Housing First Combined with Suicide Treatment Education and Prevention (HOME + STEP): study protocol for a randomized controlled trial

Autor:	Alicia C. Bunger, Brittany Brackenoff, Jared Martin, Kelly J. Kelleher, Arielle H. Sheftall, Ruri Famelia, Allen B. Mallory, Laura Walsh, Natasha Slesnick, Laura J. Chavez, Xin Feng, Jodi L. Ford, Tansel Yilmazer
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	medicine.medical_specialty Housing First Adolescent medicine.medical_treatment Psychological intervention Suicide Attempted Suicide prevention law.invention Suicidal Ideation 03 medical and health sciences Study Protocol 0302 clinical medicine Randomized controlled trial law 030225 pediatrics medicine Humans 030212 general & internal medicine Psychiatry Suicidal ideation Randomized Controlled Trials as Topic Cognitive Behavioral Therapy business.industry Public health Public Health Environmental and Occupational Health Homelessness Suicide Opioid use Ill-Housed Persons Cognitive therapy Housing Biostatistics medicine.symptom Public aspects of medicine RA1-1270 business Young adults
Zdroj:	BMC Public Health, Vol 21, Iss 1, Pp 1-11 (2021) BMC Public Health
ISSN:	1471-2458
Popis:	Background Youth experiencing homelessness are at high risk for suicide, yet few studies have evaluated risk reduction interventions targeting suicidal ideation in this vulnerable population. A comprehensive approach to risk-reduction is needed that addresses basic needs and provides targeted interventions for those at highest risk. The protocol described builds on the design of the first randomized trial of Housing First (HF) for homeless youth. The primary objective is to determine whether housing combined with supportive services that include suicide screening and targeted psychotherapy (Cognitive Therapy for Suicide Prevention) is effective for reducing suicidal ideation and other secondary outcomes (depression and suicide attempts). Additionally, we will explore mediators of the treatment effect (housing stability and substance use) and determinants of implementation. Methods Youth recruited to the HF trial will be randomized to HF + supportive services (n = 120), or supportive services alone (n = 120). The “Suicide Treatment Education and Prevention” (STEP) protocol will additionally screen youth in both arms at baseline and 3 months for suicidal ideation (SSI-W). Those who screen as moderate risk for suicide (SSI-W ≥ 10) will be offered CTSP, which includes up to 9 sessions over the first 6 months following enrollment. CTSP will be delivered in one-on-one sessions by a trained advocate. Research assessments will be collected to assess outcomes (including suicidal ideation) at baseline, 3, 6, 9 and 12 months. Qualitative interviews with subjects receiving CTSP and other stakeholders will explore implementation determinants. Discussion The study will fill an important gap in the literature about the added benefit of HF combined with supportive services including suicide screening and treatment for reducing suicidal ideation in homeless youth. With the urgent need to address both homelessness and suicide risk, evidence is needed about services that can be integrated into delivery settings for youth experiencing homelessness. Trial registration NCT04135703. Date of registration: October 23, 2019.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cc2dc9c92e1488f80ab2bbb8c9fa8e1b https://doaj.org/article/63b70e2bb43a43ebb7d5276c6b3069f3 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.