App-based safety planning and supports for teens and young adults with suicidal thoughts
Integrated Screening and Safety Planning (ISSP) for Adolescents With Suicidal Thoughts
This project will test whether an app that helps teens and young adults (ages 13–21) create safety plans and access coping and support resources can improve youth coping, parent confidence, and clinician self-efficacy.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 13 Years to 21 Years |
| Sex | All |
| Sponsor | University of Washington Academic / other |
| Locations | 1 site (Seattle, Washington) |
| Trial ID | NCT06701006 on ClinicalTrials.gov |
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.
Who should consider this trial
Good fit: Adolescents and young adults aged 13–21 who screen positive for suicidal ideation without an immediate plan or intent requiring higher-level care, who have internet access and a computer or tablet, and whose parent/guardian is willing to participate are ideal candidates.
Not a fit: Young people with an active plan or intent requiring urgent higher-level care, those without internet/device access, non-English speakers, or those already enrolled in an affiliated suicide research study are unlikely to benefit from this app-focused intervention.
Why it matters
Potential benefit: If successful, the app could help young people better manage suicidal thoughts, increase family confidence in safety handling, and give clinicians practical tools to support at-risk youth.
How similar studies have performed: Prior studies of safety planning and digital adjuncts for suicide prevention have shown promising but mixed results, so this approach builds on encouraging yet not definitive evidence.
Eligibility criteria
Show full inclusion / exclusion criteria
Youth Inclusion Criteria: * Age 13 -21 years, an Ask Suicide Questions (ASQ) screen score of 1-5 with no current plan or intent requiring acute referral to higher level care and/or a risk level of suicidal thoughts and behaviors (STB) that constitutes the need for higher level assessment (such as the BSSA or C-SSRS) and/or a safety plan, as determined by an HCP because of a risk screener or a clinical interaction * Parents/guardians: One "parent" per AYA will also be invited to participate. * HCPs: All HCPs in participating clinics who may conduct assessments of SI (physicians, nurse practitioners/physician's assistants, social workers, nurses, 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 this trial is running
Seattle, Washington
- 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
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.