Clinical trial NCT04253002: Preventing Suicide in African American Adolescents
Official title: Preventing Suicide in African American Adolescents
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Suicide
Keywords: Suicide
African American Adolescents
Prevention
Coping
Hope
Hopelessness
Lead sponsor: DePaul University
Sponsor class: OTHER
Collaborators: name: National Institute of Mental Health (NIMH)
First posted: 2020-02-05
Enrollment: 512
Sex: ALL
Minimum age (years): 12
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The overarching aim of the Success Over Stress Prevention Project is to reduce African American youth suicide. This study examines the impact of a 15-session, group-delivered, culturally-grounded, cognitive-behavioral intervention (i.e., PI Robinson's Adapted-Coping with Stress Course \[A-CWS\]), on the outcomes of interest, when it is delivered by social workers who are indigenous to the school system. The main objectives of this project are to (a) determine whether the intervention is effective when facilitated by social workers who are indigenous to the school system and (b) enhance resilience, increase adaptive coping strategies, and reduce both intrapersonal and interpersonal violence among youth receiving the prevention intervention. It is expected that increases in adaptive coping will lead to an increased ability for youth to manage stressors, thereby decreasing the incidence of suicide and violence among the youth. In addition, it is expected that evidence of the intervention's effectiveness, when facilitated by social workers who are indigenous to the school system, will lead to greater dissemination and sustainability of the intervention, thus, providing access to effective intervention resources to greater numbers of African American youth.

Detailed description: This study will establish the effectiveness of Robinson's Adapted-Coping with Stress Course (A-CWS) and test hypotheses pertaining to the mechanism of change by which the A-CWS reduces suicide risk. Additionally, this study is expected to augment current theoretical models of adolescent suicidality. This effectiveness trial will inform procedures for scaling up efficacious, high quality, and culturally-grounded suicide prevention programs for low-resourced, urban African American youth; as such, this study is practice relevant and expected to inform best practices for the prevention of suicide among African American adolescents. The specific aims are:

1. To examine the effectiveness of the A-CWS intervention, as delivered by social workers who are indigenous to the school system, to reduce active suicidal ideation, within a sample of low-resourced, urban African American adolescents.
2. To understand the mechanism by which the A-CWS intervention reduces suicide risk for low-resourced, urban African American adolescents.
3. To establish the fidelity of an evidence-based, culturally-grounded coping with stress intervention (i.e., the A-CWS), developed for low-resourced, urban African American adolescents, delivered by social workers indigenous to the school system.
4. To understand the extent that thwarted belongingness, perceived burdensomeness, and socio-ecological factors influence the development of active suicidal ideation.

Eligibility criteria: Inclusion Criteria:

* Students: Enrolled 9th grade student at time of initial enrollment at participating high school
* Parents/guardians: Child enrolled in study
* Teachers: Student enrolled in study

Exclusion Criteria:

* Not a 9th grade student at time of initial enrollment
* No parent/legal guardian permission
* For parents and teachers: no students enrolled in study

Primary outcomes:
measure: Change in Suicide Ideation
timeFrame: Assessments will be administered through study completion, an average of every six months.
Secondary outcomes:
measure: Change in Adaptive Coping
timeFrame: Assessments will be administered through study completion, an average of every six months.
measure: Change in Hope
timeFrame: Assessments will be administered through study completion, an average of every six months.
measure: Change in Hopelessness
timeFrame: Assessments will be administered through study completion, an average of every six months.
Other outcomes:
Locations:
city: Chicago
country: United States
facility: Richard T. Crane High School
state: Illinois
city: Chicago
country: United States
facility: DePaul University
state: Illinois
city: Chicago
country: United States
facility: Dunbar Vocational Career Academy
state: Illinois
city: Chicago
country: United States
facility: Orr Academy High School
state: Illinois
city: Chicago
country: United States
facility: Wendell Phillips Academy High School
state: Illinois
city: Maywood
country: United States
facility: Proviso East High School
state: Illinois
Study officials:
affiliation: DePaul University
name: LaVome Robinson, PhD
role: PRINCIPAL_INVESTIGATOR
References: