Observational Study to Compare Outcomes of Different Psychiatric Treatment of Suicidal Adolescents (Pre-START)

Cincinnati Children's Hospital Medical Center

Status: Completed

Conditions: Suicidal Ideation

Treatments: Behavioral: Mental Health Treatment

Study type: Observational

Funder types: Other

Identifiers

NCT04625686

2020-0686

Details and patient eligibility

About

To address the unmet need of optimizing the treatment and management for adolescent suicidality, the investigators propose to evaluate the effectiveness and safety of telehealth services compared to inpatient and OCIC for suicidal adolescents in target population. To achieve this goal, the investigators propose a multi- site study to compare telehealth, OCIC, and inpatient care, and see which can lead to a lower risk of a suicidal event (primary outcome) as well as higher treatment satisfaction (TS) and satisfaction with life (SL) (secondary outcomes) of both the legal guardians/parents and patients.

Full description

The investigators have proposed an observational design. Eligible individuals will be identified during a crisis assessment, either in the emergency department or during an emergency phone or telehealth assessment. Once the individual has been assessed and assigned to the clinician for treatment, study staff will assess if the patient is appropriate for the study using the study eligibility criteria. Individuals who receive treatment in one of the following treatment arms will be eligible for this observation study: inpatient, in-person OCIC or telehealth crisis intervention service. Eligible individuals will be contacted by study staff to introduce and offer the study. If patient and guardian agree, they will complete surveys at baseline and every 2 weeks for 6 months to evaluate outcomes.

Enrollment: 249 patients

Sex: All

Ages: 12 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adolescents that are 12 through 18 years old.
• Adolescents that are brought to the Emergency Department for crisis evaluation due to suicidal thoughts or behaviors.
• Require a higher level of care.
• The presence of a legal guardian for consent.
• Capable of giving signed informed consent/assent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

Exclusion criteria

• Adolescents with suicidal thoughts who had prior OCIC treatment in the past 12 months.
• Adolescents without the ability to answer survey questions.
• Adolescents that are non-English speaking due to the scales and surveys that are used for this study only being available in English.

Trial design

249 participants in 4 patient groups

Inpatient Treatment

Description:

Inpatient psychiatric treatment

Treatment:

Behavioral: Mental Health Treatment

OCIC Treatment

Description:

In-person outpatient crisis intervention

Treatment:

Behavioral: Mental Health Treatment

Telehealth Therapy Treatment

Description:

Virtual outpatient therapy

Treatment:

Behavioral: Mental Health Treatment

No Show Group

Description:

Participant who do not attend recommended treatment