Suicide Prevention Clinical Trial
— SUNDANCEOfficial title:
Collaborative Hub to Reduce the Burden of Suicide Among Urban American Indian and Alaska Native Young Adults
This study compares the effectiveness of a program to detect and manage suicide risk among American-Indian and Alaska Native (AI/AN) youth. Half of the participants will receive caring text messages to reduce suicidal thoughts, attempts, and hospitalizations and to increase engagement, social connectedness, and resilience in at-risk youth. The other half will receive usual care that does not include the caring text messages.
Status | Recruiting |
Enrollment | 698 |
Est. completion date | May 31, 2024 |
Est. primary completion date | May 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 34 Years |
Eligibility | Inclusion Criteria: - Self-identify as American Indian or Alaska Native; - Screen positive for mild, moderate, or severe risk of suicidality (referred by a clinical provider); - Have a text-enabled mobile phone; - Willing to be contacted by text; - Able to participate voluntarily; - Speak and read English; - Cognitively able to independently provide written informed consent Exclusion Criteria: - Under age 18 - In danger of imminent self-harm; - Hospitalized |
Country | Name | City | State |
---|---|---|---|
United States | First Nations Community HealthSource | Albuquerque | New Mexico |
Lead Sponsor | Collaborator |
---|---|
University of Colorado, Denver | National Institute of Mental Health (NIMH), University of New Mexico, Washington State University |
United States,
Beals J, Novins DK, Whitesell NR, Spicer P, Mitchell CM, Manson SM. Prevalence of mental disorders and utilization of mental health services in two American Indian reservation populations: mental health disparities in a national context. Am J Psychiatry. 2005 Sep;162(9):1723-32. doi: 10.1176/appi.ajp.162.9.1723. — View Citation
Herne MA, Bartholomew ML, Weahkee RL. Suicide mortality among American Indians and Alaska Natives, 1999-2009. Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):S336-42. doi: 10.2105/AJPH.2014.301929. Epub 2014 Apr 22. — View Citation
Luoma JB, Martin CE, Pearson JL. Contact with mental health and primary care providers before suicide: a review of the evidence. Am J Psychiatry. 2002 Jun;159(6):909-16. doi: 10.1176/appi.ajp.159.6.909. — View Citation
Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, Hegerl U, Lonnqvist J, Malone K, Marusic A, Mehlum L, Patton G, Phillips M, Rutz W, Rihmer Z, Schmidtke A, Shaffer D, Silverman M, Takahashi Y, Varnik A, Wasserman D, Yip P, Hendin H. Suicide prevention strategies: a systematic review. JAMA. 2005 Oct 26;294(16):2064-74. doi: 10.1001/jama.294.16.2064. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Suicidal Ideation | The 15-item Suicidal Ideation Questionnaire Jr. assesses frequency of suicidal thoughts in the past month. Item content ranges from general thoughts of death and wishes that one were dead to specific thoughts of self-injurious behavior. Responses are on a 7-point scale ranging from never to almost daily. Items are summed for a total score (range 0-90). | Baseline, 6 months, 12 months | |
Primary | Change in Self-Reported Suicide Attempts | The investigators will use the interviewer-administered Suicide Attempt and Self-Injury Count to assess the method, intent, treatment received, and lethality for all suicide attempts over the respondent's lifetime. | Baseline, 6 months, 12 months | |
Primary | Change in Hospitalizations and Behavioral Health Treatment | The investigators will assess self-reported hospitalizations over the previous 12 months with a measure of health service use previously applied to AI/ANs. It captures information on inpatient and outpatient medical care, emergency room visits, and use of traditional practices. | Baseline, 6 months, 12 months | |
Secondary | Change in Social Connectedness | The investigators will assess social connectedness with the Interpersonal Needs Questionnaire, a validated measure of feelings of connectedness to others and of being a burden on others. | Baseline, 6 months, 12 months | |
Secondary | SBIRT Retention and Uptake of Referral to Therapy | Retention will be measured as binary indicators of complete participation in the appropriate level of intervention determined during the initial in-person session with the behavioral therapist before enrollment in the study, and as uptake of therapy services for people who are referred to this level of care. For each participant, we will create a 3-category indicator of retention (full, partial, none). | 6 months, 12 months |
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