Improving Screening and Follow Up for Suicidal Ideation and Behaviors Among Latinx Youth in Primary Care

Johns Hopkins University

Status: Enrolling

Conditions: Suicidal Ideation

Treatments: Behavioral: PALOMA

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06229223

IRB00378575

R34MH129771 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The objective of this proposal is to develop and pilot a systems-level strategy in pediatric primary care to enhance identification and management of suicidal ideation and behavior in Latinx youth, particularly those in immigrant families with parents who have limited English proficiency (LEP). The investigators will focus on the use of trained community health workers (CHWs) to increase clinic capacity and quality of suicide risk screening and early intervention, with a focus on safety planning, parent psychoeducation and care coordination.

Specific aims are 1: To develop site-specific implementation protocols for the integration of CHWs into SIB screening and safety planning for Latinx youth and the youths families; 2: To pilot the implementation of the program in a six-month open trial in four pediatric primary care practices representing a range of usual practice settings; and 3: To engage a stakeholder network to explore barriers and facilitators, including costs and billing strategies, to implementation of this approach across a broad range of pediatric primary care settings.

Parents/guardians of youth who have been referred to and agree to participate in the intervention by the child's primary care provider will participate in a 2-month program consisting of 6-8 phone sessions with a community health worker focusing on safety planning, information/education, program solving and self-care. Research participants will be asked to complete a survey via phone at the beginning of the program and another at the end of the program. The participants may also be asked to participate in an additional interview about the study.

Enrollment: 250 estimated patients

Sex: All

Ages: 10 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Youth has history of suicidal ideation/behavior or non-suicidal self-harm and
• Youth identifies as Latino/Latinx/Hispanic/Latin American and
• Guardian(s) speaks Spanish

Exclusion criteria

• None

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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250 participants in 1 patient group

PALOMA

Experimental group

Description:

Parents/guardians of youth who have been referred to and agree to participate in the intervention by the child's primary care provider will participate in a 2-month program consisting of 5-7 phone sessions with a community health worker focusing on safety planning, information/education, program solving and self-care. Research participants will be asked to complete a survey via phone at the beginning of the program and another at the end of the program. The participants may also be asked to participate in an additional interview about the participants experience during the study.

Treatment:

Behavioral: PALOMA