Youth-Nominated Support Team for Probation to prevent suicide in teens
Adapting Youth Nominated Support Team (YST) to Prevent the Escalation of Suicide Risk Among Youth on Probation
NA · Columbia University · NCT07559955
This pilot tests a program that trains nominated adults to support 12–17-year-olds on probation who are having suicidal thoughts or behaviors, helping them get mental health care and reduce suicide risk.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 40 (estimated) |
| Ages | 12 Years to 80 Years |
| Sex | All |
| Sponsor | Columbia University (other) |
| Locations | 1 site (New York, New York) |
| Trial ID | NCT07559955 on ClinicalTrials.gov |
What this trial studies
The project adapts an evidence-based social-support intervention (Youth-Nominated Support Team) for youth on probation and implements a Type I hybrid effectiveness-implementation program on Long Island. After formative work and stakeholder-driven adaptation, a single-arm pilot (N≈40) will deliver YST-P through a community behavioral health agency. Outcomes include within-subject change in suicidal ideation and behaviors and comparison of treatment uptake (intake + one session) to a propensity-matched historical control, with exploration of mediators and moderators. Investigators will also measure implementation outcomes and multi-level contextual factors that affect uptake and sustainability.
Who should consider this trial
Good fit: Ideal participants are English-speaking youth aged 12–17 on probation who endorse suicidal ideation/behavior, have a willing caregiver, and can nominate 2–4 supportive adults with at least two willing to participate.
Not a fit: Youth who are not on probation, non-English speakers, lack a willing caregiver or supportive adults, or require higher-intensity inpatient care are unlikely to benefit from this outpatient support program.
Why it matters
Potential benefit: If successful, YST-P could reduce suicidal ideation and behaviors and increase timely engagement in mental health services for probation-involved youth by leveraging their existing support networks.
How similar studies have performed: The original Youth-Nominated Support Team has shown benefits as an adjunct after psychiatric hospitalization, but adapting it specifically for youth on probation is novel and not previously tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist 1. Conversational in English (self-report/caregiver) 2. Age 12-17years 11months (self-report/caregiver) 3. Probation involvement (probation staff) 4. Have a caregiver who is willing to participate (caregiver) 5. Endorsed PY suicidal ideation (probation staff) 6. Nominated 2-4 supportive adults, at least 2 of whom are willing to participate (Intervention Specialist, supportive adult) Caregivers, referred to study by YST Intervention Specialist 1. Conversational in English (self-report) 2. Caregiver of a youth who is eligible and willing to participate (probation referral, youth report) Supportive adults, referred to study by YST Intervention Specialist 1. Participating as a supportive adult in YST-P as indicated by completion of YST-P psychoeducational session (Intervention Specialist report) 2. Conversational in English (self-report) 3. Approved by youths' caregiver (caregiver) 4. Be appropriate as determined by the YST-P Intervention Specialist (Intervention Specialist). Probation staff, assisted by agency leadership 1. Conversational in English (self-report) 2. Employed by Suffolk or Nassau County Probation working with youth (self-report/agency leadership) Intervention Specialists, assisted by agency leadership 1. Conversational in English (self-report) 2. Employed by Hope for Youth Licensed behavioral health clinician (self-report/agency leadership) 3. Trained as YST-P Intervention Specialists (Research team) 4. Facilitating the YST-P intervention (Research team) Exclusion Criteria: \- Participants not meeting all inclusion criteria will be excluded from research activities.
Where this trial is running
New York, New York
- Columbia University Irving Medical Center (CUIMC) Alianza Dominicana Triangle Building — New York, New York, United States (RECRUITING)
Study contacts
- Principal investigator: Corianna E Sichel, PhD — Columbia University
- Study coordinator: Quinn R Anderson, MS
- Email: qra2000@cumc.columbia.edu
- Phone: 650-283-2448
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.
Conditions: Suicidal Ideation and Behavior, Behavioral Health, Suicide, Suicidal Ideation and Behaviors, Suicidal Ideation in Teens, Mental Health, Teen Mental Health, Adolescent Mental Health