Safe Treatment for Emergency Presentation for Suicidal Ideation and Behavior in Youth

Summary

This randomized comparative effectiveness trial will compare two evidence-based approaches to emergency care for youth ages 13-24 who present to the Emergency Department (ED) with suicidal ideation or behavior. Outcomes will be monitored at baseline and at 3, 6 \& 12 month follow-up assessments.

Conditions

• Self-Harm
• Suicide
• Suicidal

Interventions

BEHAVIORAL

SAFETY-A within usual ED Care

SAFETY-A is a single session collaborative, strengths-based, developmentally nuanced, cognitive-behavioral intervention (CBT) to increase safety and mental health treatment initiation. The therapist works with the youth and family (or significant other, SO) separately and together to build hope and reasons for living, develop a personal safety plan, increase protective supports; and increase motivation for and linkage to treatment.

BEHAVIORAL

Combined SAFETY-A within usual ED Care + CLASP Therapeutic Follow-Up Contacts

COMB, includes SAFETY-A within usual ED care plus CLASP therapeutic and caring follow-up contacts designed to strengthen safety and treatment initiation and engagement. Core functions of CLASP include: building hope/reducing hopelessness; enhancing social/family support; strengthening problem-solving; and increasing treatment initiation and engagement.

Sponsors & Collaborators

• Duke University

  collaborator OTHER

• Brown University

  collaborator OTHER

• University of Utah

  collaborator OTHER

• Olive View-UCLA Education & Research Institute

  collaborator OTHER

• RAND

  collaborator OTHER

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• University of California, Los Angeles

  lead OTHER

Principal Investigators

• Joan R Asarnow, PhD · University of California, Los Angeles

• David Goldston, PhD · Duke University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

13 Years

Max Age

24 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-10-17

Primary Completion

2026-12-31

Completion

2026-12-31

Countries

• United States

Study Locations