Suicide in Urban Natives: Detection and Networks to Combat Events (SUNDANCE)

University of Colorado Denver (CU Denver)

Status: Enrolling

Conditions: Suicide Prevention

Treatments: Behavioral: SBIRT+Usual Care; Behavioral: SBIRT+12

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03136094

18-0186

U19MH113135 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study compares the effectiveness of a program to detect and manage suicide risk among American-Indian and Alaska Native (AI/AN) youth. Half of the participants will receive caring text messages to reduce suicidal thoughts, attempts, and hospitalizations and to increase engagement, social connectedness, and resilience in at-risk youth. The other half will receive usual care that does not include the caring text messages.

Full description

The study, "Suicide in Urban Natives: Detection and Networks to Combat Events," builds on Screening, Brief Intervention and Referral to treatment (SBIRT), carried out through the primary care setting, to detect and manage suicide risk. This approach is multilevel, targeting both the healthcare system and the individual, and links screening to existing mobile phone technologies shown to promote resilience and to tap the protective benefits of social connectedness. This Collaborative Hub will conduct a randomized control trial that compares the effectiveness of enhancing these SBIRT programs by sending caring text messages to reduce suicidal ideation, attempts, and hospitalizations, and to increase engagement, social connectedness, and resilience. The Investigators' long-term goal is to disseminate and translate the lessons learned into practical policy, organizational changes, and preventive innovations that optimize patient-centered health outcomes and ultimately reduce or eliminate the dramatic and tragic suicide-related health disparities among urban AI/AN youth and young adults.

Enrollment: 698 estimated patients

Sex: All

Ages: 18 to 34 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Self-identify as American Indian or Alaska Native;
• Screen positive for mild, moderate, or severe risk of suicidality (referred by a clinical provider);
• Have a text-enabled mobile phone;
• Willing to be contacted by text;
• Able to participate voluntarily;
• Speak and read English;
• Cognitively able to independently provide written informed consent

Exclusion criteria

• Under age 18
• In danger of imminent self-harm;
• Hospitalized

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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698 participants in 2 patient groups, including a placebo group

SBIRT+Usual Care

Placebo Comparator group

Description:

The control arm of the trial will receive the usual care prescribed in the Screening, Brief Intervention and Referral to Treatment (SBIRT) model.

Treatment:

Behavioral: SBIRT+Usual Care

SBIRT+12

Experimental group

Description:

The standard SBIRT model is augmented by a 12 month period following identification of suicide risk during which participants will receive caring text messages adapted from empirically-based, effective interventions for suicide prevention among American Indian and Alaska Native young adults.

Treatment:

Behavioral: SBIRT+12