RecruitingNot ApplicableNCT05869552

Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care

Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care: CRT

Sponsor

Elizabeth Arnold

Enrollment

1,485 participants

Start Date

Jul 13, 2023

Study Type

INTERVENTIONAL

Conditions

Suicide Suicidal Ideation

Summary

The overall aim of this study is to reduce suicide among sexual and gender diverse youth ages 18-24 years old. This study will compare the effectiveness of two brief suicide prevention interventions that have been adapted for use with this population to use in primary care via telehealth and will recruit youth from primary care clinics in multiple metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.

Eligibility

Min Age: 18 YearsMax Age: 24 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a brief mental health intervention in primary care to help young LGBTQ+ adults (ages 18–24) who are at risk for suicide but not currently receiving mental health services. **You may be eligible if...** - You are between 18 and 24 years old - You identify as sexual or gender diverse (LGBTQ+) - You screen positive for suicide risk - You have not received mental health services (other than medication management or case management) in the past 90 days - You speak English **You may NOT be eligible if...** - You are actively suicidal (in immediate danger) - You have a developmental disability that would prevent you from participating - You are currently impaired by psychosis, mania, or substance use in a way that prevents you from giving consent - At certain sites, you are unable to identify at least one support person to participate in the program with you Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERSTAT-PC

STAT-PC is an adapted version of Suicidal Teens Accessing Treatment after an ED Visit (STAT-ED). It is a brief intervention based on motivational interviewing (MI) that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management. The intervention will consist of an initial session with the youth focusing on accessing mental health care plus case management calls. The interventionist will also be available to assist with referrals for connection to other services later during the study period as needed for up to three months. The intervention may include contact with the youth's mental health provider to make sure linkages are made.

OTHERYST-III

YST-III is an adapted version of Youth-Nominated Support Team for Suicidal Adolescents (YST-II). The intervention is a brief intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation (SI). Participants will nominate supportive adults (age 18 and older) from their lives who agree to provide ongoing contact and support for up to 3 months. YST-III will include an introductory session with the youth who will nominate their support persons plus referrals for mental health services. The support persons will receive training and support on how to best support their youth partner and then ongoing calls to support them in working with their youth partner for up to 3 months.