Clinical trial NCT05360888: Suicide Intervention for Alaska Native Youth
Official title: Comparative Effectiveness of Two Culturally-Centered Suicide Interventions for Alaska Native Youth
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Alaska Native Youth Aged 14 - 24
Suicide, Attempted
Suicidal Ideation
Alcohol Intoxication
Keywords: Alaska Native youth, suicide, prevention, culture
Lead sponsor: RAND
Sponsor class: OTHER
Collaborators: name: Patient-Centered Outcomes Research Institute
First posted: 2022-05-04
Enrollment: 300
Sex: ALL
Minimum age (years): 14
Maximum age (years): 24
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Half of the participants will be randomly assigned to Tools for Life, and the other half will receive Tools for Life plus a Motivational Interviewing Social Network intervention (MISN) and two booster sessions approximately 2 and 6 weeks post-intervention.
Primary purpose: PREVENTION

Brief summary: Two interventions will be delivered virtually to American Indian/Alaska Native youth who have been hospitalized with suicidal attempt, suicidal ideation, or associated risk behaviors, including alcohol-related injury.

Detailed description: The investigators will conduct a randomized controlled trial whereby Alaska Native (AN) youth who are hospitalized for suicide risk will be randomly assigned to either Qungasvik/Tools for Life or Tools for Life + Motivational Interviewing Social Network (MISN) intervention after their baseline survey, and followed up at 3-, 6-, and 12 months. All youth will receive Tools for Life and two 30-minute virtual follow-up visits (at 2- and 6-weeks post intervention) focused on connectivity to culture and obtaining support from intergenerational social networks in their home communities. Half of the youth will also receive MISN in addition to Tools for Life. Both interventions will be delivered virtually by a wellness team comprised of Alaska Native community behavioral health aides, prevention specialists and/or Elders who function in their communities as natural healers.

Eligibility criteria: Inclusion Criteria:

* Self-identify as Alaska Native youth
* Between the ages of 14 and 24
* Admitted to the hospital for suicide attempt, ideation, or associated risk behaviors including alcohol-related injury or acute intoxication

Exclusion Criteria:

-

Primary outcomes:
measure: Suicide intent/risk
timeFrame: Change from baseline to 3 months
measure: Suicide intent/risk
timeFrame: Change from baseline to 6 months
measure: Suicide intent/risk
timeFrame: Change from baseline to 12 months
measure: Depression
timeFrame: Change from baseline to 3 months
measure: Depression
timeFrame: Change from baseline to 6 months
measure: Depression
timeFrame: Change from baseline to 12 months
measure: Anxiety
timeFrame: Change from baseline to 3 months
measure: Anxiety
timeFrame: Change from baseline to 6 months
measure: Anxiety
timeFrame: Change from baseline to 12 months
measure: Frequency of alcohol use
timeFrame: Change from baseline to 3 months
measure: Frequency of alcohol use
timeFrame: Change from baseline to 6 months
measure: Frequency of alcohol use
timeFrame: Change from baseline to 12 months
measure: Alcohol use consequences
timeFrame: Change from baseline to 3 months
measure: Alcohol use consequences
timeFrame: Change from baseline to 6 months
measure: Alcohol use consequences
timeFrame: Change from baseline to 12 months
Secondary outcomes:
measure: Sobriety self-efficacy
timeFrame: Change from baseline to 3 months
measure: Sobriety self-efficacy
timeFrame: Change from baseline to 6 months
measure: Sobriety self-efficacy
timeFrame: Change from baseline to 12 months
measure: Intentions to be sober from alcohol
timeFrame: Change from baseline to 3 months
measure: Intentions to be sober from alcohol
timeFrame: Change from baseline to 6 months
measure: Intentions to be sober from alcohol
timeFrame: Change from baseline to 12 months
measure: Social network composition
timeFrame: Change from baseline to 3 months
measure: Social network composition
timeFrame: Change from baseline to 6 months
measure: Social network composition
timeFrame: Change from baseline to 12 months
measure: Social network structure
timeFrame: Change from baseline to 3 months
measure: Social network structure
timeFrame: Change from baseline to 6 months
measure: Social network structure
timeFrame: Change from baseline to 12 months
measure: Time spent around peers who use alcohol
timeFrame: Change from baseline to 3 months
measure: Time spent around peers who use alcohol
timeFrame: Change from baseline to 6 months
measure: Time spent around peers who use alcohol
timeFrame: Change from baseline to 12 months
measure: Awareness of connectedness
timeFrame: Change from baseline to 3 months
measure: Awareness of connectedness
timeFrame: Change from baseline to 6 months
measure: Awareness of connectedness
timeFrame: Change from baseline to 12 months
measure: Community protective factors
timeFrame: Change from baseline to 3 months
measure: Community protective factors
timeFrame: Change from baseline to 6 months
measure: Community protective factors
timeFrame: Change from baseline to 12 months
measure: Individual protective factors
timeFrame: Change from baseline to 3 months
measure: Individual protective factors
timeFrame: Change from baseline to 6 months
measure: Individual protective factors
timeFrame: Change from baseline to 12 months
measure: Reasons for life
timeFrame: Change from baseline to 3 months
measure: Reasons for life
timeFrame: Change from baseline to 6 months
measure: Reasons for life
timeFrame: Change from baseline to 12 months
measure: Reflective processes
timeFrame: Change from baseline to 3 months
measure: Reflective processes
timeFrame: Change from baseline to 6 months
measure: Reflective processes
timeFrame: Change from baseline to 12 months
Other outcomes:
Locations:
city: Bethel
country: United States
facility: Yukon-Kuskokwim Health Corporation
state: Alaska
city: Fairbanks
country: United States
facility: Tanana Chiefs Conference
state: Alaska
Study officials:
References: