Suicide Prevention in Chinese Older Adults

Study Overview
=================
Brief Summary
-----------------
This project aims to develop and refine a suicide intervention protocol, and pilot test a culturally tailored randomized control trial to reduce suicidal thoughts among U.S. Chinese older adults. During the first phase of the study, the investigators plan to invite the community advisory board and key stakeholders to participate in the iterative design and refinement of the study protocol. During the second phase of the project and after the initial screening and based on a specific set of inclusion criteria, the investigators will invite U.S. Chinese older adult to participate in a pilot randomized control trial of a culturally adapted intervention to reduce the frequency and intensity of suicidal thoughts in Chinese older adults. During the third phase of the project, the investigators plan to invite pilot intervention participants as well as key stakeholders and health care professionals on the cultural acceptability of the pilot intervention. Through the achievement of these objectives, the investigators will set the foundation to fully test a culturally adapted in-home intervention, which may be particularly suitable for Chinese older adults with suicidal thoughts as it addresses cultural-specific barriers and integrates care management within existing community services agencies using non-mental health professionals, including community health workers.

Official Title
-----------------
Suicide Prevention in Chinese Older Adults

Conditions
-----------------
Suicidal Ideation

Intervention / Treatment
-----------------
* Behavioral: Behavior Activation
* Behavioral: Usual Community Care


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Self-identified as Chinese >50 years of age Suicidal thoughts within the last month as detected from the Item 9 in PHQ-9 No plans to move for 6 months No significant cognitive impairment with Chinese Mini-Mental State Examination (C-MMSE) score >20

Ages Eligible for Study
-----------------
Minimum Age: 50 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Behavioral: Behavioral Activation<br>Behavioral Activation includes the following components: empowering education, referral to treatment, care Management, and behavior activation | Behavioral: Behavior Activation<br>* Behavioral Activation includes the following components: empowering education, referral to treatment, care Management, and behavior activation<br>|
| Other: Usual Community Care<br>Community standard care as usual | Behavioral: Usual Community Care<br>* Community standard care as usual<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Health Questionnaire-9 (PHQ-9) |  | Outcome measure will be measured in 10 weeks' time |