Youth-Nominated Support Team Intervention for Suicidal Adolescents
This study will attempt to improve treatment adherence and reduce suicide risk among adolescents who are at risk for attempting suicide.
|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|
- suicidal ideation - Suicidal Ideation Questionnaire-JR [ Time Frame: 3 month ] [ Designated as safety issue: Yes ]Type, frequency, and severity of suicidal thoughts
- Depression - Children's Depression Rating Scale-Revised [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- functional impairment - Child and Adolescent Functional Assessment Scale [ Time Frame: 3 months ] [ Designated as safety issue: No ]
|Study Start Date:||November 2002|
|Study Completion Date:||December 2008|
|Primary Completion Date:||December 2008 (Final data collection date for primary outcome measure)|
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
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.
|United States, Michigan|
|Child and Adolescent Psychiatry Hospital, University of Michigan|
|Ann Arbor, Michigan, United States, 48109|
|Principal Investigator:||Cheryl A. King, Ph.D.||University of Michigan|