Family Navigator Intervention

Study Overview
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Brief Summary
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This study will develop and examine the feasibility and acceptability of a family navigator protocol while leveraging digital health communication. It will employ an ecological model within a socio-cultural theoretic framework of mental health service disparities and barriers to treatment.

Detailed Description
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The purpose of this study is to develop and pilot a Family Navigator intervention with technology-enhanced information sharing for families with youth (80 youth-caregiver dyads) who were discharged from the emergency after an admission for SSIB. This novel intervention aims to reduce suicidal and non-suicidal self-injurious behavior risk and prevalence rates by way of increasing attendance to community-based mental health services for youth aged 10 to 14.

Official Title
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The Development of a Family Navigator Intervention and Prevention Protocol to Reduce Risk of Suicide and Self-injurious Behavior for Youth Aged 10 to 14 Years

Conditions
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Treatment as Usual, Family Navigator

Intervention / Treatment
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* Behavioral: Treatment as usual
* Behavioral: Family Navigator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: youth 10 to 14 years old living at home with legal guardian/caregiver Exclusion Criteria: presentation including psychosis, sexual assault, or child abuse, are in police or child protective services' custody, are unable to assent due to severity of illness or developmental disabilities, >cannot communicate in English or Spanish, or if no caregiver or legal guardian is able to provide consent.

Ages Eligible for Study
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Minimum Age: 10 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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Treatment as usual<br>Emergency department treatment as usual | Behavioral: Treatment as usual<br>* Emergency department treatment as usual<br>|
| Experimental: Family Navigator<br>Follow provision provided by a Family Navigator for the length of the treatment or until youth attends community-based mental health care | Behavioral: Family Navigator<br>* Family Navigator will speak with families about individual and systemic issues for linkage to mental health care biweekly for 3 months or until the youth's first mental health appt has been attended, whichever comes first.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mental Health Services | adapted CASA | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Suicidal ideation | Suicidal Ideation Questionnaire | 6 months | 
| Suicidal behavior | Suicidal Ideation Questionnaire | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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emergency department, suicide, youth, family navigator