Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings
Johns Hopkins University
1,000 participants
Mar 10, 2025
INTERVENTIONAL
Conditions
Summary
The study will compare the effectiveness of two relatively brief and scalable evidence-based interventions: the Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), a suicide-specific intervention that helps people prevent suicidal crises from escalating, and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a psychotherapeutic crisis intervention treatment for suicidal adolescents that teaches youth skills to prevent suicidal crises and addresses interpersonal problems that lead to suicidal crises. The results will inform the future standard of care for youth at risk for suicide presenting in the ED setting. This project focuses on suicidal youth ages 12-19 in three ethnically and racially diverse urban areas: Philadelphia, Pennsylvania; Baltimore, Maryland; and upper Manhattan/lower Bronx in New York City.
Eligibility
Inclusion Criteria3
- Acute care visit for suicide-related concern or screen positive on a suicide risk screener (serious SI as indicated by a C-SSRS screening endorsing question two "Have you actually had any thoughts of killing yourself?" in past four weeks or SA in past four weeks);
- Has a cell phone with ability to receive phone calls and text messages over the 12-month follow-up;
- Ability to speak, understand, and read in English or Spanish
Exclusion Criteria3
- Significant cognitive or developmental delays that prevent understanding or using SPI or IPT-A SCI. Participants must be verbally fluent and have the ability to communicate verbally. This will, in part, be determined by notes in Epic and/or by asking one of the patient's parents/clinicians;
- Altered mental status that precludes ability to provide informed assent or consent (acute psychosis, intoxication, or mania);
- Unable to provide informed consent (adults); assent (minors); permission (parents/caregivers).
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Interventions
Stanley Brown Safety Planning completed in the emergency department with 3 follow-up contacts after discharge
Five session crisis focused version of IPT for adolescents.
Locations(6)
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NCT06151158