Electronic Bridge to Mental Health for College Students (eBridge)
eBridge is an NIMH funded online intervention that screens students for mental health concerns including elevated suicide risk and facilitates their linkage to mental health (MH) services. Following a web-based screen using standardized scales to identify students at elevated risk, eBridge offers students options for personalized online feedback and corresponding online linkage with professionals who are trained in MI and knowledgeable about university and community resources. We have recently concluded recruitment for Year 5 at four universities: the University of Michigan, the University of Nevada-Reno, the University of Iowa, and Stanford University. We enrolled 1,988 college students and will be sending out the 6-month follow-up survey to assess mental health service linkage during the Spring, which will wrap up our data collection for this 5 year study. We recently submitted a baseline manuscript titled Depression, Alcohol Misuse, Suicidal Ideation, and Suicide Attempts in Sexual and Gender Minority College Students. In addition to this, our team currently has 2 more eBridge manuscripts in preparation-one looking at associations of prescription drug abuse and other illicit substance use in college students with suicide risk and the other investigating associations of victimization and discrimination with mental health outcomes among sexual and gender minority college students and whether or not sexual/gender minorities who are also racial/ethnic minorities are at an even greater risk for negative mental health outcomes.
24 Hour Warning Signs for Suicide
This NIMH-funded project was designed to identify the warning signs associated with near-term risk for suicide. We have enrolled 1019 youth and families and recruitment is now closed. These teens are receiving biweekly text message surveys about their mental health status. 86 teens have completed more in-depth telephone interviews about their thoughts, feelings, and behaviors within the 24-48 hours before a reported suicide attempt. Parents also complete a telephone interview about their observations of the teen’s behavior during the same 24- to 48-hour period. 164 case control interviews have also been completed!
Emergency Department Screen for Teens at Risk for Suicide (ED-STARS)
ED-STARS just concluded follow up interviews this month. A total of 4,050 participants were recruited and followed up at 3 and 6 month intervals. A total of 2491 3-month and 1134 6-month follow up interviews were conducted. This study was designed to validate the sensitivity of a computerized adaptive screen for predicting suicide attempts that was implemented in study one with 6,005 youths. Several working papers are now under way with this data.
Developing An Adaptive Intervention for Suicidal Adolescents Following Inpatient Hospitalization: A Pilot Smart
The overarching goal of this intervention development study involving adolescents who are hospitalized due to suicide risk is to optimize a safety plan intervention and post-discharge text-based support for teens hospitalized for suicide-related concerns. This study is currently in the final stages of data collection for the first of its two study aims; the purpose of study aim 1 was to obtain feedback from adolescents about the content of the text-based support. Participant recruitment for the second aim of the study, a Sequential Multiple Assignment Randomized Trial (SMART) pilot, will begin in early March.
Transforming Youth Suicide Prevention in Michigan (SAMHSA) Grant Team Updates
The PES Family Support and Follow-Up study aims to inform enhancements to crisis and emergency care for youth and families. At PES, we are recruiting 250-500 families to participate. Youth ages 10-18 with any suicide-related risk factors are eligible. Recruitment into Phase 2 is ongoing - currently have 71 families enrolled in Phase 2 (staff training plus parent tool kit) in addition to 87 families in Phase 1 (baseline). Retreat with larger team took place on 2/27 to discuss Phase 3, tentatively marked to begin in May and will integrate text messaging support post ED discharge for parents of youth at-risk.
Child Welfare Collaboration. Screening Pilot– recruitment completed in December - 22 youth enrolled into study across three partner counties. Continuing to collect 3 & 6 month follow-up data. Staff surveys to be sent out in April to evaluate feasibility and acceptability of the pilot. Workforce Evaluation – safeTALK training manuscript will be submitted to the Child Welfare journal in April.