Preventing Suicide Among Sexual and Gender Diverse Young Adults in Primary Care

Elizabeth Arnold

Status: Enrolling

Conditions: Suicidal Ideation; Suicide

Treatments: Other: STAT-PC; Other: YST-III

Study type: Interventional

Funder types: Other

Identifiers

NCT05869552

86014

SP-2020C3-21020-IC (Other Grant/Funding Number)

Details and patient eligibility

About

The overall aim of this study is to reduce suicide among sexual and gender diverse youth ages 18-24 years old. This study will compare the effectiveness of two brief suicide prevention interventions that have been adapted for use with this population to use in primary care via telehealth and will recruit youth from primary care clinics in multiple metropolitan areas. The primary study outcome is suicidal ideation. Each clinic will be randomly assigned to deliver one of the two study interventions.

Enrollment: 1,485 estimated patients

Sex: All

Ages: 18 to 24 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• be aged 18-24 at the time of enrollment
• not have received mental health services in the past 90 days, excluding medication and case management
• English-speaking
• screen positive for suicide risk

Exclusion criteria

• are actively suicidal
• have a developmental disability that would preclude them from participating in the study intervention
• who are impaired due to psychosis, mania, or substance use that would prevent them from providing consent.
• Participants will also be excluded at YST-III sites if they are unable to identify a minimum of one support person to participate in the intervention with them

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,485 participants in 2 patient groups

Suicidal Teens Accessing Treatment - Primary Care (STAT-PC)

Experimental group

Description:

This group will participate in a brief, suicide prevention intervention based on motivational interviewing that focuses on mental health care seeking behavior, problem-solving, and referrals plus brief case management that has been adapted.

Treatment:

Other: STAT-PC

Youth-Nominated Support Team (YST-III)

Experimental group

Description:

This group will participate in a brief, suicide prevention intervention originally developed for youth who have been psychiatrically hospitalized due to a suicide attempt or suicidal ideation that has been adapted.

Treatment:

Other: YST-III