YST Detroit

This NIMH-funded intervention development grant is a partnership between the University of Michigan, the emergency department at Children’s Hospital of Michigan (CHM), and MiSide and is seeking to combine two evidence-based interventions, the Youth Nominated Support Team (YST) and Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP), for black youth served by the public mental health system in Detroit. 

Specific Aims:

Aim 1: Development of Integrated Intervention: Integrate an electronic-based version of YST (eYST) with CBT-SP using CBPR methods and the ADAPT-ITT framework, obtaining stakeholder input from youth, parents/guardians, clinicians, and ED/clinic administrators regarding integration, cultural adaptations, and operational feasibility. Develop clinician training and fidelity assessments tools for CBT-SP + eYST. 

Aim 2a: Feasibility Pilot: Conduct a community-based pilot feasibility trial of Integrated CBT-SP + eYST for 12 youth who present to the ED for acute suicide-related care. Iteratively refine CBT-SP + eYST to improve acceptability, feasibility, and study procedures, prior to the pilot RCT. 

Aim 2b: Feasibility Trial: Original study aims have been updated to include a second Aim 2 pilot feasibility trial, to support required iterative improvements in recruitment, treatment linkage, and intervention delivery. The second open pilot will involve 15 Black youth (ages 12-17) with suicide risk recruited in the CHM ED or MiSide Behavioral Health Urgent Care as well as 1 parent/legal guardian.