Patient Navigation for Suicidal Thoughts in Black Youth

Recruiting in Philadelphia (>99 mi)

Overseen By Rhonda Boyd, PhD

Age: < 65

Sex: Any

Trial Phase: Academic

Sponsor: Children's Hospital of Philadelphia

Disqualifiers: Non-black, Outside age range, Others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

Duration: 6 months

55 Participants Needed

Trial Summary

What is the purpose of this trial?

This study looks to conduct a systematic adaptation of Suicidal Teens Accessing Treatment (STAT-ED) for Black youth presenting in the emergency department who have suicide risk. A randomized controlled trial of STAT-ED adapted for Black youth and their caregivers will examine whether patient navigation intervention can increase mental health treatment initiation and number of visits.

Research Team

Rhonda C. Boyd, PhD

Principal Investigator

Children's Hospital of Philadelphia

Eligibility Criteria

This trial is for Black youth aged 10-18 living in or near Philadelphia County who can read and understand English. It's designed for those who have had suicidal thoughts or behaviors within the last year and visited an emergency department.

Inclusion Criteria

I am between 10 and 18 years old.

Youth must endorse suicidal ideation and/or behaviors within the last year at an ED visit

Caregiver must be a parent or legal guardian of eligible youth

Exclusion Criteria

Youth is currently engaged in mental health treatment

I am either younger than 10 or older than 18 years old.

I am a young person who does not speak English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either adapted STAT-ED or enhanced treatment as usual following discharge from the emergency department

6 months

Weekly communication (in-person, telephone, or text)

Follow-up

Participants are monitored for mental health treatment initiation and suicidal ideation

6 months

Assessments at 2 months and 6 months post-enrollment

Treatment Details

Interventions

• Adapted-STAT ED
• Standard Enhanced Treatment

Trial Overview The study compares two approaches: Standard Enhanced Treatment versus Adapted-STAT ED, which is a tailored patient navigation intervention to help increase mental health treatment initiation and follow-up visits among Black youth at risk of suicide.

Participant Groups

Group I: Adapted STAT-ED Experimental Treatment 1 Intervention

The intervention will assist the family in following up with mental health referral recommendations provided by ED staff and eliciting families' preferences in regards to race and gender of providers, convenience of provider, and type of treatment. This assistance could involve help with the initial telephone contact, getting to appointments, and preparing for the appointments. The patient navigator will communicate with the family in person, by telephone, and/or by text messaging as per family's preference. This once to twice a week communication with both the youth and their parent will promote mental health care initiation and identify barriers and problem-solving solutions.

Group II: Standard Enhanced Treatment Active Control 1 Intervention

After discharge from the Children's Hospital of Philadelphia emergency department, the participant will be given a list of resources and referrals for mental health treatment by the hospital social work team. Phone call contact will be made to follow up on the initiation of treatment from the referral recommendations given at discharge.

Who Is Running the Clinical Trial?

Children's Hospital of Philadelphia

Lead Sponsor

Trials

749

Recruited

11,400,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials

3,007

Recruited

2,852,000+

University of Pennsylvania

Collaborator

Trials

2,118

Recruited

45,270,000+