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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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This is a second pilot study being completed based on lessons learned from the Aim 2a feasibility pilot study (NCT06941311). Following modifications, the investigators are testing the acceptability, feasibility, and preliminary effectiveness 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).
In this phase of the study, CBT-SP + eYST will be tested in an open trial (number of youth = 15). Investigators will recruit Black adolescents (ages 12-17) that come to an urban acute care setting for suicidal thoughts and/or self-injurious behaviors to receive the intervention in an outpatient community mental health agency. Participants will receive 12-14 sessions of CBT-SP in addition to YST. Participants will nominate up to 5 caring adults in their 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. Support persons will have weekly contact with the youth and weekly follow up contacts from the youth's clinician/YST intervention specialist.
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 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 plus 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 will prioritize parent engagement |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability - percent of eligible youth consented | The intervention will be considered acceptable if at least 50% of eligible youth approached for participation 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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Youth Inclusion Criteria:
Youth Exclusion Criteria:
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 | Role | Phone | Extension | |
|---|---|---|---|---|
| Christina Magness, LMSW | Contact | 734-252-6315 | cmagness@med.umich.edu |
| 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 | Recruiting | 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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This study will recruit 15 youth and 15 parents/guardians, as well as up to 60 support individuals.
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| Youth-Nominated Support Team | Behavioral | Youth will nominate up to 5 trusted adults. Following parental approval, Support Persons will attend a psychoeducational orientation session with their assigned intervention specialist (i.e., the youth's clinician), 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 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 | Recruiting | Detroit | Michigan | 48210 | United States |
|
| ID | Term |
|---|---|
| D000092864 | Suicide Prevention |
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D009043 | Motor Activity |
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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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