An Adaptive Intervention to Increase Engagement to Community-Based Care After an ED Admission
An Adaptive Intervention to Increase Engagement to Community-based Care After an ED Admission: For Youth at Risk for Suicide and Self-injurious Behavior
Rhode Island Hospital
186 participants
Mar 17, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this study is to develop a feasible brief, family-based adaptive intervention, via SMART design, for youth with suicidal and non-suicidal self-injurious behavior (SSIB) to increase community-based mental health (MH) care attendance and reduce SSIB risk post emergency department (ED) admission. The intervention will focus to increase understanding on youth MH literacy, MH communication, and MH engagement. Integrating an adaptive intervention via a SMART design in the ED could address subsequent barriers to youth obtaining appropriate level of community-based MH care and therefore reduce ED readmissions.
Eligibility
Inclusion Criteria3
- Youth 8 to 17 years
- Youth presenting to the ED with suicide and self-injurious behavior
- Youth living at home with at least one legal guardian/caregiver
Exclusion Criteria6
- Youth presenting to the ED with psychosis, sexual assault, child abuse
- Youth in police custody,
- Youth with an active investigation with the department of child and youth services (DCYF)
- Youth unable to assent due to severity of illness or developmental disabilities,
- Youth who cannot communicate in English or Spanish,
- Youth without a caregiver/legal guardian who can provide consent
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Interventions
We will utilize an adaptive interventions via Sequential Multiple Assignment Randomized Trial (SMART) design provide a tailored, stepped-care approach for the type, intensity, and dose of treatment, thus, providing the most intensive care to only those who need it, particularly treatment non-response. First, youth and caregivers (dyads) will be randomized to receive 1st-stage interventions in the ED, either the digital psychosocial-only (PS) condition or the psychosocial with digital health communication (PS+text) condition. If identified as non-response at 2-weeks, then dyads will be re-randomized to 2nd-stage intervention(s). Specifically, the PS condition non-responders will be re-randomized to the PS+text condition or the PS+text+FN condition. The 1st-stage PS+text condition non-responders will receive the PS+text+FN condition only.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07092345