Clinical trial NCT05658068: Systems Aligning for Equity (SAFE) Spaces
Official title: Experimental Evaluation of a Multi-site Suicide Intervention for Youth During and After Residential Placement
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Suicide
Mental Disorder
Mental Health
Burnout, Professional
Self Harm
Lead sponsor: New York University
Sponsor class: OTHER
First posted: 2022-12-20
Enrollment: 800
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: PREVENTION

Brief summary: The goal of this 2-arm cluster randomized clinical trial is to test whether an evidence-based staff training and coaching model specifically designed as a response to legal system-involved youths' and frontline staff's mental health needs can improve the safety and suicide outcomes, mental health challenges, and wellness and facility climate for youth and staff in facilities assigned to the intervention condition. Staff in facilities assigned to the intervention are eligible to receive evidence-based programming in suicide detection and prevention (Shield of Care; SOC) and wellness skill-building (Skills for Life) through training and personalized coaching. Multiple training sessions will be offered to small groups of staff in-person in residential facilities and paired with personalized in-person and virtual coaching. Staff and youth in all facilities will be asked to complete periodic surveys assessing experiences in the facility, suicide and safety knowledge and risk, and their mental health and wellness. Researchers will compare outcomes of staff in youth in facilities assigned to the intervention compared to facilities in the training-as-usual condition.


Eligibility criteria: Inclusion Criteria:

* Placement in in ACS-run or contracted residential facilities enrolled in the study during the first 2 years of the intervention period
* Proficiency in English

Exclusion Criteria:

* Not placed in an ACS run-or contracted facility enrolled in the study during the study period
* Lack of proficiency in English.

Primary outcomes:
measure: Decreases in Suicidal Ideation Questionnaire (Davis, 1992) and suicide subscale of Massachusetts Youth Screening Instrument (Grisso et al., 2001)
timeFrame: 1 year
measure: Decreases on Self-Injurious Thoughts and Behaviors Interview (Nock et al., 2007)
timeFrame: 1 year
measure: Decreases on internalizing and externalizing subscales of Massachusetts Youth Screening Instrument (Grisso et al., 2001)
timeFrame: 1 year
measure: Decreased burnout and increased job efficacy on the Professional Quality of Life measure (Stramm, 2016) and the Maslach Burnout Inventory
timeFrame: 1 year
measure: Change in responses on the Inventory of Depression and Anxiety Symptoms (Watson et al., 2007)
timeFrame: 1 year
measure: Increased suicide knowledge and response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)
timeFrame: 1 year
measure: Increased self-harm knowledge response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013)
timeFrame: 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: New York
country: United States
facility: New York University
state: New York
Study officials:
References: