual disability, autism spectrum disorder, eating disorder with unstable vitals
Limited English proficiency that would interfere with the ability to complete study assessments

Interventions

BEHAVIORALSafety Planning Intervention+ (SPI+)

SPI is focused on how the risk of suicidal crisis waxes and wanes over time. At times of heightened risk, a pre-specified and individualized plan targets the internal warning signs that become the cue to use the safety plan. SPI+ strategies focus on patient's narrative of the suicidal crisis and identifying solutions that are antithetical to progressing in a suicidal crisis. The brief structured intervention is conducted in six key steps. Youth in this condition will be offered weekly follow-up, with a minimum of 4 sessions and a maximum of 8 sessions. The goal is to create a crisis response plan to reduce risk when suicidal crises emerge. With adolescents, SPI+ consists of an individual session to elicit crisis narrative and motivation to utilize the safety plan through psychoeducation and follows six steps to achieve the adolescent's goals and return to safety when suicidal urges are high.

BEHAVIORALCollaborative Assessment and Management of Suicidality (CAMS)

CAMS strategies focus on collaborative deconstruction and treatment of the patient-defined drivers- the problems that make suicide compelling to the patient- and utilizes these problem-focused treatment sessions to treat the drivers as directly related to wish to die. Participants will be assigned to CAMS for a minimum of 4 sessions and maximum of eight sessions. This time frame, based on initial data from our pilot work with adolescents and emerging adults (18-25), suggests that a subset of participants resolve their STB in six to eight sessions. CAMS is a clinical intervention designed to modify how clinicians engage, assess and plan treatment with suicidal patients.

BEHAVIORALTreatment As Usual

This assigned condition tracks the care received in typical circumstances.