137 Participants NeededMy employer runs this trial

Youth-Nominated Support Team for Suicidal Ideation

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Overseen ByFrancesca Agnello, MPH
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: Columbia University
Stay on Your Current MedsYou can continue your current medications while participating
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a mental health support program for young people on probation experiencing suicidal thoughts or behaviors. The program, Youth-Nominated Support Team for Probation (YST-P), uses the social networks of these youths to provide support and increase access to mental health treatment. The trial will examine whether this approach reduces suicidal thoughts and increases treatment uptake compared to past data. It is suitable for English-speaking youths aged 12-17 on probation who have experienced suicidal thoughts in the past year and have supportive adults willing to participate. As an unphased trial, this study allows participants to contribute to innovative research that could shape future mental health interventions for at-risk youth.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems to focus on social support rather than medication changes.

What prior data suggests that the Youth-Nominated Support Team for Probation is safe for young people on probation?

Research has shown that the Youth-Nominated Support Team (YST) program is generally safe for young people. Studies have found that participants in YST experience quicker reductions in suicidal thoughts and show greater engagement in their treatment. Importantly, the program is associated with lower death rates among suicidal adolescents. The YST program is considered "Promising" for offering adult support to suicidal youth after psychiatric care. These studies report no specific negative effects from the program, suggesting that participants handle it well.12345

Why are researchers excited about this trial?

Researchers are excited about the Youth-Nominated Support Team for Probation (YST-P) because it takes a fresh approach to supporting young people with suicidal ideation, specifically those on probation. Unlike traditional treatments that mainly rely on therapy or medication, YST-P actively involves peers and community members chosen by the youth themselves to form a support network. This personalized and community-centric strategy aims to address the unique social and emotional needs of these individuals, potentially offering more immediate and relatable support compared to conventional methods. By engaging trusted figures from the youth's own life, YST-P could foster a sense of belonging and accountability, which might be particularly effective in reducing suicidal thoughts.

What evidence suggests that the Youth-Nominated Support Team for Probation is effective for suicidal ideation?

Research has shown that the Youth-Nominated Support Team (YST) program helps reduce deaths among suicidal teenagers. Studies have found that YST lowers the number of suicide attempts and supports young people after psychiatric care. In this trial, participants will receive the updated version, YST-P, which aims to prevent the worsening of suicidal behaviors and encourages young people on probation to seek necessary treatment. This approach leverages the youths' existing social networks to provide early support and connect them to mental health care. Overall, evidence suggests that YST programs can positively affect suicidal behaviors by offering crucial social support.12467

Who Is on the Research Team?

CE

Corianna E Sichel, PhD

Principal Investigator

Columbia University

Are You a Good Fit for This Trial?

This trial is for youth ages 12-17 who are on probation, have had thoughts of suicide, can speak English, have a caregiver willing to participate, and can nominate at least two supportive adults. Both the youth and their caregivers must be able to take part.

Inclusion Criteria

YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist
4. Have a caregiver who is willing to participate (caregiver)
Caregivers, referred to study by YST Intervention Specialist
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Adaptation

Adaptation of existing YST protocols and materials to create YST-P through stakeholder consultant workgroups

Not specified

Treatment

Single-arm YST-P pilot trial to examine reductions in SIB and increased treatment uptake

3 months
Multiple timepoints for data collection

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months post-baseline

What Are the Treatments Tested in This Trial?

Interventions

  • Youth-Nominated Support Team for Probation

Trial Overview

The study is testing a support program called Youth-Nominated Support Team for Probation (YST-P), which connects young people on probation with trusted adults in their lives to help prevent suicidal thoughts and behaviors. It aims to increase mental health treatment use.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: YouthExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Columbia University

Lead Sponsor

Trials
1,529
Recruited
2,832,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

Citations

Association of the Youth-Nominated Support Team ... - PMC

The findings suggest that the YST intervention for suicidal adolescents is associated with reduced mortality. Because this was a secondary ...

Adapting Youth Nominated Support Team (YST) to Prevent ...

YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them ...

The Youth-Nominated Support Team for Suicidal Adolescents

Huey et al. (2004) found that MST was more effective than emergency hospitalization at decreasing rates of attempted suicide at 1-year follow-up. MST was not, ...

Adapting Youth Nominated Support Team (YST) to Prevent ...

Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care ...

Evidence Summary for the Youth-Nominated Support ...

Mortality and suicide outcomes were measured 11 to 14 years after study entry (depending on when youth entered the study) using data from the National Death.

Association of the Youth-Nominated Support Team ...

The findings suggest that the YST intervention for suicidal adolescents is associated with reduced mortality.

Association of the Youth-Nominated Support Team ...

Conclusions and Relevance ... The findings suggest that the YST intervention for suicidal adolescents is associated with reduced mortality.