A New Clinical Model for the Engagement of Latinx Youth with Suicidal Behavior

Last updated: March 17, 2025
Sponsor: Bradley Hospital
Overall Status: Active - Recruiting

Phase

N/A

Condition

Depression

Suicide

Treatment

SCBT-SB + CHW

Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB)

Clinical Study ID

NCT06882798
STR-1-138-22
  • Ages 12-18
  • All Genders

Study Summary

This study will test a model of providing treatment to Latinx/Hispanic youth, who experience suicidal thoughts and behavior, and their caregivers. An affirmative and culturally relevant treatment will be provided to all youth and half of the families will be assigned to the additional support of a community health worker (CHW). Youth symptoms and family engagement to treatment will be followed for nine months. The potential benefit of adding the CHW intervention will be assessed.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Latinx, defined as have been born in a Latin country or having at least onebiological parent, grandparent or an ancestor that was born in a Latin country

  • Severe Suicidal Ideation (SI), defined as one of the following:

  • SIQ-JR > 22 or endorsing any critical items (2, 3, 4, 7, 8, 9) with at least "about 1x/month"

  • CDI-II > 15 and endorsing "I think about killing myself but would not do it" OR "Ithink about killing myself."

  • PHQ-9 > 10 & endorsing the item "Thoughts that you would be better off dead, or ofhurting yourself in some way" with a frequency of "several days" or greater orendorsing the item "Has there been a time in the past month when you have hadserious thoughts about ending your life?

  • Suicidal crisis within the past 12 months

  • Caregivers and adolescents fluent in Spanish or English language and legal guardianwilling to participate

Exclusion

Exclusion Criteria:

  • Participants will be referred to a different treatment program if their mainclinical complaint is any of the following:

  • Behavioral (e.g., conduct disorder, or substance use disorder)

  • An eating disorder

  • Obsessive-compulsive disorder

  • A developmental issue (e.g., speech, occupational, families looking for assessments,treatment for autism) or a significant cognitive delay that may require specializedtreatment adjustments.

Study Design

Total Participants: 150
Treatment Group(s): 2
Primary Treatment: SCBT-SB + CHW
Phase:
Study Start date:
March 28, 2024
Estimated Completion Date:
January 31, 2027

Study Description

The objective of this proposal is to test a New Clinical Model to engage Latinx/Hispanic (L/H) youth and their caregivers in a culturally centered, evidence-based treatment for suicidal behaviors (SB). The Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB) is an affirmative and culturally relevant treatment with empirical evidence supporting its use for L/H youth with suicidality. The New Clinical Model consists of the addition of community health workers (CHWs) to the SCBT-SB. CHWs are trusted members of their communities who provide education and connection to resources to L/H families in their native language. A community based participatory research approach is proposed and the Socio-Cultural Framework for Health Service Disparities will be the theoretical model used.

Connect with a study center

  • Bradley Hasbro Children's Research Center

    Providence, Rhode Island 02903
    United States

    Active - Recruiting

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