90 Participants NeededMy employer runs this trial

YST + CBT-SP for Suicide Risk

Recruiting at 1 trial location
CM
Overseen ByChristina Magness, LMSW
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of Michigan
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 the effectiveness of two therapies—CBT-SP, a talk therapy focused on preventing suicide, and eYST, a support system involving nominated adults—in helping Black teens with suicidal thoughts or self-harm. Participants, aged 12-17, will receive 12-14 therapy sessions and support from up to five caring adults they choose. Teens who self-identify as Black, have experienced suicidal thoughts or self-harm, and are willing to receive care might be a good fit for this trial. As an unphased trial, this study offers participants a unique opportunity to contribute to important research that could shape future treatments for Black teens facing similar challenges.

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's best to discuss this with the trial coordinators or your healthcare provider.

What prior data suggests that this combination of interventions is safe for adolescents?

In past studies, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) has been administered to many young people who have attempted self-harm. One study included 110 teens who completed the treatment without major issues. Most participants in these studies showed improvements in managing thoughts of self-harm.

For the Youth-Nominated Support Team (eYST), research suggests it is safe and might help reduce the risk of future self-harm. This program involves selecting important adults to provide support during difficult times. The idea is that increased support can improve well-being and lower the risk of self-harm.

Both treatments have been studied and appear well-tolerated by young people, typically not causing harmful side effects. For those considering joining a study using these treatments, past research indicates they are generally safe for people in this age group.12345

Why are researchers excited about this trial?

Researchers are excited about the combination of Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the Youth-Nominated Support Team (eYST) because it offers a personalized approach to reducing suicide risk in youth. Unlike standard treatments that primarily focus on individual therapy, this method actively involves a support network chosen by the young person, which can enhance engagement and support. By integrating CBT-SP with a supportive team, this approach aims to provide not only therapeutic strategies but also a strong, personalized support system, potentially increasing the effectiveness of ongoing suicide prevention efforts.

What evidence suggests that CBT-SP + eYST might be an effective treatment for suicide risk?

Studies have shown that Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) can significantly reduce suicidal thoughts and self-harming behaviors in teenagers. One study found that CBT-SP delayed the time before participants repeated self-harm. The Youth-Nominated Support Team (eYST) also shows promise, as research has linked it to lower death rates among suicidal teens. This program involves support from adults chosen by the youth, which has produced positive results. In this trial, participants will receive a combination of both CBT-SP and eYST, providing structured support and strategies to manage suicidal thoughts, making them effective options for reducing the risk of suicide.12345

Who Is on the Research Team?

CE

Cynthia Ewell Foster, PhD

Principal Investigator

University of Michigan

Are You a Good Fit for This Trial?

This trial is for Black adolescents ages 12-17 who come to an urban emergency care setting because of suicidal thoughts or self-harm. They must speak English, be able to give consent/assent, have a parent or guardian available, and access to a phone or email. Youth nominate caring adults as support persons.

Inclusion Criteria

Willing and able to complete enrollment procedures
Willing and able to provide signed and dated informed assent
I can provide at least one contact person for emergencies.
See 12 more

Exclusion Criteria

Participated in the Aim 2a open trial
Do not understand written and spoken English
Actively engaged in specialty mental health treatment
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive 12-14 sessions of CBT-SP in addition to YST. Support persons attend an education/orientation session and have weekly contact with the youth.

12-14 weeks
Weekly sessions

Follow-up

Participants are monitored for safety and effectiveness after treatment. Assessments occur at baseline, 6 weeks, and 14 weeks.

14 weeks
Assessments at baseline, 6 weeks, and 14 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP)
  • Youth-Nominated Support Team (eYST)

Trial Overview

The study tests if combining Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) with the computer-assisted Youth-Nominated Support Team (eYST) helps Black youth at risk for suicide. Each participant gets therapy sessions plus weekly support from nominated adults.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: CBT for Suicide Prevention plus the Youth-Nominated Support TeamExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

MiSide

Collaborator

Children's Hospital of Michigan

Collaborator

Trials
26
Recruited
4,200+

Citations

Cognitive Behavior Therapy for Suicide Prevention (CBT-SP)

The experimental treatment, compared to routine care, showed a reduction in episodes of self-harm, time to first repetition of self-harm was also delayed and ...

2.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/19730273/

Cognitive-behavioral therapy for suicide prevention (CBT-SP)

Method: The CBT-SP was developed using a risk reduction and relapse prevention approach and theoretically grounded in principles of cognitive-behavioral therapy ...

Cognitive-Behavioral Therapy for Suicide Prevention (CBT ...

The CBT-SP is primarily an individual therapy but also includes family interventions as needed to reduce the adolescent's suicide risk. Results demonstrated ...

Cognitive-Behavioral Therapy for Suicide Prevention (CBT ...

Results: The CBT-SP was administered to 110 recent suicide attempters with depression aged 13 to 19 years (mean 15.8 years, SD 1.6) across five academic sites.

Clinical Outcomes of Telehealth‐Based Cognitive ...

Results. Veterans (N = 2712) received an average of 8.54 CBT-SP sessions. Models demonstrated improvements in suicide-related coping, depression ...