Focused Suicide Prevention Strategy for Youth Presenting to the Emergency Department With Suicide Related Behaviour

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2025-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Suicide is the leading cause of death due to illness among Canadian youth, claiming more lives than any medical illness, including cancer. Suicide prevention is possible, and early intervention is needed. The investigators will examine the effectiveness of a previously-piloted, ED-based suicide prevention intervention, across Canadian sites, using a randomized clinical trial design. The investigators will determine whether the patient- and family-centered intervention is more effective than enhanced usual care in reducing suicide-related behaviors in 330 youth at high-risk of suicide.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Focused Suicide Prevention Strategy for Youth

NCT03488602

Suicide Suicide, Attempted Suicidal Ideation

UNKNOWN NA

Advancing Suicide Intervention Strategies for Teens During High Risk Periods

NCT05078970

Suicide Attempts Suicidal Ideation Suicide and Self-harm +1 more

RECRUITING NA

Building Resilience and Attachment in Vulnerable Adolescents

NCT01925807

Suicidal Ideation

COMPLETED NA

Social Media Markers of Adolescents' Suicide Hazard

NCT02719275

Adolescent Suicidality

UNKNOWN

Family Intervention for Suicidal Youth: Emergency Care

NCT00558805

Suicide, Attempted

COMPLETED PHASE2

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a Multi-site Randomized Controlled Trial of a patient- and family-centered suicide prevention intervention added to usual care (SAFE + UC) for adolescents aged 12 to 17 years who present to the Emergency Department (ED) with suicidal ideation or suicide risk behaviours. The investigators will determine whether the SAFE + UC intervention is more effective than enhanced usual care (telephone navigation + UC) in reducing suicide-related behaviors in 330 youth at high-risk of suicide across Canadian sites.

SAFE + UC is a 6-week, standardized, manualized outpatient program that teaches participants to the skills to manage suicidal thoughts and impulses effectively. The family component addresses conflictual relationships that may be present in the family as well as improving family communication.

Telephone navigation (NAV) + UC consists of up to 6 weekly telephone calls to ensure that the participant has connected with community resources suggested by the ED team and provide additional resources as needed.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Suicide Suicide Prevention Suicidal Ideation Self-Injurious Behavior Behavioral Symptoms Suicide, Attempted Suicide and Self-harm

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study investigators and outcome assessors are blinded to allocation assignment.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

SAFE Intervention

This group will receive the SAFE individual youth and family-based intervention.

Group Type EXPERIMENTAL

SAFE Intervention

Intervention Type BEHAVIORAL

Manualized individual youth and family psychotherapeutic intervention. Weekly individual and family sessions with a therapist for 6 weeks. Participants will continue to receive usual care.

NAV (Telephone Navigation)

This group will receive telephone-based case navigation.

Group Type ACTIVE_COMPARATOR

NAV (Telephone Navigation)

Intervention Type BEHAVIORAL

Weekly telephone contact with parents regarding participant health care utilization. Referrals to community mental health resources provided as needed. Participants will continue to receive usual care.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

SAFE Intervention

Manualized individual youth and family psychotherapeutic intervention. Weekly individual and family sessions with a therapist for 6 weeks. Participants will continue to receive usual care.

Intervention Type BEHAVIORAL

NAV (Telephone Navigation)

Weekly telephone contact with parents regarding participant health care utilization. Referrals to community mental health resources provided as needed. Participants will continue to receive usual care.

Intervention Type BEHAVIORAL

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Youth presenting in the Emergency Department with SIQ-Jr score ≥ 31,
* Has a participating parent or caregiver who is able to communicate easily in English, or is willing to communicate using a hospital-organized translator,
* Between the ages 12-17 years old,
* Living in the catchment area of one of the three hospital sites and access to a telephone.

Exclusion Criteria

* Score of 3 on KSADS screen for current psychosis or elevated mood
* Moderate to severe intellectual disability, and/or autism based on clinical chart.

Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No