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| ID | Type | Description | Link |
|---|---|---|---|
| 5R34MH131722-02 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
| MiSide | UNKNOWN |
| Children's Hospital of Michigan | OTHER |
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The investigators are modifying and testing the preliminary effectiveness and implementation of the combination of two psychosocial interventions, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the computer-assisted version of the Youth-Nominated Support Team (eYST). This registration will be for Aim 2 and a pilot randomized clinical trial for Aim 3 will be registered separately.
In this phase of the study, CBT-SP+eYST will be tested in an initial open trial (number of youth=6) to examine its feasibility and acceptability. Investigators will recruit Black adolescents that come to an urban emergency department (ED) for suicidal thoughts and/or behaviors to receive the intervention in an outpatient community mental health agency. The study focuses on the acute phase of CBT-SP, which is 12 sessions. Participants will nominate up to 4 caring adults in the participants lives to serve as support persons. These support persons will attend an education/orientation session to learn more about their role and how to support the youth.
Youth will be assessed at baseline, 6 weeks, and 14 weeks. Parents will be assessed at baseline and 14 weeks. Support persons will be assessed at baseline and 14 weeks. Fidelity assessments will be completed by clinicians after each CBT-SP session, after the YST psycho-ed session, and weekly to document contact with the support team.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CBT for Suicide Prevention and the Youth-Nominated Support Team | Experimental | Participation will be 3 months. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) | Behavioral | Clinicians will provide this specialized evidence-based mental health care. The study focuses on the acute phase of CBT-SP, which is 12 sessions. CBT-SP's goals are to reduce suicide risk factors, enhance coping, and prevent future suicidal behavior. Identifying the emotional, cognitive, behavioral, or familial processes that precede a suicide crisis is a major focus, which yields an individualized treatment plan. Each session lasts one hour and can be completed either in person or via a secure telehealth platform. Most youths will attend sessions on a weekly basis and therapists typically like to be in contact with parents as well. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability - percent of eligible youth consented | The intervention will be considered acceptable if at least 50% of eligible youth choose to enroll in the study. | Baseline |
| Feasibility - Mean number of support people | The intervention will be considered feasible if the mean number of support people per youth is at least 3. | 6 weeks |
| Acceptability - Mean number of support person contacts | The intervention will be considered acceptable if the mean number of support person contacts with youth is at least 7. | 14 weeks |
| Feasibility - Number of CBT-SP sessions attended | Number of CBT-SP sessions attended by youth | 14 weeks |
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Inclusion criteria for youth:
Exclusion criteria for youth:
Parent/Guardian Inclusion Criteria:
Parent/Guardian Exclusion Criteria:
- Do not understand written and spoken English
Support Person Inclusion Criteria:
Support Person Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Cynthia Ewell Foster, PhD | University of Michigan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Michigan (CHM) Emergency Department | Detroit | Michigan | 48201 | United States | ||
Upload to National Institute of Mental Health (NIMH) Data Archive.
After the study is completed and available according to NIMH Data Archive policy.
Researchers can request de-identified data from the study contacts listed in the study.
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form: Support Persons | Jul 24, 2025 | May 13, 2026 | ICF_000.pdf |
| ICF | No | No | Yes | Informed Consent Form: Parents and Youth | Nov 11, 2025 | May 13, 2026 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D000092864 | Suicide Prevention |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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This study will recruit 6 youth and 6 parents/guardians, as well as up to 24 support individuals.
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| Youth-Nominated Support Team | Behavioral | Youth will nominate up to 4 trusted adults. Following parental approval, Support Persons will attend an orientation session with their assigned intervention specialist, learn about the youth's difficulties, treatment plan, and receive ideas for supporting the youth. Support Persons will be asked to have contact with the youth each week for up to three months to offer emotional support, encourage participation in treatment, and support the youth's healthy behaviors. Support Persons will have weekly check-ins with their intervention specialist every week for the 3 months of the study. During these calls, Support Persons have an opportunity to discuss any questions or concerns they may have about the youth and how best to support them. |
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| MiSide |
| Detroit |
| Michigan |
| 48210 |
| United States |