Integrated Suicide Supports and Safety Planning for Youth (ISSP)
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About
The goal of this clinical trial is to evaluate an app to help keep teens and young adults with suicidal thoughts safe. The app includes a safety plan created by adolescents and healthcare providers in the clinic, and videos to encourage supportive communication and skills for teens and young adults to stay safe. The main question it aims to answer is whether the use of an app can increase youth suicide-related coping for youth with suicidal ideation, parent suicide prevention self-efficacy, and healthcare provider self-efficacy in suicide management. Researchers will compare usual care to usual care with the app. Participants, including adolescents, their caregivers and healthcare providers, will use the ISSP app (if assigned to that group) and complete three online surveys.
Full description
The current study aims to evaluate the Jaspr app relative to usual care among youth (ages 13-21 years) who indicate suicidal ideation in pediatric outpatient medical settings. The Jaspr app includes supported safety planning between the young person and the healthcare provider, as well as skills and support videos for youth and caregivers intended to increase coping and decrease distress with an opportunity to access these resources through an at home app. Adolescents, parents, and clinicians will participate in the project to assess the effectiveness of Jaspr augmenting usual care, compared to usual care alone. The study will use a pre-post design in which each clinic begins with a control period and then transitions to the addition of Jaspr following healthcare provider training on use of the app. Participants and their parents will receive study assessments at baseline, 1-month, and 2-month follow up timepoints, and healthcare providers complete a survey at baseline, the end of the control period, and the end of the intervention period. Study assessments with youth will ask about coping, suicidal ideation and severity, anxiety and depression, service utilization, functional impairment, access to lethal means, and acceptability of the app. Study assessments for parents will ask about their self-efficacy in managing their youth's suicidality, acceptability of the app, and service utilization for the youth. Healthcare providers will complete surveys assessing their self-efficacy in managing youth suicidality. Youth, their legal guardian, and healthcare providers each assent/consent to participate in the research procedures.
Enrollment
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Inclusion and exclusion criteria
Youth Inclusion Criteria:
- Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with no current plan or intent requiring acute referral to higher level care and/or a risk level of suicidal thoughts and behaviors (STB) that constitutes the need for higher level assessment (such as the BSSA or C-SSRS) and/or a safety plan, as determined by an HCP because of a risk screener or a clinical interaction
- Parents/guardians: One "parent" per AYA will also be invited to participate.
- HCPs: All HCPs in participating clinics who may conduct assessments of SI (physicians, nurse practitioners/physician's assistants, social workers, nurses, psychologists) will be invited to participate.
- All subjects must have access to the internet and a computer or tablet device.
Youth Exclusion Criteria:
- Concurrently enrolled in an affiliated Suicide Care Research Center study, no phone access, or non-English speaking.
Trial design
Primary purpose
Allocation
Interventional model
Masking
100 participants in 2 patient groups
Trial contacts and locations
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Central trial contact
Laura Richardson, MD, MPH
Data sourced from clinicaltrials.gov
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