The goal of this clinical trial is to develop and preliminarily test a culturally adapted suicide intervention specifically for black youth. The main question it aims to answer: -To evaluate the feasibility and acceptability of the group, as well as the preliminary efficacy of the group for decreasing suicidal thoughts and behaviors and increasing protective factors such as hope, positive ethnic identity, and family and peer support. Participants will be asked to attend 10-week group intervention and complete pre-treatment and post-treatment assessment measures.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
16
Participants will complete a group intervention, rooted in the Collaborative Assessment \& Management of Suicidality (CAMS) evidence-based model, driven by their own unique identification of suicide drivers.
Children's Hospital Los Angeles
Los Angeles, California, United States
RECRUITINGThe Collaborative Assessment & Management of Suicidality - Suicide Status Form (SSF)
An assessment of suicide risk that consists of six core assessment constructs: psychological pain, stress, agitation, hopelessness, self-hate, and overall risk of suicide; as well as reasons for living and reasons for dying constructs, and wish to live and wish to die constructs.
Time frame: From pre-treatment until 3 months post-treatment, approximately 23 weeks.
Ethnic Identity Scale (EIS)
A 17-item scale that assesses the three components of ethnic identity and distinguishes between exploration, resolution, and affirmation. Scores range from 17-68, with higher scores indicating higher levels of affirmation, exploration, and resolution.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
Living Ladder Scale
A one-item measure that is prospectively associated with suicidal ideation and suicide attempts by measuring readiness to continue living among individuals thinking of suicide. Scores range from 0-8, with 8 indicating an individual is committed to making changes to make their lives worth living.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
Brief Suicide Cognitions Scale (B-SCS)
A 6-item self-report scale that measures the suicidal belief system, including dimensions of unlovability, unbearability, and unsolvability. Scores range from 6-30, with lower scores indicating fewer suicide cognitions.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
Therapeutic Relationship Working Alliance Inventory, Short Revised (WAI-SR)
A 12-item scale that reflects Bordin's three-dimensional conceptualization of therapeutic alliance: task, goal, and bond. Scores range from 12-60, with higher scores indicating higher therapeutic alliance.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
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Optimism and Hope Scale (OHS)
A 14-item scale that measures an individual's level of both optimism, as characterized by a positive outlook on the future, and hope, as characterized by the belief in one's ability to achieve goals and navigate challenges. Scores range from 14-56, with lower scores indicating more hope and optimism.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
Parent Readiness for Hospital Discharge Scale (RHDS)
A 23-item scale aimed at providing a discharge readiness assessment before pediatric discharge from care in hospital settings. Scores range from 0-80, with higher scores indicating more readiness.
Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.
Group Cohesion Scale
A 12-item self-report scale that measures group cohesion, including dimensions of engagement, conflict, and avoidance. Scores across the subscales range from 0-72; higher scores indicate more of that dimension.
Time frame: From baseline until the beginning of post-treatment, approximately 10 weeks.