Trial Outcomes & Findings for Safety Planning in Juvenile Justice for Suicidal Youth (NCT NCT03655470)
NCT ID: NCT03655470
Last Updated: 2024-11-12
Results Overview
Score on Suicidal Ideation Questionnaire; higher is worse; range 0 to180
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
59 participants
Primary outcome timeframe
Past month ideation at 1 and 3 month follow-up points
Results posted on
2024-11-12
Participant Flow
Participant milestones
| Measure |
Safety Planning
This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior.
Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents
|
Standard Care
If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources
Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
|
|---|---|---|
|
Overall Study
STARTED
|
29
|
30
|
|
Overall Study
COMPLETED
|
23
|
23
|
|
Overall Study
NOT COMPLETED
|
6
|
7
|
Reasons for withdrawal
| Measure |
Safety Planning
This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior.
Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents
|
Standard Care
If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources
Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
6
|
7
|
Baseline Characteristics
Safety Planning in Juvenile Justice for Suicidal Youth
Baseline characteristics by cohort
| Measure |
Safety Planning
n=29 Participants
This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior.
Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents
|
Standard Care
n=30 Participants
If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources
Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
|
Total
n=59 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
14.75 years
STANDARD_DEVIATION 1.35 • n=99 Participants
|
15.07 years
STANDARD_DEVIATION 1.58 • n=107 Participants
|
14.93 years
STANDARD_DEVIATION 1.46 • n=206 Participants
|
|
Sex: Female, Male
Female
|
13 Participants
n=99 Participants
|
8 Participants
n=107 Participants
|
21 Participants
n=206 Participants
|
|
Sex: Female, Male
Male
|
16 Participants
n=99 Participants
|
22 Participants
n=107 Participants
|
38 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
10 Participants
n=99 Participants
|
8 Participants
n=107 Participants
|
18 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
19 Participants
n=99 Participants
|
22 Participants
n=107 Participants
|
41 Participants
n=206 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants
|
0 Participants
n=107 Participants
|
0 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Black or African American
|
3 Participants
n=99 Participants
|
6 Participants
n=107 Participants
|
9 Participants
n=206 Participants
|
|
Race (NIH/OMB)
White
|
12 Participants
n=99 Participants
|
15 Participants
n=107 Participants
|
27 Participants
n=206 Participants
|
|
Race (NIH/OMB)
More than one race
|
6 Participants
n=99 Participants
|
5 Participants
n=107 Participants
|
11 Participants
n=206 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
8 Participants
n=99 Participants
|
4 Participants
n=107 Participants
|
12 Participants
n=206 Participants
|
|
Region of Enrollment
United States
|
29 participants
n=99 Participants
|
30 participants
n=107 Participants
|
59 participants
n=206 Participants
|
|
Massachusetts Youth Screening Instrument - Angry/Irritable subscale,
|
4.21 units on a scale
STANDARD_DEVIATION 2.90 • n=99 Participants
|
4.73 units on a scale
STANDARD_DEVIATION 3.07 • n=107 Participants
|
4.47 units on a scale
STANDARD_DEVIATION 2.97 • n=206 Participants
|
PRIMARY outcome
Timeframe: Past month ideation at 1 and 3 month follow-up pointsScore on Suicidal Ideation Questionnaire; higher is worse; range 0 to180
Outcome measures
| Measure |
Safety Planning
n=29 Participants
This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior.
Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents
|
Standard Care
n=30 Participants
If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources
Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
|
|---|---|---|
|
Change in Suicidal Ideation
Baseline SIQ
|
8.90 score on a scale
Standard Deviation 12.19
|
8.97 score on a scale
Standard Deviation 14.37
|
|
Change in Suicidal Ideation
1-month follow-up
|
12.27 score on a scale
Standard Deviation 17.57
|
7.36 score on a scale
Standard Deviation 15.54
|
|
Change in Suicidal Ideation
3-month follow-up
|
10.15 score on a scale
Standard Deviation 14.81
|
4.54 score on a scale
Standard Deviation 7.38
|
SECONDARY outcome
Timeframe: 3 monthsWhether a participant reported a suicide attempt
Outcome measures
| Measure |
Safety Planning
n=29 Participants
This brief intervention, consists of an in-person and follow-up phone call that are based on cognitive behavioral principles designed to help identify a concrete list of coping strategies and social supports that youth can utilize preceding or during a crisis to lower imminent risk of nonsuicidal self-injury or suicidal behavior.
Safety Planning: Safety planning is an individual coping intervention to reduce suicidal risk in adolescents
|
Standard Care
n=30 Participants
If a teen has a positive screen for suicide risk, the Probation Officer completes a "secondary screener" built into the court screening instrument to determine whether there is concern of current and/or imminent risk. If a teen endorses nonsuicidal self-injury more than once in the prior year, then the Probation Officer asks about frequency and severity. If there is ongoing concern of risk for self-injurious behavior, then the Probation Officer arranges for a crisis evaluation in the Emergency Department. If the teen is not judged to be at imminent risk, the Probation Officer makes a referral back to the current treatment provider or to a community mental health clinic. In either case, the parents and youth receive a packet with mental health resources
Standard care: Standard care entails sending an adolescent for an emergency evaluation for suicidal risk in an Emergency Department
|
|---|---|---|
|
Suicide Attempts
|
0 Participants
|
0 Participants
|
Adverse Events
Safety Planning
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Standard Care
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place