Clinical Trial for Integrated Care to Help At Risk Teen (iCHART) Intervention
Suicide and Depression, Adolescent Behavior
About this trial
This is an interventional health services research trial for Suicide and Depression
Eligibility Criteria
Inclusion Criteria: YOUTH Youth will be age 12-18 and speak English. Youth will have current depression or suicidal behavior. Suicidal behavior for iCHART (N=900) is defined as past suicidal thoughts in the past two weeks as indicated by PHQ-9M item #9 ≥ 1, and/or past month suicidal thoughts, and/or prior history of attempt as indicated by items on the PHQ-9M; and 300 who screen positive for depression (PHQ-9M ≥ "11") 50% of the 300 youth with PHQ-9M ≥ "11" will also be positive for suicide risk as defined for iCHART. CAREGIVERS/PARENTS Parents/caregivers of youth in the study must be at least 18 years old and their child must be willing to participate in the study. Caregivers/parents must be able to speak English. Parents are considered biological/adoptive parents or have court documentation that they can provide consent for research as a legal guardian of a youth. Only 1 parent/caregiver will be engaged in research, but in case 1 parent is unavailable, the other may be engaged (meaning it doesn't have to be the same parent participating in assessments/interviews throughout youth study participation). Exclusion Criteria: YOUTH Exclusion criteria include conditions that might impair their ability to effectively deploy ETUDES interventions, including: current manic or psychotic episode, presence of a life-threatening medical condition requiring immediate treatment, intellectual or developmental disability precluding comprehension of study procedure. The latter will will be assessed by parental report of placement in self-contained Special Education classes, EHR review, and during the consent/assent and/or baseline to determine if the participant is not understanding research procedures. Participants without access to a phone and/or tablet to interact with components of the intervention that require a phone will be excluded. CAREGIVERS/PARENTS There are no specific exclusion criteria for caregivers and providers. However, as mentioned in the inclusion criteria, caregivers will be excluded if they are not the biological parent or court-appointed guardian of the youth being interviewed.
Sites / Locations
- Children's Community Pediatrics (CCP- Waterdam) of Children's Hospital of Pittsburgh UPMCRecruiting
- CHOP Primary Care, CHOP Campus
- CHOP Primary Care, Cobbs Creek
- UPMC Center for Adolescent and Young Adult HealthRecruiting
- CHOP Primary Care, West Chester
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
iCHART
Treatment As Usual (TAU)
iCHART is an intervention that includes 3 components previously studied in within the ETUDES Center including a: Safety Planning App for suicidal youth which enables a primary care provider to streamline the gold standard of care for those with current suicidality symptoms through an app (instead of a paper based version); Mental Health Screener questionnaire that gathers additional mental health symptoms, treatment preferences, and family's readiness for treatment engagement to help primary care provider make a personalized, tailored treatment plan a suicidal youth is more likely to adhere to; Text Messages which aims to provide texts for 2-3 weeks to motivate you to engage with the safety plan and recommended treatment following the patient visit. Participants will receive usual care at their pediatric primary care practice following screening including information, psychoeducation, and referral to a mental health treatment provider.
Participants in this group will receive usual care from their primary care provider or mental health care provider which may include development of a paper safety plan.