Trial Outcomes & Findings for Safety Planning in Juvenile Justice for Suicidal Youth (NCT NCT03655470)

NCT ID: NCT03655470

Last Updated: 2024-11-12

Results Overview

Score on Suicidal Ideation Questionnaire; higher is worse; range 0 to180

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 59 participants
• Primary outcome timeframe: Past month ideation at 1 and 3 month follow-up points
• Results posted on: 2024-11-12

Participant Flow

Participant milestones

Measure	Safety Planning This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior. Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents	Standard Care If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
Overall Study STARTED	29	30
Overall Study COMPLETED	23	23
Overall Study NOT COMPLETED	6	7

Reasons for withdrawal

Measure	Safety Planning This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior. Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents	Standard Care If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
Overall Study Lost to Follow-up	6	7

Baseline Characteristics

Safety Planning in Juvenile Justice for Suicidal Youth

Baseline characteristics by cohort

Measure	Safety Planning n=29 Participants This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior. Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents	Standard Care n=30 Participants If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department	Total n=59 Participants Total of all reporting groups
Age, Continuous	14.75 years STANDARD_DEVIATION 1.35 • n=5 Participants	15.07 years STANDARD_DEVIATION 1.58 • n=7 Participants	14.93 years STANDARD_DEVIATION 1.46 • n=5 Participants
Sex: Female, Male Female	13 Participants n=5 Participants	8 Participants n=7 Participants	21 Participants n=5 Participants
Sex: Female, Male Male	16 Participants n=5 Participants	22 Participants n=7 Participants	38 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	10 Participants n=5 Participants	8 Participants n=7 Participants	18 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	19 Participants n=5 Participants	22 Participants n=7 Participants	41 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	3 Participants n=5 Participants	6 Participants n=7 Participants	9 Participants n=5 Participants
Race (NIH/OMB) White	12 Participants n=5 Participants	15 Participants n=7 Participants	27 Participants n=5 Participants
Race (NIH/OMB) More than one race	6 Participants n=5 Participants	5 Participants n=7 Participants	11 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	8 Participants n=5 Participants	4 Participants n=7 Participants	12 Participants n=5 Participants
Region of Enrollment United States	29 participants n=5 Participants	30 participants n=7 Participants	59 participants n=5 Participants
Massachusetts Youth Screening Instrument - Angry/Irritable subscale,	4.21 units on a scale STANDARD_DEVIATION 2.90 • n=5 Participants	4.73 units on a scale STANDARD_DEVIATION 3.07 • n=7 Participants	4.47 units on a scale STANDARD_DEVIATION 2.97 • n=5 Participants

PRIMARY outcome

Timeframe: Past month ideation at 1 and 3 month follow-up points

Score on Suicidal Ideation Questionnaire; higher is worse; range 0 to180

Outcome measures

Measure	Safety Planning n=29 Participants This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior. Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents	Standard Care n=30 Participants If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
Change in Suicidal Ideation Baseline SIQ	8.90 score on a scale Standard Deviation 12.19	8.97 score on a scale Standard Deviation 14.37
Change in Suicidal Ideation 1-month follow-up	12.27 score on a scale Standard Deviation 17.57	7.36 score on a scale Standard Deviation 15.54
Change in Suicidal Ideation 3-month follow-up	10.15 score on a scale Standard Deviation 14.81	4.54 score on a scale Standard Deviation 7.38

SECONDARY outcome

Timeframe: 3 months

Whether a participant reported a suicide attempt

Outcome measures

Measure	Safety Planning n=29 Participants This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior. Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents	Standard Care n=30 Participants If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
Suicide Attempts	0 Participants	0 Participants

Adverse Events

Safety Planning

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Standard Care

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Anthony Spirito, PI

Brown University

Phone: 4014441929

Email: anthony_spirito@brown.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place