Primary Prevention Youth Suicide Trial in Colorado High Schools Prevention Among Colorado High School Students

Study Overview
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Brief Summary
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Sources of Strength is an evidence based program for youth suicide that trains student key leaders to strengthen social connectedness and healthy norms school-wide and is listed on the National Registry of Evidence Based Programs and Practices (NREPP). This project will expand the existing evidence base by evaluating Sources of Strength for sexual violence outcomes in a randomized controlled trial (RCT) in twenty-four high schools.

Detailed Description
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At present few programs systematically address broader social-ecological factors such as school-wide norms and youth-adult connectedness that research identifies as major drivers of sexual violence. To address this gap, this application proposes a large-scale RCT evaluation of Sources of Strength to evaluate for sexual violence perpetration outcomes. Sources of Strength is an evidence based program for youth suicide that trains student key leaders to strengthen social connectedness and healthy norms school-wide and is listed on the National Registry of Evidence Based Programs and Practices (NREPP). This project will expand the existing evidence base by evaluating Sources of Strength for sexual violence outcomes, which has never been done before. Twenty-four high schools will be recruited and stratified (rural or urban) and randomly assigned to one of two conditions: (a) immediate Sources of Strength intervention, (b) wait-list for Sources of Strength Implementation after 16 months.

Official Title
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The Impact of Sources of Strength, a Primary Prevention Youth Suicide Program, on Sexual Violence Prevention Among Colorado High School Students

Conditions
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Suicide, Sexual Violence

Intervention / Treatment
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* Behavioral: Sources of Strength (SOS) Prevention Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: high school student in participating school, parents did not withdraw from study Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sources of Strength Suicide (SOS)<br>Receive Sources of Strength Suicide (SOS) Prevention Program | Behavioral: Sources of Strength (SOS) Prevention Program<br>* Sources of Strength is an evidence based program for youth suicide that trains student key leaders to strengthen social connectedness and healthy norms school-wide and is listed on the National Registry of Evidence Based Programs and Practices (NREPP).<br>|
| Active Comparator: SOS Waitlist Control<br>Delayed implementation of Sources of Strength Suicide Prevention Program after 16 months. | Behavioral: Sources of Strength (SOS) Prevention Program<br>* Sources of Strength is an evidence based program for youth suicide that trains student key leaders to strengthen social connectedness and healthy norms school-wide and is listed on the National Registry of Evidence Based Programs and Practices (NREPP).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in sexual violence perpetration measured by method of survey | Sexual violence perpetration will be measured by method of survey as part of the Sources of Strength suicide prevention program | Baseline; Month 24 | 
| Change in suicidal behaviors measured by method of survey | Suicidal ideation and behaviors will be measured by method of survey as part of the Sources of Strength suicide prevention program | Baseline; Month 24 |