SAFE Spaces: Systems Aligning for Equity (SAFE) Spaces

Sponsor

New York University (Other)

Overall Status

Recruiting

CT.gov ID

NCT05658068

Collaborator

(none)

800

Enrollment

Location

Arms

37.3

Anticipated Duration (Months)

21.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The goal of this 2-arm cluster randomized clinical trial is to test whether an evidence-based staff training and coaching model specifically designed as a response to legal system-involved youths' and frontline staff's mental health needs can improve the safety and suicide outcomes, mental health challenges, and wellness and facility climate for youth and staff in facilities assigned to the intervention condition. Staff in facilities assigned to the intervention are eligible to receive evidence-based programming in suicide detection and prevention (Shield of Care; SOC) and wellness skill-building (Skills for Life) through training and personalized coaching. Multiple training sessions will be offered to small groups of staff in-person in residential facilities and paired with personalized in-person and virtual coaching. Staff and youth in all facilities will be asked to complete periodic surveys assessing experiences in the facility, suicide and safety knowledge and risk, and their mental health and wellness. Researchers will compare outcomes of staff in youth in facilities assigned to the intervention compared to facilities in the training-as-usual condition.

Condition or Disease	Intervention/Treatment	Phase
Suicide Mental Disorder Mental Health Burnout, Professional Self Harm	Behavioral: SAFE Spaces training and coaching	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

800 participants

Allocation:

Randomized

Intervention Model:

Factorial Assignment

Masking:

Single (Outcomes Assessor)

Primary Purpose:

Prevention

Official Title:

Experimental Evaluation of a Multi-site Suicide Intervention for Youth During and After Residential Placement

Actual Study Start Date :

Apr 23, 2022

Anticipated Primary Completion Date :

Aug 1, 2024

Anticipated Study Completion Date :

May 31, 2025

Arms and Interventions

Arm	Intervention/Treatment
Experimental: SAFE Spaces training and coaching Staff in facilities assigned to this arm are offered the SAFE Spaces training and coaching model.	Behavioral: SAFE Spaces training and coaching Staff in facilities assigned to the intervention are eligible to receive evidence-based programming in suicide detection and prevention (Shield of Care; SOC) and wellness skill-building (Skills for Life) through training and personalized coaching. Multiple training sessions will be offered to small groups of staff in-person in residential facilities and paired with personalized in-person and virtual coaching.
No Intervention: Training as Usual Staff in facilities assigned to this arm receive training as usual.

Arm

Intervention/Treatment

Experimental: SAFE Spaces training and coaching

Staff in facilities assigned to this arm are offered the SAFE Spaces training and coaching model.

Behavioral: SAFE Spaces training and coaching

Staff in facilities assigned to the intervention are eligible to receive evidence-based programming in suicide detection and prevention (Shield of Care; SOC) and wellness skill-building (Skills for Life) through training and personalized coaching. Multiple training sessions will be offered to small groups of staff in-person in residential facilities and paired with personalized in-person and virtual coaching.

No Intervention: Training as Usual

Staff in facilities assigned to this arm receive training as usual.

Outcome Measures

Primary Outcome Measures

Decreases in Suicidal Ideation Questionnaire (Davis, 1992) and suicide subscale of Massachusetts Youth Screening Instrument (Grisso et al., 2001) [1 year]
Change in suicide ideation, thoughts, and behaviors
Decreases on Self-Injurious Thoughts and Behaviors Interview (Nock et al., 2007) [1 year]
Change in self-harm thoughts and behaviors
Decreases on internalizing and externalizing subscales of Massachusetts Youth Screening Instrument (Grisso et al., 2001) [1 year]
Change in mental health correlates of suicide
Decreased burnout and increased job efficacy on the Professional Quality of Life measure (Stramm, 2016) and the Maslach Burnout Inventory [1 year]
Change in staff burnout and job efficacy
Change in responses on the Inventory of Depression and Anxiety Symptoms (Watson et al., 2007) [1 year]
Change in staff mental health
Increased suicide knowledge and response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013) [1 year]
Change in suicide knowledge and response skills
Increased self-harm knowledge response skills from Tennessee's state-wide gatekeeper training (Schut & Lockman, 2013) [1 year]
Change in self-harm knowledge and response skills

Eligibility Criteria

Criteria

Ages Eligible for Study:

N/A and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Placement in in ACS-run or contracted residential facilities enrolled in the study during the first 2 years of the intervention period
Proficiency in English

Exclusion Criteria:

Not placed in an ACS run-or contracted facility enrolled in the study during the study period
Lack of proficiency in English.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	New York University	New York	New York	United States	10003

Sponsors and Collaborators

New York University

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

New York University

ClinicalTrials.gov Identifier:

NCT05658068

Other Study ID Numbers:

IRB-FY2019-3228

First Posted:

Dec 20, 2022

Last Update Posted:

Dec 20, 2022

Last Verified:

Dec 1, 2022

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Burnout, Professional

Suicide

Mental Disorders

Self-Injurious Behavior

Study Results

No Results Posted as of Dec 20, 2022