NIMH Clinical Pathway in Rural Appalachian School-based Health Clinics

West Virginia University

Status: Enrolling

Conditions: Suicide Prevention; Suicide

Treatments: Behavioral: NIMH Clinical Pathway

Study type: Interventional

Funder types: Other

Identifiers

NCT06808503

2405972188

Details and patient eligibility

About

This study will adapt and evaluate an evidence-based suicide risk screening and follow-up program in two school-based health centers in West Virginia. The suicide screening program is titled the "NIMH Clinical Pathway" and provides tools and procedures for routinely screening adolescents for suicide risk, completing risk assessments, safety planning, lethal means restriction, follow-up referrals, and other disposition planning as appropriate.

Investigators aim to do the following:

1. Gather formative data from providers, parents, and youth to inform ways to adapt and implement the NIMH Clinical Pathway so that it can be effectively implemented in rural, Appalachian School-Based Health Centers (SBHCs).
2. Gather preliminary data regarding the feasibility, acceptability, and effectiveness of the adapted intervention.

Enrollment: 30 estimated patients

Sex: All

Ages: 12 to 17 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Youth who are receiving services at the school-based health centers to participate
• Parents must be able to give legal consent for themselves and their children to participate
• Youth and Parent must be English-speaking
• Youth must also be able to give signed assent to participate
• Youth must be cognitively and medically able to participate in study activities

Exclusion criteria

• Youth in state custody will be excluded from study participation due to challenges related to obtaining legal consent.

Trial design

Primary purpose: Screening

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Treatment As Usual (TAU)

No Intervention group

Description:

Review all medical records for patients for the standard of care used at the facility for suicide assessment and risk. Determine if the enrolled patients were assessed and if risks are present.

NIMH Clinical Pathway

Active Comparator group

Description:

Implementation of an adapted/tailored version of the NIMH Clinical Pathway, which identifies a workflow and tools for routine suicide risk screening, assessment, safety planning and follow-up.

Treatment:

Behavioral: NIMH Clinical Pathway