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| ID | Type | Description | Link |
|---|---|---|---|
| K23MH123934 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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The goal of this study is to pilot test a new educational intervention for organization members focused on suicide prevention for autistic people. The main questions it aims to answer are:
Participants will:
This study will pilot test a new four-part virtual educational intervention called Forming Love around Autistic People to Prevent Suicide (FLAPS).
Participants will be active members of an organization (e.g., paid employee, volunteer, stakeholder) whose work impacts autistic people. They will participate in four virtual educational sessions led by trained facilitators.
The educational intervention will provide current research evidence and community-informed information about suicide risk and prevention, and engage participants in active discussions to expand their knowledge and skills as well as to promote action planning to support suicide prevention for autistic people in their community.
Participants will provide demographic and descriptive information and complete the Steps Toward Prevention (Autism Community Suicide Prevention) measure at three time-points (Pre-intervention, post-intervention [approximately 2 months after baseline], and 3-months after intervention). The Steps Toward Prevention (Autism Community Suicide Prevention) measure will assess participants' knowledge, skills, and actions to support suicide prevention for autistic people. They will also be provided an option to complete a short interview to provide feedback about the FLAPS intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FLAPS intervention | Experimental | Participants receiving FLAPS intervention |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Forming Love around Autistic People to Prevent Suicide | Behavioral | Four-part virtual educational intervention |
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| Measure | Description | Time Frame |
|---|---|---|
| Steps Toward Prevention - Autism Community Suicide Prevention: Knowledge & Capacity | Self-report measure of knowledge, skills, and actions to support suicide prevention for autistic people. This reported data is for the Knowledge & Capacity scale of the Steps Toward Prevention - Autism Community Suicide Prevention measure. This scale inquires about how true eight statements are for the respondent currently on a 5-point scale (Definitely not true - Definitely true). Scores are averaged across the items (1-5 possible range). Higher numbers indicate greater knowledge and capacity for suicide prevention. | Pre-intervention, post-intervention (approximately 2 months after baseline), and 3-months after intervention |
| Steps Toward Prevention - Autism Community Suicide Prevention: Actions | Self-report measure of knowledge, skills, and actions to support suicide prevention for autistic people. This reported data is for the Actions scale of the Steps Toward Prevention - Autism Community Suicide Prevention measure. This inquires about how often the respondent has done twelve types of actions in the past month on a 5-point scale (Never - More than once a week). Scores are averaged across the items (1-5 possible range). Higher numbers indicate greater engagement in actions for suicide prevention. | Pre-intervention, post-intervention (approximately 2 months after baseline), and 3-months after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Qualitative Interview | Open-ended interview questions to understand additional outcomes that participants experienced that they attribute to the intervention. | Post intervention (approximately 2 months after baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anne V Kirby, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Utah | Salt Lake City | Utah | 84108 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30663277 | Background | Kirby AV, Bakian AV, Zhang Y, Bilder DA, Keeshin BR, Coon H. A 20-year study of suicide death in a statewide autism population. Autism Res. 2019 Apr;12(4):658-666. doi: 10.1002/aur.2076. Epub 2019 Jan 21. | |
| 26880738 | Background | Wexler L, McEachern D, DiFulvio G, Smith C, Graham LF, Dombrowski K. Creating a Community of Practice to Prevent Suicide Through Multiple Channels: Describing the Theoretical Foundations and Structured Learning of PC CARES. Int Q Community Health Educ. 2016;36(2):115-22. doi: 10.1177/0272684X16630886. Epub 2016 Feb 15. |
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| ID | Title | Description |
|---|---|---|
| FG000 | FLAPS | Assigned to the FLAPS intervention |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Enrolled participants were all assigned to the FLAPS intervention
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| ID | Title | Description |
|---|---|---|
| BG000 | FLAPS | Assigned to the FLAPS intervention |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Age categories (years) |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Steps Toward Prevention - Autism Community Suicide Prevention: Knowledge & Capacity | Self-report measure of knowledge, skills, and actions to support suicide prevention for autistic people. This reported data is for the Knowledge & Capacity scale of the Steps Toward Prevention - Autism Community Suicide Prevention measure. This scale inquires about how true eight statements are for the respondent currently on a 5-point scale (Definitely not true - Definitely true). Scores are averaged across the items (1-5 possible range). Higher numbers indicate greater knowledge and capacity for suicide prevention. | When reporting means here, we report only those who completed the measures at each time point. For the multi-level statistical analyses, we applied baseline-observation-carried-forward to have a complete analysis including all participants. | Posted | Mean | Standard Deviation | Scores on a 5-point scale | Pre-intervention, post-intervention (approximately 2 months after baseline), and 3-months after intervention |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | No Monitoring | Adverse event monitoring did not occur due to low-risk nature of virtual educational intervention. |
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We did not measure the long-term effects of the intervention on autistic people and their suicide risk.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Anne Kirby, Principal Investigator | University of Utah | 8015814248 | anne.kirby@hsc.utah.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jul 8, 2024 | Dec 3, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D001321 | Autistic Disorder |
| D000092864 | Suicide Prevention |
| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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Initial pre-post pilot test
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| 31151026 | Background | Wexler L, Rataj S, Ivanich J, Plavin J, Mullany A, Moto R, Kirk T, Goldwater E, Johnson R, Dombrowski K. Community mobilization for rural suicide prevention: Process, learning and behavioral outcomes from Promoting Community Conversations About Research to End Suicide (PC CARES) in Northwest Alaska. Soc Sci Med. 2019 Jul;232:398-407. doi: 10.1016/j.socscimed.2019.05.028. Epub 2019 May 23. |
| Participants |
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| Sex/Gender, Customized | Sex | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Hispanic ethnicity | Count of Participants | Participants |
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| Organization (anonymized) | Individual participants were members of existing organization groupings based on their employment or volunteer status with the participating organization (organizations anonymized). These groupings are included in analysis because individuals within organizations are not independent, therefore these groupings are captured at baseline. There are no levels or hierarchical descriptions of the organizations. Organization names presented here are randomly assigned letters. | Count of Participants | Participants |
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| FLAPS |
Assigned to the FLAPS intervention |
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| Primary | Steps Toward Prevention - Autism Community Suicide Prevention: Actions | Self-report measure of knowledge, skills, and actions to support suicide prevention for autistic people. This reported data is for the Actions scale of the Steps Toward Prevention - Autism Community Suicide Prevention measure. This inquires about how often the respondent has done twelve types of actions in the past month on a 5-point scale (Never - More than once a week). Scores are averaged across the items (1-5 possible range). Higher numbers indicate greater engagement in actions for suicide prevention. | When reporting means here, we report only those who completed the measures at each time point. For the multi-level statistical analyses, we applied baseline-observation-carried-forward to have a complete analysis including all participants. Baseline data for actions is only available for N=50 because one participant did not complete this section of the baseline questionnaire prior to study start. | Posted | Mean | Standard Deviation | Scores on a 5-point scale | Pre-intervention, post-intervention (approximately 2 months after baseline), and 3-months after intervention |
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| Secondary | Qualitative Interview | Open-ended interview questions to understand additional outcomes that participants experienced that they attribute to the intervention. | Interviews were optional, not all participants chose to complete one. | Posted | Count of Participants | Participants | Post intervention (approximately 2 months after baseline) |
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| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
| 0 |
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| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Follow-up data: Actions |
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| No evidence for this theme identified |
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| Motivation in organization to take steps to reduce suicidality in the autistic population they serve |
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