Clinical trial NCT06229223: Improving Screening and Follow Up for Suicidal Ideation and Behaviors Among Latinx Youth in Primary Care
Official title: Improving Screening and Follow Up for Suicidal Ideation and Behaviors Among Latinx Youth in Primary Care
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Suicidal Ideation
Lead sponsor: Johns Hopkins University
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2024-01-29
Enrollment: 250
Sex: ALL
Minimum age (years): 10
Maximum age (years): 100
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: The objective of this proposal is to develop and pilot a systems-level strategy in pediatric primary care to enhance identification and management of suicidal ideation and behavior in Latinx youth, particularly those in immigrant families with parents who have limited English proficiency (LEP). The investigators will focus on the use of trained community health workers (CHWs) to increase clinic capacity and quality of suicide risk screening and early intervention, with a focus on safety planning, parent psychoeducation and care coordination.

Specific aims are 1: To develop site-specific implementation protocols for the integration of CHWs into SIB screening and safety planning for Latinx youth and the youths families; 2: To pilot the implementation of the program in a six-month open trial in four pediatric primary care practices representing a range of usual practice settings; and 3: To engage a stakeholder network to explore barriers and facilitators, including costs and billing strategies, to implementation of this approach across a broad range of pediatric primary care settings.

Parents/guardians of youth who have been referred to and agree to participate in the intervention by the child's primary care provider will participate in a 2-month program consisting of 6-8 phone sessions with a community health worker focusing on safety planning, information/education, program solving and self-care. Research participants will be asked to complete a survey via phone at the beginning of the program and another at the end of the program. The participants may also be asked to participate in an additional interview about the study.


Eligibility criteria: Inclusion Criteria:

* Youth has history of suicidal ideation/behavior or non-suicidal self-harm and
* Youth identifies as Latino/Latinx/Hispanic/Latin American and
* Guardian(s) speaks Spanish

Exclusion Criteria:

* None

Primary outcomes:
measure: Percent of Participants Screened
timeFrame: Monthly for 9 months
measure: Feasibility as assessed by percent of sessions completed
timeFrame: Monthly for 9 months
measure: Quality as assessed by percent of CHW visits
timeFrame: Monthly for 9 months
measure: Engagement as assessed by number of follow-up visits
timeFrame: Monthly for 9 months
Secondary outcomes:
measure: Family Functioning as assessed by the SCORE-15 Index of Family Functioning and Change (SCORE-15)
timeFrame: Baseline and 3 months
measure: Parent Self Efficacy as assessed by Brief Parenting Self Efficacy Scale (BPSES) Questionnaire
timeFrame: Baseline and 3 months
measure: Depression as assessed by the Patient Health Questionnaire - Adolescent (PHQ-A)
timeFrame: Baseline and 3 months
measure: Suicidal Ideation and Behavior as assessed by the Ask Suicide-Screening Questionnaire (ASQ)
timeFrame: Baseline and 3 months
measure: Parental Self-Efficacy to Support Teens During a Suicidal Crisis survey
timeFrame: Baseline and 3 months
measure: Parent expectations of adolescents' risk survey
timeFrame: Baseline and 3 months
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: BMS at Yard 56
state: Maryland
Study officials:
affiliation: Johns Hopkins School of Medicine
name: Sarah Polk, MD
role: PRINCIPAL_INVESTIGATOR
References: