Housing First Combined with Suicide Treatment Education and Prevention (HOME + STEP): study protocol for a randomized controlled trial.
Housing First Combined with Suicide Treatment Education and Prevention (HOME + STEP): study protocol for a randomized controlled trial.
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DOI：
10.1186/s12889-021-11133-9
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发表时间：
2021-06-12
影响因子：
4.5
通讯作者：
Slesnick N
中科院分区：
文献类型：
--
作者：
Chavez L;Kelleher K;Bunger A;Brackenoff B;Famelia R;Ford J;Feng X;Mallory A;Martin J;Sheftall A;Walsh L;Yilmazer T;Slesnick N
经历无家可归的年轻人自杀的风险很高，但很少有研究评估针对这一弱势群体中自杀意念的风险降低干预措施。需要一种全面的减少风险的方法，以满足基本需求，并为风险最高的人提供有针对性的干预措施。所描述的方案建立在为无家可归的青年进行的第一个住房优先(HF)随机试验的设计之上。主要目标是确定住房与包括自杀筛查和有针对性的心理治疗(自杀预防认知疗法)在内的支助服务相结合，是否有效地减少自杀意念和其他次要结果(抑郁和自杀企图)。此外，我们将探讨影响治疗效果的中介因素(住房稳定性和物质使用)和实施的决定因素。招募到HF试验的年轻人将被随机分为HF + 支持服务(n = 120)或单独支持服务(n = 120)。“自杀治疗、教育和预防”(STEP)方案还将在基线和3个 月时对双臂青年进行自杀意念筛查。那些被筛选为中等自杀风险的人(SSI-W ≥ 10)将被提供CTSP，其中包括在注册后的前6个 月内最多9次会议。CTSP将由一名训练有素的倡导者在一对一的会议上进行讲解。将收集研究评估以评估基线、3、6、9和12个 月的结果(包括自杀意念)。与接受CTSP的受试者和其他利益攸关方的定性访谈将探讨执行的决定因素。这项研究将填补文献中关于HF与支持性服务相结合的额外益处的一个重要空白，这些服务包括自杀筛查和治疗，以减少无家可归青年的自杀意念。由于迫切需要解决无家可归和自杀风险问题，需要有证据表明可以将哪些服务纳入为经历无家可归的青年提供的服务环境。NCT04135703。报名日期：2019年10月23日。
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. 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. 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. NCT04135703. Date of registration: October 23, 2019.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
3.8
作者：
Kidd, Sean A.;Carroll, Michelle R.
通讯作者：
Carroll, Michelle R.
影响因子：
3.8
作者：
Gwadz, Marya Viorst;Nish, David;Strauss, Shiela M.
通讯作者：
Strauss, Shiela M.
DOI：
10.1177/0706743717694836
发表时间：
2017-07-01
影响因子：
4
作者：
Aquin, Joshua P.;Roos, Leslie E.;Sareen, Jitender
通讯作者：
Sareen, Jitender
DOI：
10.1001/archpediatrics.2012.1276
发表时间：
2012-12-01
影响因子：
--
作者：
Horowitz, Lisa M.;Bridge, Jeffrey A.;Pao, Maryland
通讯作者：
Pao, Maryland