347 Participants Needed

SAFETY-A Program for Suicide Prevention in Schools

AL
AF
Overseen ByAshley Flores
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of California, Los Angeles
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This study will adapt Safe Alternatives For Teens and Youth - Acute (SAFETY-A) for implementation in low-resourced school districts to reduce racial/ethnic disparities in mental health service use (MHS) following identification of suicide risk in youth. SAFETY-A will be adapted to fit the organizational context of school districts and to reduce mistrust of MHS, internalized stigma, and concealment of youth emotional distress that arise in school suicide risk assessments with Asian American and Latinx students. Following a prototyping case series, a feasibility trial will assign four districts to the timing of SAFETY-A implementation to generate preliminary data on feasibility and impacts on proposed mechanisms and youth MHS utilization and clinical outcomes across racial/ethnic groups.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

Is the SAFETY-A program safe for use in humans?

The SAFETY-A program, which is a cognitive-behavioral family treatment, has been evaluated for its use in preventing suicide attempts among youths. While the studies focus on its effectiveness, they do not report any specific safety concerns, suggesting it is generally safe for use in humans.12345

How is the SAFETY-A for Schools treatment different from other suicide prevention treatments?

SAFETY-A for Schools is unique because it combines cognitive-behavioral therapy (a type of talk therapy) with dialectical behavior therapy (a therapy that helps manage emotions) in a family-focused approach, specifically designed to promote safety among young people at risk of suicide. Unlike other treatments, it is tailored for use in schools, aiming to involve both the educational environment and family in the prevention process.14678

What data supports the effectiveness of the treatment Safe Alternatives for Teens and Youth-Acute for Schools (SAFETY-A for Schools) in preventing suicide?

The SAFETY-A treatment, which is a brief, strengths-based, cognitive-behavioral family intervention, has shown positive effects in improving care linkage for racial-ethnic minority youths receiving emergency department treatment for suicidality, suggesting its potential effectiveness in school settings as well.59101112

Who Is on the Research Team?

AS

Anna Lau, PhD

Principal Investigator

University of California, Los Angeles

Are You a Good Fit for This Trial?

This trial is for students aged 11-19 in certain school districts who have shown suicidal thoughts or behaviors. They must have a caregiver to participate with them. It's not for those with intellectual disabilities, psychosis, intoxication, or at immediate risk needing emergency care.

Inclusion Criteria

Have an identified caregiver who can participate in the intervention
I am between 11 and 19 years old.
Enrolled in participating school district
See 1 more

Exclusion Criteria

School personnel determine the student to be at such imminent risk of danger to self that they are unable to benefit from the intervention and must be immediately transported for emergency care
Student is unable to participate in the intervention due to indications of intellectual disability, psychosis, or intoxication

Timeline for a Trial Participant

Stakeholder Engagement

Stakeholders are engaged to design adaptations to the intervention and implementation strategy.

4-6 weeks

Prototyping Case Series

A prototyping case series will inform iterative refinements of SAFETY-A in one school district.

8 weeks

Pilot Feasibility Trial

A pilot feasibility trial will assign school districts to the timing of implementation to provide preliminary data on implementation outcomes.

6 months

Follow-up

Participants are monitored for safety and effectiveness after the intervention.

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Safe Alternatives for Teens and Youth-Acute for Schools (SAFETY-A for Schools)
Trial Overview The SAFETY-A program is being adapted for schools to help reduce suicide risks among youth, especially Asian American and Latinx students. The study will test how well it works in low-resource districts and if it can improve mental health service use and clinical outcomes.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Safe Alternatives for Teens and Youth-Acute for Schools (SAFETY-A for Schools)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials
1,594
Recruited
10,430,000+

Duke University

Collaborator

Trials
2,495
Recruited
5,912,000+

Published Research Related to This Trial

The pilot study involving 66 adolescents showed that the ASAP intervention, which includes a smartphone app for emotion regulation, did not significantly reduce suicide attempts post-discharge, but indicated a trend towards fewer attempts (16% vs. 31%).
Participants with a history of previous suicide attempts may benefit more from the ASAP intervention, suggesting that this program could be tailored for those at higher risk, and overall, the intervention and app were well-received by users.
As Safe as Possible (ASAP): A Brief App-Supported Inpatient Intervention to Prevent Postdischarge Suicidal Behavior in Hospitalized, Suicidal Adolescents.Kennard, BD., Goldstein, T., Foxwell, AA., et al.[2023]
A realist review of school-based suicide prevention interventions suggests that understanding local needs and contexts is crucial for developing effective programs.
The study indicates that it is feasible to create evidence-based suicide interventions in schools by analyzing the various factors that influence their success or failure in real-world settings.
Understanding the effectiveness of school-based interventions to prevent suicide: a realist review.Balaguru, V., Sharma, J., Waheed, W.[2020]
The study successfully implemented the Safety Planning Intervention (SPI) for adolescent suicidality in emergency services, showing that training significantly improved providers' attitudes and knowledge about the intervention.
Collaboration with stakeholders and brief training were effective strategies for integrating structured safety planning into pediatric emergency settings, which is crucial for enhancing care for suicidal youths.
Safety Planning Intervention for Adolescents: Provider Attitudes and Response to Training in the Emergency Services Setting.Bettis, AH., Donise, KR., MacPherson, HA., et al.[2022]

Citations

As Safe as Possible (ASAP): A Brief App-Supported Inpatient Intervention to Prevent Postdischarge Suicidal Behavior in Hospitalized, Suicidal Adolescents. [2023]
Understanding the effectiveness of school-based interventions to prevent suicide: a realist review. [2020]
Safety Planning Intervention for Adolescents: Provider Attitudes and Response to Training in the Emergency Services Setting. [2022]
Safety plan use in the daily lives of adolescents after psychiatric hospitalization. [2023]
Improving Care Linkage for Racial-Ethnic Minority Youths Receiving Emergency Department Treatment for Suicidality: SAFETY-A. [2023]
Using a Safety Planning Mobile App to Address Suicidality in Young People Attending Community Mental Health Services in Ireland: Protocol for a Pilot Randomized Controlled Trial. [2023]
A Systematic Review of Consent Procedures, Participation Rates, and Main Findings of Health-Related Research in Alternative High Schools From 2010 to 2015. [2018]
Safer Choices: a multicomponent school-based HIV/STD and pregnancy prevention program for adolescents. [2004]
Cognitive-Behavioral Family Treatment for Suicide Attempt Prevention: A Randomized Controlled Trial. [2023]
Suicide prevention in an educational context: broad and narrow foci. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
Developing a comprehensive school suicide prevention program. [2022]
12.United Statespubmed.ncbi.nlm.nih.gov
School- and Community-Based Youth Suicide Prevention Interventions: Hot Idea, Hot Air, or Sham? [2022]
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