STAT-ED: Suicidal Teens Accessing Treatment After an Emergency Department Visit
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Hospital, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 12 - 17 |
| Updated: | 4/21/2016 |
| Start Date: | February 2013 |
| End Date: | December 2016 |
This study looks to implement a novel intervention (STAT-ED) for children who screen
positive to suicide ideation. The intervention looks to collect data from several different
measures and then randomize participants into one of two groups: a control group where the
participant will be set up with a mental health referral from a psychiatric social worker;
or if randomized into the STAT-ED intervention, the adolescent and parent will receive a
brief motivational interview, barrier reduction discussion, referral and limited case
management by the study social worker to enhance outpatient mental health follow up after
discharge from the ED.
The hypothesis of the study is patients who are randomized into the STAT-ED intervention
group will have a significantly higher rate of initiating mental health treatment and will
attend more mental health treatment sessions in the two months after the ED visit compared
with adolescents in the control group. Secondary aims of this study look to determine
whether the effectiveness of the STAT-ED intervention differs by age, gender, or ethnicity;
and evaluate predictors and mediators of mental health treatment engagement.
positive to suicide ideation. The intervention looks to collect data from several different
measures and then randomize participants into one of two groups: a control group where the
participant will be set up with a mental health referral from a psychiatric social worker;
or if randomized into the STAT-ED intervention, the adolescent and parent will receive a
brief motivational interview, barrier reduction discussion, referral and limited case
management by the study social worker to enhance outpatient mental health follow up after
discharge from the ED.
The hypothesis of the study is patients who are randomized into the STAT-ED intervention
group will have a significantly higher rate of initiating mental health treatment and will
attend more mental health treatment sessions in the two months after the ED visit compared
with adolescents in the control group. Secondary aims of this study look to determine
whether the effectiveness of the STAT-ED intervention differs by age, gender, or ethnicity;
and evaluate predictors and mediators of mental health treatment engagement.
The STAT-ED study is a two site study conducted by Cincinnati Children's Hospital and
Nationwide Children's Hospital that is looking to test the effectiveness of a brief
treatment engagement intervention termed Suicidal Teens Accessing Treatment After an ED
Visit (STAT-ED) for adolescents seeking treatment in the ED for non-psychiatric concerns but
identified via systematic screening as being at risk for suicide. In this study,
investigators from both institutions will recruit and randomize 160 adolescents (80 per
site) to either(a) the STAT-ED intervention or (b) enhanced usual care group (EUC). The EUC
group consist of a brief consultation by an ED social worker and a mental health referral
for the participant facilitated by the Psychiatric Intake Response Center. The STAT-ED
intervention targets family engagement, problem solving, motivational interviewing,
assistance with referral and limited case management during the transition from the ED to
outpatient care with the goal of maximizing the initiation of mental health treatment and
aftercare among youth screening positive for previously unrecognized suicide risk. A study
trained research coordinator who is blinded to the participants treatment allocation will
contact the participants via telephone at two months and six months post ED visit in order
to ascertain initiation and attendance of the mental health follow-up, as well as an
assessment of suicidal ideation and depression.
Nationwide Children's Hospital that is looking to test the effectiveness of a brief
treatment engagement intervention termed Suicidal Teens Accessing Treatment After an ED
Visit (STAT-ED) for adolescents seeking treatment in the ED for non-psychiatric concerns but
identified via systematic screening as being at risk for suicide. In this study,
investigators from both institutions will recruit and randomize 160 adolescents (80 per
site) to either(a) the STAT-ED intervention or (b) enhanced usual care group (EUC). The EUC
group consist of a brief consultation by an ED social worker and a mental health referral
for the participant facilitated by the Psychiatric Intake Response Center. The STAT-ED
intervention targets family engagement, problem solving, motivational interviewing,
assistance with referral and limited case management during the transition from the ED to
outpatient care with the goal of maximizing the initiation of mental health treatment and
aftercare among youth screening positive for previously unrecognized suicide risk. A study
trained research coordinator who is blinded to the participants treatment allocation will
contact the participants via telephone at two months and six months post ED visit in order
to ascertain initiation and attendance of the mental health follow-up, as well as an
assessment of suicidal ideation and depression.
Inclusion Criteria:
- Patients who arrive in the ED who are between the ages of 12-17 years old
- Screen positive on the Ask Suicide-Screening Questions (ASQ) tool
- Have had no contact with a mental health provider in the 90 days preceding the
current ED visit
- Are stable as determined by vital signs and triage criteria (triage levels 2-5)
Exclusion Criteria:
- Patients who present in the ED with a chief complaint of suicidal behavior will be
excluded to comply with the requirements of the RFA.
- Those who present in the ED with a primary or secondary psychiatric concern
- Those without access to a telephone/cell phone
- Those unable to adequately understand the study process
- Those families unable to speak or read English adequately to participate in study
procedures
- Patients who have altered mental status either due to illness or medication (pain
medications)
- Patients who live greater than 100 miles away form the enrolling site
We found this trial at
2
sites
3333 Burnet Avenue # Mlc3008
Cincinnati, Ohio 45229
Cincinnati, Ohio 45229
1-513-636-4200
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