Brief Suicide Intervention for Suicide Prevention
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to test a brief intervention designed to prevent suicide in adolescents. Pediatric primary care clinics will host the trial, incorporating elements such as safety planning, coping skills, and psychoeducation. The trial will compare usual treatment methods with a new intervention involving both adolescents and their caregivers. Ideal participants are English-speaking adolescents aged 10 to 18 with low to moderate suicide risk but no current plan or intent to harm themselves. As an unphased trial, this study offers participants the chance to contribute to innovative approaches in adolescent mental health care.
Do I need to stop my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that this intervention is safe for adolescents?
Research has shown that short programs to help prevent suicide are generally safe and manageable. These programs effectively reduce thoughts and actions related to suicide. Evidence from several studies indicates significant improvements in mental health and decreases in suicidal thoughts and attempts. These programs often include strategies like safety planning, which helps individuals find ways to cope and avoid dangerous situations. Overall, brief programs for suicide prevention consistently link to better mental health and fewer negative effects.12345
Why are researchers excited about this trial?
Researchers are excited about this trial because it explores a new approach to suicide prevention among adolescents. Unlike typical care that follows usual clinic protocols, this trial introduces a pilot intervention with several unique components. It combines psychoeducation, coping skills, safety planning, and family involvement, which are not always standard in existing treatments. By involving both adolescent patients and their parents or caregivers, the intervention aims to create a supportive environment that addresses underlying issues and strengthens family communication, potentially leading to more effective and lasting results in preventing suicide.
What evidence suggests that this Brief Suicide Intervention could be effective for suicide prevention?
Research has shown that suicide safety planning interventions (SSPs) can help reduce suicidal thoughts and actions. Although few studies have focused specifically on children and teens, this approach has shown promise across different age groups. In this trial, participants will receive either treatment as usual or the Pilot Intervention, which includes safety planning. Safety planning involves creating a crisis management plan, learning coping skills, and limiting access to harmful items. Previous research has demonstrated that elements such as mental health education, safety planning, and improved communication skills can lower the risk of suicide. These interventions aim to provide both immediate and long-term support for individuals in crisis.12678
Who Is on the Research Team?
Sarah Danzo, PhD
Principal Investigator
University of Washington
Are You a Good Fit for This Trial?
This trial is for English-speaking adolescents aged 10-18 who have current or past low to moderate suicide risk (but no current plan and intent), their caregivers, and primary care providers. Teens at high suicide risk or those not fluent in English cannot participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment as Usual
Adolescent patients receive treatment as usual based on existing clinic protocols
Pilot Intervention
Participants receive the adapted pilot intervention including psychoeducation, coping skills, safety planning, and more
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Brief Suicide Intervention
Trial Overview
The study is testing a brief, evidence-based suicide prevention intervention adapted for pediatric primary care clinics compared to usual treatment. It aims to see if the new approach can be used easily and helps reduce suicidal thoughts or behaviors.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Arm 2 entails months 3-4 of this study. Participating providers will deliver the adapted pilot intervention for the second half (months 3-4) of the pilot trial. The intervention will be based on the evidence-based suicide prevention interventions including the SAFETY-Acute protocol and will be adapted based on information from potential users prior to piloting. It is anticipated that both adolescent patients and their parents/caregivers will be involved in the intervention. Anticipated components of the intervention include psychoeducation, coping skills, safety planning, lethal means restriction, parenting skills, communication skills, identifying adolescent and family strengths, and linking to longer term care.
Arm 1 entails months 1-2 of this study. Treatment as usual will be delivered by providers to adolescent patients in their clinics during the first two months of this study. Treatment as usual will be defined by each individual clinic based on their existing clinic protocols.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Washington
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
Citations
Effectiveness of Suicide Safety Planning Interventions - PMC
Evidence across a range of studies indicates that SSP is effective for reducing suicide behavior (SB) and ideation (SI).
Safety Planning Interventions for Suicide Prevention in ...
Few studies have evaluated the effectiveness of SPIs as a standalone intervention for suicide-related outcomes for children and adolescents.
Brief Interventions that Can Make a Difference in Suicide ...
The strategies outlined below can help patients and families identify effective coping techniques to use in a crisis, limit access to dangerous items,
Brief and Ultra-Brief Suicide-Specific Interventions | Focus
In adult populations, CAMS has demonstrated effectiveness in reducing suicidal ideation and overall symptom distress, compared with treatment as ...
Study Protocol
In our prior work, we developed and tested the effectiveness of the components of an integrated adolescent suicide prevention intervention, iCHART (integrated ...
Brief Interventions that Can Make a Difference in Suicide ...
The strategies outlined below can help patients and families identify effective coping techniques to use in a crisis, limit access to dangerous items,
Suicide prevention program on suicidal behaviors and ...
Outcomes consistently demonstrated significant improvements in mental wellbeing, self-efficacy, and help-seeking behaviors. Furthermore, reductions in suicidal ...
Safety plan use in the daily lives of adolescents...
A systematic review of the Safety Planning Intervention noted decreases in suicidal ideation, depression, hopelessness, and attempts (Ferguson et al., 2021 ). A ...
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