Advancing Student Suicide Interventions With Scalable Technologies

NCT ID: NCT07211373

Last Updated: 2025-10-17

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

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-08

Study Completion Date

2027-06-30

Brief Summary

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Mobile-based applications, such as JasprHealth, can deliver evidence-based skills intended to reduce imminent suicide risk (e.g., reducing means access), improve emotional states (e.g., via distraction and coaching to act opposite to emotions), and reduce feelings of social isolation (e.g., via shared stories), but user engagement is a barrier. The aim of this study was to examine the effects of a technological application resource (Jaspr) relative to human augmentation (Jaspr+, e.g., motivationally focused orientation plus prompts) on acceptability, preliminary effectiveness, and engagement among college students who screen positive for suicide risk.

Detailed Description

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Mobile-based applications, such as Jaspr Health, can deliver evidence-based skills intended to reduce imminent suicide risk (e.g., reducing means access), improve emotional states (e.g., via distraction and coaching to act opposite to emotions), and reduce feelings of social isolation (e.g., via shared stories). Although mobile-device-delivered interventions hold the potential to make interventions widely accessible, user engagement presents a substantial barrier to efficacy. This study, ASSIST: Advancing Student Suicide Interventions with Scalable Technologies, aims to improve engagement with mobile-delivered suicide prevention applications, with the ultimate goal of reducing suicidal thoughts and behaviors in college students. Including human elements alongside Jaspr Health has the potential to improve the uptake of this evidence-based, accessible mobile-device-delivered intervention.

The aim of this study was is to examine the effects of the technological application resource Jaspr tablet application with access to Jaspr at Home (JAH) vs. Jaspr+ human augmentation (e.g., motivationally focused orientation plus prompts) on acceptability, preliminary effectiveness, and engagement among 50 college students who screen positive for suicide risk (n=25 per condition) over the course of 2 months. Candidate mechanisms (e.g., coping skills, self-stigma) will also be assessed. Participants were randomized via the Redcap randomization module, stratified by site.

Conditions

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Suicidal Ideation Suicide Attempt Self-Harm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Jaspr

Subjects in this arm will complete a guided Safety Planning, and Lethal means counseling on the Jaspr app before open access to the Jaspr resource library.

Subjects can sign up to receive Jaspr At Home (JAH) mobile app. Subjects will have continue to have access to treatment as usual through their respective university clinics.

Group Type EXPERIMENTAL

Jaspr

Intervention Type DEVICE

With assistance from a research staff, the subject will complete self-administered suicide risk assessment on the tablet via Jaspr app, then the subject will engage with suicide-related coping skills and resources that the app provides. Subjects will continue to have access to the coping skills and videos via a mobile app.

Jaspr+

Subjects in this arm will complete a guided Safety Planning, and Lethal means counseling on the Jaspr app before open access to the Jaspr resource library. This will be guided by motivational interviewing principles.

Subjects can sign up to receive Jaspr At Home (JAH0 mobile app. Subjects will be prompted with their personalized goals as reminders to use the Jaspr at home app.

Subjects will have continue to have access to treatment as usual through their respective university clinics.

Group Type EXPERIMENTAL

Jaspr

Intervention Type DEVICE

With assistance from a research staff, the subject will complete self-administered suicide risk assessment on the tablet via Jaspr app, then the subject will engage with suicide-related coping skills and resources that the app provides. Subjects will continue to have access to the coping skills and videos via a mobile app.

Behavioral support

Intervention Type BEHAVIORAL

Jaspr conversations will be augmented human-driven behavioral support. Conversations will be guided by motivational interviewing principles. Subjects can sign up to receive JAH mobile app.

Subjects will be prompted with their personalized goals as reminders to use the Jaspr app.

Interventions

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Jaspr

With assistance from a research staff, the subject will complete self-administered suicide risk assessment on the tablet via Jaspr app, then the subject will engage with suicide-related coping skills and resources that the app provides. Subjects will continue to have access to the coping skills and videos via a mobile app.

Intervention Type DEVICE

Behavioral support

Jaspr conversations will be augmented human-driven behavioral support. Conversations will be guided by motivational interviewing principles. Subjects can sign up to receive JAH mobile app.

Subjects will be prompted with their personalized goals as reminders to use the Jaspr app.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Recent suicidal thoughts or behavior (i.e., past 2-week suicidal ideation or past 6-month suicidal behaviors)
* Current UMass Amherst or University of Wisconsin Madison undergraduate student
* 18 years of age or older
* Ability to understand written or spoken English
* Owning a mobile device
* Ability to understand and consent to study procedures

Exclusion Criteria

* No recent suicidal thoughts or behaviors (i.e., past 2-week suicidal ideation or past 6-month suicidal behaviors)
* Not a current UMass Amherst or University of Wisconsin Madison undergraduate student
* Under 18 years of age
* Inability to understand written or spoken English
* Does not own a mobile device
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Wisconsin, Madison

OTHER

Sponsor Role collaborator

University of Massachusetts Chan Medical School, Worcester

UNKNOWN

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of Massachusetts, Amherst

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Massachusetts Amherst

Amherst, Massachusetts, United States

Site Status

Countries

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United States

References

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Weiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, Boynton MH, Halko H. Psychometric assessment of three newly developed implementation outcome measures. Implement Sci. 2017 Aug 29;12(1):108. doi: 10.1186/s13012-017-0635-3.

Reference Type BACKGROUND
PMID: 28851459 (View on PubMed)

Posner, K. (2008). Columbia-Suicide Severity Rating Scale. Research Foundation for Mental Hygiene.

Reference Type BACKGROUND

Neacsiu AD, Rizvi SL, Vitaliano PP, Lynch TR, Linehan MM. The dialectical behavior therapy ways of coping checklist: development and psychometric properties. J Clin Psychol. 2010 Jun;66(6):563-82. doi: 10.1002/jclp.20685.

Reference Type BACKGROUND
PMID: 20455249 (View on PubMed)

Maclean BR, Forrester T, Hawgood J, O'Gorman J, Rimkeviciene J. The Personal Suicide Stigma Questionnaire (PSSQ): Relation to Self-Esteem, Well-Being, and Help-Seeking. Int J Environ Res Public Health. 2023 Feb 21;20(5):3816. doi: 10.3390/ijerph20053816.

Reference Type BACKGROUND
PMID: 36900827 (View on PubMed)

Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD. Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;2(3):197-207. doi: 10.1016/0149-7189(79)90094-6. No abstract available.

Reference Type BACKGROUND
PMID: 10245370 (View on PubMed)

Kelly PJ, Kyngdon F, Ingram I, Deane FP, Baker AL, Osborne BA. The Client Satisfaction Questionnaire-8: Psychometric properties in a cross-sectional survey of people attending residential substance abuse treatment. Drug Alcohol Rev. 2018 Jan;37(1):79-86. doi: 10.1111/dar.12522. Epub 2017 May 7.

Reference Type BACKGROUND
PMID: 28480521 (View on PubMed)

Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O'Neal L, McLeod L, Delacqua G, Delacqua F, Kirby J, Duda SN; REDCap Consortium. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019 Jul;95:103208. doi: 10.1016/j.jbi.2019.103208. Epub 2019 May 9.

Reference Type BACKGROUND
PMID: 31078660 (View on PubMed)

Gellatly J, Bower P, Hennessy S, Richards D, Gilbody S, Lovell K. What makes self-help interventions effective in the management of depressive symptoms? Meta-analysis and meta-regression. Psychol Med. 2007 Sep;37(9):1217-28. doi: 10.1017/S0033291707000062. Epub 2007 Feb 19.

Reference Type BACKGROUND
PMID: 17306044 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan: ASSIST Protocol and SAP

View Document

Other Identifiers

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P50MH129701

Identifier Type: NIH

Identifier Source: secondary_id

View Link

UMassIRB6366

Identifier Type: -

Identifier Source: org_study_id

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