Trial Outcomes & Findings for Suicide Prevention for Sexual and Gender Minority Youth (Open Trial) (NCT NCT05087966)

NCT ID: NCT05087966

Last Updated: 2024-03-19

Results Overview

Assess thwarted belongingness (9 items on 7-point scales; scores range from 9 to 63 with higher scores indicating greater thwarted belongingness)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

Change from baseline thwarted belongingness scores at 3 and 6 months

Results posted on

2024-03-19

Participant Flow

November 2021 through May 2022; San Diego County.

Participant milestones

Participant milestones
Measure
Safety Planning Intervention With Navigation Services
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Overall Study
STARTED
31
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Safety Planning Intervention With Navigation Services
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Overall Study
Lost to Follow-up
1
Overall Study
Withdrawal by Subject
5

Baseline Characteristics

Suicide Prevention for Sexual and Gender Minority Youth (Open Trial)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Safety Planning Intervention With Navigation Services
n=31 Participants
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Age, Categorical
<=18 years
5 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Male
4 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Female
13 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Trans Man
1 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Trans Woman
0 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Non-Binary
6 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Genderqueer
1 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Gender Non-Conforming
1 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Gender Fluid
4 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Agender
0 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identity · Other Gender Identity
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
Region of Enrollment
United States
31 participants
n=5 Participants
Sexual Orientation
Gay/Lesbian
10 Participants
n=5 Participants
Sexual Orientation
Bisexual
4 Participants
n=5 Participants
Sexual Orientation
Straight/Heterosexual
0 Participants
n=5 Participants
Sexual Orientation
Pansexual
6 Participants
n=5 Participants
Sexual Orientation
Asexual
1 Participants
n=5 Participants
Sexual Orientation
Queer
8 Participants
n=5 Participants
Sexual Orientation
Other Sexual Orientation
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from baseline thwarted belongingness scores at 3 and 6 months

Population: 31 participants completed their baseline assessment. 24 participants completed their three-month follow-up assessment. 25 participants completed their six-month follow-up assessment.

Assess thwarted belongingness (9 items on 7-point scales; scores range from 9 to 63 with higher scores indicating greater thwarted belongingness)

Outcome measures

Outcome measures
Measure
Safety Planning Intervention With Navigation Services
n=31 Participants
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
The Interpersonal Needs Questionnaire-15 (INQ-15) - Thwarted Belongingness
Baseline
30.83 score on a scale
Standard Deviation 9.31
The Interpersonal Needs Questionnaire-15 (INQ-15) - Thwarted Belongingness
3 Months
28.13 score on a scale
Standard Deviation 10.32
The Interpersonal Needs Questionnaire-15 (INQ-15) - Thwarted Belongingness
6 Months
29.36 score on a scale
Standard Deviation 9.57

PRIMARY outcome

Timeframe: Change from baseline suicide-related internal coping scores at 3 and 6 months

Population: 31 participants completed their baseline assessment. 24 participants completed their three-month follow-up assessment. 25 participants completed their six-month follow-up assessment.

Assess suicide-related internal coping skills (7 items on 5-point scales; scores range from 0 to 28 with higher scores indicating better internal coping)

Outcome measures

Outcome measures
Measure
Safety Planning Intervention With Navigation Services
n=31 Participants
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Suicide-Related Coping Scale (SRCS) - Internal Coping Skills
3 Months
18.83 score on a scale
Standard Deviation 2.96
Suicide-Related Coping Scale (SRCS) - Internal Coping Skills
6 Months
18.20 score on a scale
Standard Deviation 2.61
Suicide-Related Coping Scale (SRCS) - Internal Coping Skills
Baseline
17.26 score on a scale
Standard Deviation 3.03

PRIMARY outcome

Timeframe: Change from baseline suicide-related external coping scores at 3 and 6 months

Population: 31 participants completed their baseline assessment. 24 participants completed their three-month follow-up assessment. 25 participants completed their six-month follow-up assessment.

Assess suicide-related external coping skills (7 items on 5-point scales; scores range from 0 to 28 with higher scores indicating better external coping)

Outcome measures

Outcome measures
Measure
Safety Planning Intervention With Navigation Services
n=31 Participants
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Suicide-Related Coping Scale (SRCS) - External Coping Skills
Baseline
18.35 score on a scale
Standard Deviation 3.56
Suicide-Related Coping Scale (SRCS) - External Coping Skills
3 Months
19.79 score on a scale
Standard Deviation 3.39
Suicide-Related Coping Scale (SRCS) - External Coping Skills
6 Months
19.48 score on a scale
Standard Deviation 2.22

Adverse Events

Safety Planning Intervention With Navigation Services

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Safety Planning Intervention With Navigation Services
n=31 participants at risk
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Psychiatric disorders
Hospitalization Following Method Research
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).
Psychiatric disorders
Suicide Attempt
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).
Psychiatric disorders
Hospitalization Following Symptom Worsening
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).

Other adverse events

Other adverse events
Measure
Safety Planning Intervention With Navigation Services
n=31 participants at risk
A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community). Safety Planning Intervention with Navigation Services: A patient navigation (PN) intervention for SGM youth/emerging adults designed to target mechanisms (i.e., decreasing thwarted belongingness and increasing suicide-related coping skills) that theoretically underlie suicide. The proposed intervention will integrate a single-session, empirically supported, suicide prevention intervention (Safety Planning Intervention; SPI) with PN services (PN+SPI). The patient navigator will deliver the SPI and continue frequent contact for the purpose of providing motivational enhancement, problem-solving, reinforcing coping strategies, and connecting participants to social support and mental health resources (e.g., SGM-specific support groups within the community).
Investigations
Concerns Following Interview Questions
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).
Psychiatric disorders
Interrupted Suicide Attempt
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).
Nervous system disorders
Hospitalization for Sciatica
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).
Psychiatric disorders
Emergency Room Visit
3.2%
1/31 • Number of events 1 • Six months
An adverse event is defined as any untoward or unfavorable medical occurrence in a human participant, including any abnormal sign, symptom, or disease, temporally associated with participant's study participation, whether or not considered related to participant's study participation; it encompasses both physical and psychological harm. This study also included non-medical events that may be behavioral (i.e., self-harm) or social (e.g., child protective services involvement with the family).

Additional Information

Dr. Aaron Blashill

San Diego State University

Phone: 619-594-2245

Results disclosure agreements

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