Integrated Suicide Supports and Safety Planning for Youth

NCT ID: NCT06701006

Last Updated: 2025-11-10

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-08-19
• Study Completion Date: 2026-04-30

Brief Summary

The goal of this clinical trial is to evaluate an app to help keep teens and young adults with suicidal thoughts safe. The app includes a safety plan created by adolescents and healthcare providers in the clinic, and videos to encourage supportive communication and skills for teens and young adults to stay safe. The main question it aims to answer is whether the use of an app can increase youth suicide-related coping for youth with suicidal ideation, parent suicide prevention self-efficacy, and healthcare provider self-efficacy in suicide management. Researchers will compare usual care to usual care with the app. Participants, including adolescents, their caregivers and healthcare providers, will use the ISSP app (if assigned to that group) and complete three online surveys.

Detailed Description

The current study aims to evaluate the Jaspr app relative to usual care among youth (ages 13-21 years) who indicate suicidal ideation in pediatric outpatient medical settings. The Jaspr app includes supported safety planning between the young person and the healthcare provider, as well as skills and support videos for youth and caregivers intended to increase coping and decrease distress with an opportunity to access these resources through an at home app. Adolescents, parents, and clinicians will participate in the project to assess the effectiveness of Jaspr augmenting usual care, compared to usual care alone. The study will use a pre-post design in which each clinic begins with a control period and then transitions to the addition of Jaspr following healthcare provider training on use of the app. Participants and their parents will receive study assessments at baseline, 1-month, and 2-month follow up timepoints, and healthcare providers complete a survey at baseline, the end of the control period, and the end of the intervention period. Study assessments with youth will ask about coping, suicidal ideation and severity, anxiety and depression, service utilization, functional impairment, access to lethal means, and acceptability of the app. Study assessments for parents will ask about their self-efficacy in managing their youth's suicidality, acceptability of the app, and service utilization for the youth. Healthcare providers will complete surveys assessing their self-efficacy in managing youth suicidality. Youth, their legal guardian, and healthcare providers each assent/consent to participate in the research procedures.

Conditions

Suicidal Ideation; Suicidal Behavior

Keywords

adolescents; young adults; suicide prevention; health services research

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Usual Care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Integrated skills and safety planning app

Use of Jaspr app in clinic + at home

Group Type: EXPERIMENTAL

Integrated skills and safety planning app

Intervention Type: OTHER

This is a digital app that includes supported safety planning resources in clinic as well as coping skills and lived experience videos for adolescents, young adults and parents/caregivers that can be accessed in clinic or at home.

Interventions

Integrated skills and safety planning app

This is a digital app that includes supported safety planning resources in clinic as well as coping skills and lived experience videos for adolescents, young adults and parents/caregivers that can be accessed in clinic or at home.

Intervention Type: OTHER

Other Intervention Names

Jaspr

Eligibility Criteria

Inclusion Criteria

• Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with no current plan or intent requiring acute referral to higher level care and/or a risk level of suicidal thoughts and behaviors (STB) that constitutes the need for higher level assessment (such as the BSSA or C-SSRS) and/or a safety plan, as determined by an HCP because of a risk screener or a clinical interaction
• Parents/guardians: One "parent" per AYA will also be invited to participate.
• HCPs: All HCPs in participating clinics who may conduct assessments of SI (physicians, nurse practitioners/physician's assistants, social workers, nurses, psychologists) will be invited to participate.
• All subjects must have access to the internet and a computer or tablet device.

Exclusion Criteria

• Concurrently enrolled in an affiliated Suicide Care Research Center study, no phone access, or non-English speaking.

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute of Mental Health (NIMH)

NIH

Sponsor Role: collaborator

Seattle Children's Hospital

OTHER

Sponsor Role: collaborator

University of Washington

OTHER

Sponsor Role: lead

Responsible Party

Laura Richardson

Professor of Pediatrics

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Laura Richardson, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

Seattle Children's Hospital

Seattle, Washington, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Laura Richardson, MD, MPH

Role: CONTACT

Phone: 206-987-2028

Email: lpr@uw.edu

Facility Contacts

Adia Abler, BA

Role: primary

Other Identifiers

P50MH129708

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY00020199

Identifier Type: -

Identifier Source: org_study_id