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

NCT ID: NCT06229223

Last Updated: 2025-05-02

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 250 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-26
• Study Completion Date: 2026-09-30

Brief Summary

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.

Conditions

Suicidal Ideation

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

PALOMA

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.

Group Type: EXPERIMENTAL

PALOMA

Intervention Type: BEHAVIORAL

Partnering with Parents of Adolescent Latinos on Mental Health Assistance

Interventions

PALOMA

Partnering with Parents of Adolescent Latinos on Mental Health Assistance

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 10 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

National Institute of Mental Health (NIMH)

NIH

Sponsor Role: collaborator

Johns Hopkins University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Sarah Polk, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins School of Medicine

Locations

BMS at Yard 56

Baltimore, Maryland, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Ellen Molino

Role: CONTACT

emolino1@jh.edu

14105509019

Sarah Polk, MD

Role: CONTACT

spolk@jhmi.edu

4105504114

Facility Contacts

Sarah Polk, MD

Role: primary

Other Identifiers

R34MH129771

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00378575

Identifier Type: -

Identifier Source: org_study_id