Alcohol, Suicide and HIV Prevention for Teens in Mental Health Treatment

George Mason University81 enrolled

Overview

This study examines whether an integrated alcohol/substance abuse, suicide, and HIV prevention protocol is associated with lower onset and frequency of alcohol and other drug use, suicidal behavior, and high risk sexual behavior among adolescents receiving community based mental health care.

The purpose of this study is to compare an integrated adolescent alcohol/drug, suicide, and HIV prevention program to an assessment only control condition in a randomized clinical trial. This prevention protocol is designed as an "add-on" intervention to standard mental health care. We will examine the extent to which the addition of this prevention protocol is associated with lower rates of alcohol use and drug use, suicidal behavior, and HIV related risk behaviors.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Suicide Alcohol Abuse Drug Abuse HIV

Interventions

Prevention programBEHAVIORAL

Eligibility

Sex: ALLMin age: 13 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ages 13-18 * English speaking adolescent and at least one English speaking parent * receiving mental health treatment * living with a parent or guardian willing to participate Exclusion Criteria: * Active Alcohol or Marijuana Dependence Diagnosis * HIV infection * Pregnant * Current psychosis * Cognitively unable to give assent

Locations (1)

George Mason University

Fairfax, Virginia, United States

Outcomes

Primary Outcomes

adolescent alcohol use and binge drinking (any, number of days, number of related problems)

This was assessed using the Customary Drinking and Drug Use Record

Time frame: change from baseline to 6 months (prior 3 months)

adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior)

This was assessed using the Suicidal ideation Questionnaire and the Self-Injurious Thoughts and Behavior Interview

Time frame: change from baseline to 6 months (prior month to 6 months)

adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts)

This was assessed using the Adolescent Risk Behavior Assessment.

Time frame: change from baseline to 6 months (prior 3 months)

adolescent marijuana use (any use, number of days, related problems)

This was assessed with the Customary Drinking and Drug Use Measure

Time frame: change from baseline to 6 months (prior 3 months)

adolescent alcohol use and binge drinking (any, number of days, number of related problems)

This was assessed using the Customary Drinking and Drug Use Measure

Time frame: change from baseline to 12 months (prior 3 months)

adolescent suicidal ideation and behavior (severity of suicidal ideation and presence of any suicidal ideation or suicidal behavior)

This was assessed with the Suicidal Ideation Questionnaire and the Self-Injurious Thoughts and Behavior Questionnaire

Time frame: change from baseline to 12 months (prior month to 6 months)

adolescent HIV risk behavior (any sexual behavior, number of sexual partners, number of unprotected sexual acts)

Data from ClinicalTrials.gov

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Secondary Outcomes

frequency of parental monitoring behavior

This was assessed with the Parental Monitoring Questionnaire

Time frame: change from baseline to 1 month

quality of parent-child communication around high risk behaviors

This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

Time frame: change from baseline to 1 month

adolescent perceptions of parental degree of disapproval of high risk behavior

This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

Time frame: change from baseline to 1 month

adolescent perception of degree of interpersonal coping and stress management skills

This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version

Time frame: change from baseline to 6 months

adolescent degree of perceived self-efficacy for condom use

This was assessed with the Self-Efficacy for Condom Use Scale

Time frame: change from baseline to 1 month

adolescent degree of HIV related knowledge

This was assessed with the HIV Knowledge Scale

Time frame: change from baseline to 1 month

adolescent perceptions of degree of peer substance use and tolerance of use

This was assessed with Peer Substance Use and Tolerance of Use scale

Time frame: change from baseline to 6 months

adolescent perception of the degree of peer approval of sexual activity

This was assessed with the Peer Norms Scale for Sexual Activity scale

Time frame: change from baseline to 6 months

adolescent degree of perceived self-efficacy for HIV prevention

This was assessed with the Self-Efficacy for HIV Prevention Scale

Time frame: change from baseline to 1 month

frequency of positive and negative thoughts related to suicide

This was assessed with the Positive and Negative Suicide Ideation Inventory

Time frame: change from baseline to 1 month

degree of adolescent positive/negative attitudes and beliefs about alcohol

This was assessed with the Youth Alcohol and Drug Survey

Time frame: change from baseline to 1 month

degree of adolescent positive/negative attitudes and beliefs about marijuana use

This was assessed with the Youth Alcohol and Drug Survey

Time frame: change from baseline to 1 month

frequency of parental monitoring behavior

This was assessed with the parental monitoring questionnaire

Time frame: change from baseline to 6 months

frequency of parental monitoring behavior

This was assessed with the parental monitoring questionnaire

Time frame: change from baseline to 12 months

quality of parent-child communication around high risk behaviors

This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

Time frame: change from baseline to 6 months

quality of parent-child communication around high risk behaviors

This was assessed with the Parent-Adolescent Sexual Communication Scale and items adapted for alcohol/drug use and suicidal behavior

Time frame: change from baseline to 12 months

adolescent perceptions of parental degree of disapproval of high risk behavior

This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

Time frame: change from baseline to 6 months

adolescent perceptions of parental degree of disapproval of high risk behavior

This was assessed with Parental Norms for Sexual Activity and Supervision Scale and items adapted for alcohol/drug use

Time frame: change from baseline to 12 months

adolescent perception of degree of interpersonal and stress management coping skills

This was assessed with the Bar-On Emotional Quotient Inventory - Youth Version

Time frame: change from baseline to 12 months

adolescent perceptions of degree of peer substance use and approval of use

This was assessed with Peer Substance Use and Tolerance of Use scale

Time frame: change from baseline to 12 months

adolescent perception of the degree of peer approval of sexual activity

This was assessed with the Peer Norms Scale for Sexual Activity scale

Time frame: change from baseline to 12 months