Adapting a Brief Suicide Intervention for Pediatric Primary Care: Enhancing Uptake and Impact
NCT Number: NCT06499740
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Suicide Prevention
Interventions: BEHAVIORAL: Adapted SAFETY-A for PC|BEHAVIORAL: Treatment as Usual
Sponsor: University of Washington
Collaborators: National Institute of Mental Health (NIMH)
Sex: ALL
Age: CHILD, ADULT, OLDER_ADULT
Enrollment: 48
Study Design: Allocation: NON_RANDOMIZED|Intervention Model: PARALLEL|Masking: NONE|Primary Purpose: PREVENTION
Start Date: 2027-08-01
Completion Date: 2028-03-31

Summary:
Suicide is a leading cause of death among adolescents in the United States and improving access to high quality just-in-time suicide interventions to reduce risk has important public health implications. Integrating such interventions into routinely accessed settings, such as pediatric primary care, holds promise; however, many clinicians in these settings fail to adequately screen or intervene in youth suicidal thoughts and behaviors, representing a key barrier to reducing suicide. The proposed study is a pre-post quasi-experimental pilot feasibility and preliminary efficacy trial of an adaptation of the SAFETY-Acute suicide prevention intervention implemented in 3 pediatric primary care clinics.

Primary Outcome Measures: Feasibility of Intervention Measure, Feasibility of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater feasibility.), Participant and providers complete approximately 2 weeks after completing intervention|Acceptability of Intervention Measure, Participant rated acceptability of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater acceptability.), Participant and providers complete approximately 2 weeks after completing intervention|Intervention Appropriateness Measure, Participant rated appropriateness of the intervention (includes 4 items scored on a 5 point likert scale with higher scores representing greater appropriateness.), Participant and providers complete approximately 2 weeks after completing intervention|Client Satisfaction Questionnaire, Caregiver participant rated satisfaction with the intervention (includes 8 items scored on a 4 point likert scale with higher scores representing greater satisfaction.), Participant completes approximately 2 weeks after completing intervention|Youth Satisfaction Questionnaire, Adolescent participant rated satisfaction with the intervention (includes 5 items scored on a 3 point likert scale with higher scores representing greater satisfaction.), Participant completes approximately 2 weeks after completing intervention|Intervention Usability Scale, Participant rated intervention usability (includes 10 items scored on a 5 point likert scale with greater total score representing greater usability)., Participant/provider completes approximately 2 weeks after completing intervention
Secondary Outcome Measures: Parent Self Efficacy Scale, Caregiver rated self-efficacy of being able to keep youth safe (includes 5 items scored on a 5 point likert scale with greater total score representing greater parent self-efficacy)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention|Adapted General Self-Efficacy Scale, Patient rated self-efficacy of being able to keep self safe (includes 10 items scored on a 4 point likert scale with greater total score representing greater self-efficacy)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention|adapted Child Parent Relationship Scale, Patient and caregiver rated family involvement/relationship quality (includes 15 items scored on a 5 point likert scale with two subscales \[closeness and conflict\] where higher total score on each subscale represents greater closeness or conflict)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention
Other Outcome Measures: Ask Suicide Screening Questions (ASQ), Exploratory suicide and mental health outcomes (includes 5 items scored as yes/no with greater number of yes or a yes on item 5 representing greater suicide risk)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention|Revised Children's Anxiety and Depression Scale-25, Exploratory suicide and mental health outcomes (includes 25 items scored on a 4 point likert scale with higher total score representing greater symptom severity)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention|Diagnostic and Statistical Manual of Mental Disorders-5 cross cutting assessment, Exploratory suicide and mental health outcomes (includes 25 items scored on a 4 point likert scale with higher scores representing greater symptom severity)., Participant completes at baseline, approximately 2 weeks after completing intervention, and again 2 months following the intervention