App-based safety planning and supports for teens and young adults with suicidal thoughts

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The study compares usual care to usual care augmented with the ISSP (Jaspr) app in pediatric outpatient clinics, using a pre-post clinic design where clinics begin in a control period and then transition to the app after provider training. The app supports collaborative safety planning between the young person and their healthcare provider and provides skills and support videos for youth and caregivers that can also be accessed at home. Adolescents, one parent/guardian each, and clinic healthcare providers complete surveys at baseline and follow-up timepoints (youth and parents at baseline, 1 month, and 2 months; providers at baseline, end of control, and end of intervention). Outcomes include youth coping and suicidal ideation, parent self-efficacy, provider self-efficacy, service utilization, functional impairment, access to lethal means, and acceptability of the app.

Why it matters

Who can join: the full rules

Youth Inclusion Criteria:

* Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with active ideation (not solely a history of a prior attempt) but no current plan or intent, or patient-reported suicidal thoughts and behaviors during a clinical assessment in a medical setting who are judged by a clinician to be appropriate for conducting higher level assessment in that setting (including a BSSA and/or safety planning) in order to support care at home.
* Parents/guardians: One "parent" per AYA will also be invited to participate.
* HCPs: All HCPs in participating settings who may conduct assessments of SI and safety planning (physicians, nurse practitioners/physician's assistants, social workers, mental health counselors, psychologists) will be invited to participate.
* All subjects must have access to the internet and a computer or tablet device.

Youth Exclusion Criteria:

* Concurrently enrolled in an affiliated Suicide Care Research Center study, no phone access, or non-English speaking.

Where it's running

• Seattle Children's Hospital
  Seattle, Washington, United States Recruiting

Study contacts

• Principal investigator: Laura Richardson, MD, MPH — University of Washington
• Study coordinator: Laura Richardson, MD, MPH
• Email: lpr@uw.edu
• Phone: 206-987-2028

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.