52 Participants Needed

Crisis Response Planning for Suicide Prevention

Recruiting at 1 trial location
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Ohio State University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

The current study is a clinical trial, meaning a research study in which human subjects are prospectively assigned to one or more interventions to evaluate the effects of those interventions on health-related behavioral outcomes. Specifically, male and female adolescents with current suicidal intent will be randomly assigned to receive either a 1-hour session of virtual crisis response planning (CRP), a 1-hour session of in-person CRP, or a 1-hour session of standard crisis risk management (treatment as usual). The feasibility and acceptability of the virtual CRP, compared to in-person CRP, will be assessed 14 days post-treatment. Additional assessments of changes in mood, behavior, and suicidality will be collected daily for 14 days post-treatment via ecological momentary assessments. The investigators hypothesize the following: 1) Virtual CRP will be rated as more feasible and acceptable compared to traditional CRP and treatment as usual interventions; 2) Both versions of CRP will be associated with changes in frequency and severity of suicidal ideation and behavior compared to treatment as usual; 3) Virtual CRP will be equally as effective as traditional CRP at reducing suicide risk, suggesting that virtual CRP is a promising scalable intervention adaptation.

Eligibility Criteria

This trial is for adolescents aged 14-18 who are at high risk for suicide and can provide informed consent. They must have a guardian's permission if under 18, endorse current suicidal intent, and be fluent in English. Those with serious medical conditions, substance use disorders, or without smartphone access cannot participate.

Inclusion Criteria

Participant endorses current desires to make a suicide attempt as defined as answering "yes" to item #3 on the Ask Suicide Screening Question (ASQ) tool
Participant's legal guardian is willing and able to give parental permission (if 14-17 years old)
Participant is able to give informed assent or consent (as applicable by age)

Exclusion Criteria

Lack of access to a personal smartphone
I do not have any serious health or neurological conditions that could affect study results.
Presence of current moderate to severe substance use disorder
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Timeline

Screening

Participants are screened for eligibility to participate in the trial

2 weeks

Treatment

Participants receive a 1-hour session of either virtual or in-person crisis response planning or standard crisis risk management

1 hour
1 visit (in-person or virtual)

Follow-up

Participants are monitored for changes in mood, behavior, and suicidality through daily assessments

14 days
Daily assessments (virtual)

Post-treatment Assessment

Feasibility and acceptability of the treatment are assessed 14 days post-treatment

14 days

Treatment Details

Interventions

  • Crisis Risk Counseling
  • In-Person Crisis Response Planning
  • Virtual Crisis Response Planning
Trial Overview The study compares three interventions: virtual crisis response planning (CRP), in-person CRP, and standard crisis risk counseling. Participants will be randomly assigned to one of these methods to assess feasibility and effectiveness in reducing suicidality over a two-week period through daily assessments.
Participant Groups
3Treatment groups
Experimental Treatment
Active Control
Group I: Virtual Crisis Response PlanningExperimental Treatment1 Intervention
The virtual crisis response planning (CRP) session will last between 30 minutes to 1-hour and be conducted via doxy.me with a trained study therapist. The virtual CRP is primarily text-based, instead of verbal, and utilizes the chat feature on doxy.me. CRP involves the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established). The CRP active component involves a collaborative process in which the therapist invites the participant to share the events, symptoms, and contextual factors leading up to and surrounding their suicidal crisis. Next, the participant identifies their personal warning signs, self-management coping skills, reasons for living, and sources of social support. The participant types the components on a template via the white board feature on doxy.me. The CRP will be saved and serve as a concrete reference for participants in the real-world.
Group II: In-Person Crisis Response PlanningActive Control1 Intervention
The in-person crisis response planning (CRP) session will last between 30 minutes to 1-hour. The in-person CRP will follow the same protocol and include the same treatment components as the virtual CRP. However, it will occur face-to-face, instead of on doxy.me, with a trained study therapist. The treatment components, outlined under the virtual CRP arm description, are written by the participant on an index card. The index card serves as a concrete reference for participants in the real-world.
Group III: Virtual Crisis Risk CounselingActive Control1 Intervention
The crisis risk counseling session will last between 30 minutes to 1-hour. It will occur virtually on doxy.me with a trained study therapist. It will include the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established). The therapist will conduct a semi-structured suicide risk assessment interview, after which participants will complete a self-guided safety plan worksheet via the white board feature. The worksheet will take approximately 10-minutes to complete and will be done independently.

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Who Is Running the Clinical Trial?

Ohio State University

Lead Sponsor

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Recruited
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