Coaching to help pediatric clinics use a youth suicide prevention pathway
Practice Facilitation to Enhance Implementation of a Pediatric Suicide Prevention Pathway
This project tests whether adding ongoing coaching to NIMH pathway training helps primary care teams better find and manage suicide risk in patients aged 12–24 who screen positive.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 360 (estimated) |
| Ages | 12 Years to 80 Years |
| Sex | All |
| Sponsor | University of Colorado, Denver Academic / other |
| Locations | 1 site (Aurora, Colorado) |
| Trial ID | NCT06619782 on ClinicalTrials.gov |
What this trial studies
Primary care practices receive training in the NIMH youth suicide prevention care pathway and are randomized to either training alone or training plus practice facilitation (coaching, feedback, and data support). The facilitation team helps clinics integrate screening, assessment, data tracking, and management procedures into routine well visits for adolescents and young adults. Youth aged 12–24 who present for well visits and screen positive on the ASQ are the target patients for pathway implementation and outcome measurement. The study uses the RE-AIM/PRISM implementation frameworks to compare clinic uptake, provider skills, and patient-level processes between the two approaches.
Who should consider this trial
Good fit: Ideal candidates are patients aged 12–24 attending participating primary care well visits who screen positive on the ASQ for suicide risk.
Not a fit: Patients over age 24, those who do not screen positive at a well visit, or patients seen outside participating clinics are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, this approach could help clinics more reliably detect and manage suicidal youth, improving timely care and potentially reducing suicide risk.
How similar studies have performed: Screening tools and clinic toolkits have shown promise and practice facilitation has improved other clinical practices, but evidence is limited specifically for coaching-driven implementation of youth suicide pathways.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Youth * between the ages of 12 and 24 years * present to a participating PCP and practice for a well visit * receive a positive ASQ screen during their well visit. Providers * All staff in enrolled Primary Care practices (e.g., physicians, physician assistants nurses, administrative staff) will be eligible to participate and complete relevant measures. Exclusion Criteria: Youth * Over 24 years * Do not receive a positive ASQ screen at well visit.
Where this trial is running
Aurora, Colorado
- Department of Psychiatry, University of Colorado School of Medicine — Aurora, Colorado, United States (Recruiting)
Study contacts
- Principal investigator: Bruno J Anthony, PhD — University of Colorado School of Medicine - Anschutz Medical Campus
- Study coordinator: Natalie Hazemi, MBA
- Email: Natalie.Hazemi@childrenscolorado.org
- Phone: 720-777-7849
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.