Alcohol, Suicide and HIV Prevention for Teens in Mental Health Treatment

Study Overview
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Brief Summary
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This study examines whether an integrated alcohol/substance abuse, suicide, and HIV prevention protocol is associated with lower onset and frequency of alcohol and other drug use, suicidal behavior, and high risk sexual behavior among adolescents receiving community based mental health care.

Detailed Description
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The purpose of this study is to compare an integrated adolescent alcohol/drug, suicide, and HIV prevention program to an assessment only control condition in a randomized clinical trial. This prevention protocol is designed as an add-on intervention to standard mental health care. We will examine the extent to which the addition of this prevention protocol is associated with lower rates of alcohol use and drug use, suicidal behavior, and HIV related risk behaviors.

Official Title
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Alcohol, Suicide, and HIV Prevention for Teens in Mental Health Treatment

Conditions
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Suicide, Alcohol Abuse, Drug Abuse, HIV

Intervention / Treatment
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* Behavioral: Prevention program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ages 13-18 English speaking adolescent and at least one English speaking parent receiving mental health treatment living with a parent or guardian willing to participate Exclusion Criteria: Active Alcohol or Marijuana Dependence Diagnosis HIV infection Pregnant Current psychosis Cognitively unable to give assent

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Prevention Program<br>This is a cognitive-behavioral substance abuse, suicide, and HIV prevention program delivered in a workshop format to adolescent participants and their parents/legal guardians. | Behavioral: Prevention program<br> <br> |
| No Intervention: Assessment Only<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| adolescent alcohol use and binge drinking (any, number of days, number of related problems) | This was assessed using the Customary Drinking and Drug Use Record | change from baseline to 6 months (prior 3 months) | 
| adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior) | This was assessed using the Suicidal ideation Questionnaire and the Self-Injurious Thoughts and Behavior Interview | change from baseline to 6 months (prior month to 6 months) | 
| adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts) | This was assessed using the Adolescent Risk Behavior Assessment. | change from baseline to 6 months (prior 3 months) | 
| adolescent marijuana use (any use, number of days, related problems) | This was assessed with the Customary Drinking and Drug Use Measure | change from baseline to 6 months (prior 3 months) | 
| adolescent alcohol use and binge drinking (any, number of days, number of related problems) | This was assessed using the Customary Drinking and Drug Use Measure | change from baseline to 12 months (prior 3 months) | 
| adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior) | This was assessed with the Suicidal Ideation Questionnaire and the Self-Injurious Thoughts and Behavior Questionnaire | change from baseline to 12 months (prior month to 6 months) | 
| adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts) | This was assessed with the Adolescent Risk Behavior Assessment | change from baseline to 12 months (prior 3 months) | 
| adolescent marijuana use (any use, number of days, related problems) | This was assessed with the Customary Drinking and Drug Use Record | change from baseline to 12 months (prior 3 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| frequency of parental monitoring behavior | This was assessed with the Parental Monitoring Questionnaire | change from baseline to 1 month | 
| quality of parent-child communication around high risk behaviors | This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior | change from baseline to 1 month | 
| adolescent perceptions of parental degree of disapproval of high risk behavior | This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use | change from baseline to 1 month | 
| adolescent perception of degree of interpersonal coping and stress management skills | This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version | change from baseline to 6 months | 
| adolescent degree of perceived self-efficacy for condom use | This was assessed with the Self-Efficacy for Condom Use Scale | change from baseline to 1 month | 
| adolescent degree of HIV related knowledge | This was assessed with the HIV Knowledge Scale | change from baseline to 1 month | 
| adolescent perceptions of degree of peer substance use and tolerance of use | This was assessed with Peer Substance Use and Tolerance of Use scale | change from baseline to 6 months | 
| adolescent perception of the degree of peer approval of sexual activity | This was assessed with the Peer Norms Scale for Sexual Activity scale | change from baseline to 6 months | 
| adolescent degree of perceived self-efficacy for HIV prevention | This was assessed with the Self-Efficacy for HIV Prevention Scale | change from baseline to 1 month | 
| frequency of positive and negative thoughts related to suicide | This was assessed with the Positive and Negative Suicide Ideation Inventory | change from baseline to 1 month | 
| degree of adolescent positive/negative attitudes and beliefs about alcohol | This was assessed with the Youth Alcohol and Drug Survey | change from baseline to 1 month | 
| degree of adolescent positive/negative attitudes and beliefs about marijuana use | This was assessed with the Youth Alcohol and Drug Survey | change from baseline to 1 month | 
| frequency of parental monitoring behavior | This was assessed with the parental monitoring questionnaire | change from baseline to 6 months | 
| frequency of parental monitoring behavior | This was assessed with the parental monitoring questionnaire | change from baseline to 12 months | 
| quality of parent-child communication around high risk behaviors | This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior | change from baseline to 6 months | 
| quality of parent-child communication around high risk behaviors | This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior | change from baseline to 12 months | 
| adolescent perceptions of parental degree of disapproval of high risk behavior | This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use | change from baseline to 6 months | 
| adolescent perceptions of parental degree of disapproval of high risk behavior | This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use | change from baseline to 12 months | 
| adolescent perception of degree of interpersonal and stress management coping skills | This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version | change from baseline to 12 months | 
| adolescent perceptions of degree of peer substance use and approval of use | This was assessed with Peer Substance Use and Tolerance of Use scale | change from baseline to 12 months | 
| adolescent perception of the degree of peer approval of sexual activity | This was assessed with the Peer Norms Scale for Sexual Activity scale | change from baseline to 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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suicide, alcohol, marijuana, HIV, prevention, adolescent