Condition: Suicidal Ideation · Suicide, Attempted · Suicide Prevention · Sponsor: Cynthia Fontanella
Suicide is the second leading cause of death among young people aged 12-17 years in the United States, yet many youth at risk for suicide are not identified or go untreated. Stepped care approaches have been shown to be effective at reducing suicide risk in clinical settings, including primary care. The goal of this hybrid I stepped wedge effectiveness-implementation study is to test the effectiveness of a population-based quality improvement (QI) intervention, entitled STARRS-PC (Stepped Approach to Reducing Risk of Suicide in Primary Care) compared to treatment as usual (TAU), in reducing the risk of suicidal behavior among youth in the pediatric primary care setting. STARRS-PC implements a clinical pathway for youth at elevated risk for suicide in pediatric primary care clinics. Clinical pathways are tools used by health professionals to guide evidence-informed practice. The STARRS-PC pathway consists of three evidence-based suicide clinical care processes: risk detection, assessment and triage, and, if needed, follow-up transitional care. STARRS-PC is guided by the Practical, Robust Implementation, and Sustainability Model (PRISM), which allows for the study of factors that influence effective implementation of the suicide prevention clinical pathway and is focused on scalability. The main questions the study aims to answer are: * Will STARRS-PC be more effective than TAU at reducing the rate of suicide attempt at 12 months post-baseline (primary outcome)? * Will STARR…
This description comes directly from the study's public registry record.
Cynthia Fontanella, PhD · (614) 938-0323 · cynthia.fontanella@nationwidechildrens.org
Priyanka Desirazu, MSE · (614) 938-1113 · STARRS@nationwidechildrens.org
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| AxessPointe Community Health Centers/Health Quarters | Akron, Ohio, United States | Recruiting |
| Signature Health | Ashtabula, Ohio, United States | Recruiting |
| Holzer Health System | Athens, Ohio, United States | Recruiting |
| Nationwide Children's Hospital | Columbus, Ohio, United States | Not Yet Recruiting |
| Dayton Children's Hospital - Hope Center | Dayton, Ohio, United States | Recruiting |
| Dayton Children's Hospital - Main | Dayton, Ohio, United States | Recruiting |
| Holzer Health System | Gallipolis, Ohio, United States | Recruiting |
| Hilliard Pediatrics | Hilliard, Ohio, United States | Recruiting |
| Holzer Health System | Jackson, Ohio, United States | Recruiting |
| Maumee Pediatric Associates | Maumee, Ohio, United States | Recruiting |
| Cornerstone Pediatrics | Miamisburg, Ohio, United States | Recruiting |
| Signature Health | Painesville, Ohio, United States | Recruiting |
+ 3 more locations — full list on the registry record.
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Source record: clinicaltrials.gov/study/NCT06018285