Youth-Nominated Support Team Intervention for Suicidal Adolescents

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Cheryl A. King, University of Michigan
ClinicalTrials.gov Identifier:
NCT00071617
First received: October 29, 2003
Last updated: November 8, 2013
Last verified: November 2013
  Purpose

This study will attempt to improve treatment adherence and reduce suicide risk among adolescents who are at risk for attempting suicide.


Condition Intervention Phase
Suicide, Attempted
Behavioral: Youth-Nominated Support Team
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Youth Support Team Intervention for Suicidal Adolescents

Resource links provided by NLM:


Further study details as provided by University of Michigan:

Primary Outcome Measures:
  • suicidal ideation - Suicidal Ideation Questionnaire-JR [ Time Frame: 3 month ] [ Designated as safety issue: Yes ]
    Type, frequency, and severity of suicidal thoughts


Secondary Outcome Measures:
  • Depression - Children's Depression Rating Scale-Revised [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Other Outcome Measures:
  • functional impairment - Child and Adolescent Functional Assessment Scale [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Enrollment: 448
Study Start Date: November 2002
Study Completion Date: December 2008
Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Youth-Nominated Support Team
Adolescents nominate up to 4 caring adults from family, school, community settings. These adults participate in psychoeducation sessions regarding adolescent's treatment plan and support needs. They maintain regular, supportive contact with the adolescent for 3 months -- with ongoing consultation and support check-ins from study clinical staff.
Behavioral: Youth-Nominated Support Team
No Intervention: Enhanced Treatment as Usual
Adolescents in this condition receive study assessments and risk management services (at time of assessments) only

Detailed Description:

Despite substantial knowledge about adolescent suicide risk factors, few studies have been conducted to identify effective interventions for suicidal adolescents.

Youth-Nominated Support Team (YST) is an intervention designed to help suicidal adolescents after hospitalization. It is a psychoeducational social network intervention that targets poor treatment adherence and difficulties with social support. YST is designed to be a supplement to traditional or usual treatments.

Participants are randomly assigned to receive either treatment as usual (TAU) or TAU plus YST for 3 months. Adolescents who receive TAU plus YST nominate three or four adults from their family, school, and community settings to function as support persons. The support persons participate in a psychoeducation session that focuses on the adolescent's psychiatric disorder(s), individualized treatment plan, importance of treatment adherence, and suicide risk factors. They also maintain regular contact with the adolescent to support treatment adherence and progress toward treatment goals. Adolescents have assessments at 6 weeks, 3 months, 6 months, and 12 months. Internalizing behavior problems, perceived social support, treatment adherence, adaptive functioning, severity of depression and anxiety, severity and frequency of suicidal thoughts, and suicide attempts are assessed.

  Eligibility

Ages Eligible for Study:   13 Years to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Hospitalization in a participating psychiatric facility
  • Suicidal ideation, intent, or attempt

Exclusion Criteria:

  • Severe physical or cognitive impairment that makes informed consent, nominations, or participation in assessments impossible
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00071617

Locations
United States, Michigan
Child and Adolescent Psychiatry Hospital, University of Michigan
Ann Arbor, Michigan, United States, 48109
Sponsors and Collaborators
University of Michigan
Investigators
Principal Investigator: Cheryl A. King, Ph.D. University of Michigan
  More Information

Additional Information:
No publications provided

Responsible Party: Cheryl A. King, Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT00071617     History of Changes
Other Study ID Numbers: R01 MH63881, R01MH063881, DSIR 84-CTS
Study First Received: October 29, 2003
Last Updated: November 8, 2013
Health Authority: United States: Federal Government

Keywords provided by University of Michigan:
Suicide
Adolescence

Additional relevant MeSH terms:
Suicide
Suicide, Attempted
Self-Injurious Behavior
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 18, 2014