Youth Empowerment and Safety Intervention

NCT ID: NCT07214233

Last Updated: 2025-12-24

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-01-31

Study Completion Date

2027-11-30

Brief Summary

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This clinical trial will implement and evaluate the feasibility, acceptability, and initial impact of Peer Support Specialist (PSS) services for public system-involved sexual and gender minority (lesbian, gay, bisexual, queer and/or transgender) youth (SGMY) at risk of suicide.

Detailed Description

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A sharp increase in U.S. youth mental health problems coupled with the national shortage in child behavioral health clinicians has identified peer providers as a cost- and impact-effective solution. Peer Support Specialists (PSS), paraprofessionals with lived experience who provide mutual and structured support, have been found to be effective in improving client engagement in mental health services. The study proposes to evaluate the feasibility, acceptability, and initial impact of a multi-level intervention, Youth Empowerment \& Safety (YES), comprised of two coordinated components: 1) system-level improved identification and referral (I/R) of self-injurious thoughts and behaviors (SITB) among sexual and gender minority youth (SGMY), and 2) introduction of an SGMY-tailored support PSS to enhance engagement and support with behavioral health treatment and other support services.

Conditions

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Suicide Self-Injurious Behavior

Keywords

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Self-injurious thoughts and behaviors (SITB) Peer Support Specialist (PSS) Behavioral health adolescent LGBTQ Juvenile Justice Foster Care Crisis Response

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Pre-implementation Period

Behavioral health treatment as usual

Group Type ACTIVE_COMPARATOR

Treatment as Usual

Intervention Type BEHAVIORAL

Behavioral health services (treatment as usual)

Post-implementation Period

Behavioral health treatment as usual + referral to and connection with Peer Support Services

Group Type EXPERIMENTAL

Peer Support Services (PSS)

Intervention Type BEHAVIORAL

Behavioral health services (treatment as usual) along with referral to and utilization of Peer Support Specialist services

Interventions

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Treatment as Usual

Behavioral health services (treatment as usual)

Intervention Type BEHAVIORAL

Peer Support Services (PSS)

Behavioral health services (treatment as usual) along with referral to and utilization of Peer Support Specialist services

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 12-17 years of age
* Self-identify as a sexual or gender minority (SGM)
* Involved in one or more system: juvenile justice, child welfare, and/or community-based mental health
* Personal experience with self-injurious thoughts and behaviors (SITB)
* English speaking
* Willing and able to provide informed assent


* 18-80 years of age
* English speaking
* Willing and able to provide informed consent

* Not English speaking
* Unwilling and/or unable to provide informed consent

Exclusion Criteria

* Less than 12 or greater than 17 years of age (0-11 or 18 and over)
* Do not self-identify as a sexual or gender minority (SGM)
* Not involved in the juvenile justice, child welfare, and/or community-based mental health systems
* No personal experience with self-injurious thoughts and behaviors (SITB)
* Not English speaking
* Unwilling and/or unable to provide informed assent


* Less than 18 or greater than 80 years of age (0-17 or 81 and over)
Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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FrontLine Service

OTHER

Sponsor Role collaborator

National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Case Western Reserve University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dana M. Prince, PhD

Role: PRINCIPAL_INVESTIGATOR

Case Western Reserve University

Locations

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Case Western Reserve University

Cleveland, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Dana M. Prince, PhD

Role: CONTACT

Phone: 216-368-1707

Email: [email protected]

Facility Contacts

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Dana Prince, PhD

Role: primary

References

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Prince DM, Ray-Novak M, Gillani B, Peterson E. Sexual and Gender Minority Youth in Foster Care: An Evidence-Based Theoretical Conceptual Model of Disproportionality and Psychological Comorbidities. Trauma Violence Abuse. 2022 Dec;23(5):1643-1657. doi: 10.1177/15248380211013129. Epub 2021 May 4.

Reference Type BACKGROUND
PMID: 33942681 (View on PubMed)

Gillani B, Prince DM, Ray-Novak M, Feerasta G, Jones D, Mintz LJ, Moore SE. Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach. Healthcare (Basel). 2024 Feb 6;12(4):424. doi: 10.3390/healthcare12040424.

Reference Type BACKGROUND
PMID: 38391800 (View on PubMed)

Prince, D. M., Ray-Novak, M*. Tossone, K., Peterson, E.*, Gillani, B.*, & Mintz, L. (2024). Psychological comorbidities and suicidality in sexual and gender minority foster youth. Children and Youth Services Review, 156 (2024): 107379.

Reference Type BACKGROUND

Prince DM, Schuler MS, Lewis K, Munson MR, Blashill AJ, Hovmand PS. Opportunities to Address Health Disparities in Suicidality for Sexual and Gender Minority Youth in Public Systems. Mental Health Sci. 2025 Mar;3(1):10.1002/mhs2.100. doi: 10.1002/mhs2.100. Epub 2024 Dec 19. No abstract available.

Reference Type BACKGROUND
PMID: 41367936 (View on PubMed)

Other Identifiers

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1R34MH134912-01A1

Identifier Type: NIH

Identifier Source: secondary_id

View Link

STUDY20241289

Identifier Type: -

Identifier Source: org_study_id