Stepped Approach to Reducing Risk of Suicide in Primary Care (NCT06018285)
🩺 Plain-English Summary (8th-Grade Level)
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 STARRS-PC be more effective than TAU at reducing suicidal ideation and non-suicidal self-injury, and improving family satisfaction at 12 months post-baseline (secondary outcomes)? * What are the barriers and facilitators of effective implementation and sustainability of STARRS-PC?
Who can join: Review the eligibility criteria below.
Location: AxessPointe Community Health Centers/Health Quarters — Akron, Ohio
Age range: 12 Years to 17 Years
🧪 Interventions in This Study
- Stepped Approach to Reducing Risk of Suicide in Primary Care (BEHAVIORAL)
📋 "Do I Qualify?" — 1-Minute Self Screener
Instant ChecklistFull eligibility criteria are available on the official NIH protocol. View the criteria ↗
📍 All Participating Trial Locations (15 Sites)
- AxessPointe Community Health Centers/Health Quarters — Akron, Ohio
- Signature Health — Ashtabula, Ohio
- Holzer Health System — Athens, Ohio
- Nationwide Children's Hospital — Columbus, Ohio
- Dayton Children's Hospital - Hope Center — Dayton, Ohio
- Dayton Children's Hospital - Main — Dayton, Ohio
- Holzer Health System — Gallipolis, Ohio
- Hilliard Pediatrics — Hilliard, Ohio
- Holzer Health System — Jackson, Ohio
- Maumee Pediatric Associates — Maumee, Ohio
- Cornerstone Pediatrics — Miamisburg, Ohio
- Signature Health — Painesville, Ohio
- Village Square Primary Care Center — Perrysburg, Ohio
- Franklin Avenue Primary Care Center — Toledo, Ohio
- Signature Health — Willoughby, Ohio
📞 Contact the Study Coordinator
Phone: (614) 938-0323
Email: cynthia.fontanella@nationwidechildrens.org
Coordinator details come directly from the registered NIH protocol. Confirm the study is still recruiting before traveling.
💰 Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.
More studies in Suicidal Ideation
- Dynamic Deconstructive Psychotherapy Versus Brief Intervention and Contact for Suicidal Adolescents and Young Adults — Syracuse, New York
- The Group Risk Reduction Intervention Therapy (GRRIT) Project — Portsmouth, Virginia
- A Randomized Controlled Trial of a Smartphone Delivered Treatment for Suicidal Thoughts and Behavior — Boston, Massachusetts
- Youth Suicide Prevention: CAMS-BI vs. Safety Planning in a Randomized Trial — Cleveland, Ohio
- Neural Correlates of Suicidal Behavior in Youth — Cleveland, Ohio
- Task-Shifting Adapted IPT-A for Youth Suicide Prevention — Chestnut Hill, Massachusetts
Explore by condition: All Suicidal Ideation clinical trials
💡 How to Participate
- Check the checklist above to see if you may qualify.
- Contact the study coordinator using the phone/email above.
- Ask about the visit schedule, what is covered at no cost, and any travel support.
- Confirm with your own doctor before making a decision.