Swift Outpatient Alternatives for Rapid Stabilization
What is the goal of the study?
The overall objective of this project is to improve the effective outpatient management of acute youth suicide risk by optimizing intervention components to build an efficient, evidence-based intervention that is responsive to the needs of, and coordinated with, providers in primary care settings. This project will evaluate the efficiency and effectiveness of the four distinct SOARS components to identify their impact on putative mechanisms and reduction of STBs through the following specific aims: Aim 1: Determine the most efficient, scalable, and effective SOARS intervention package. Using a fractional factorial experimental design dictated by MOST, we will determine the strongest combination of SOARS components associated with reduction in youth STBs. Aim 2: Test if age and STB history moderate the impact of the intervention components. We will analyze the influence of two key patient characteristics - age and STB history- on main and interaction effects of the SOARS intervention components. Aim 3: Evaluate whether SOARS components impact youth STBs through their putative mechanisms of change. We will conduct a mediation analysis testing whether the four core SOARS components outlined engage related mechanisms including therapeutic alliance, youth and caregiver self-efficacy, and access to lethal means. We will also examine whether these putative mechanisms of change independently account for changes in youth STBs. Aim 4: Identify strategies to maximize acceptability and usability of the SOARS referral and intervention pathway from the perspective of medical outpatient providers. Through analysis of referral service patterns and process of co-design, this aim will identify the barriers to SOARS utilization, usability, and acceptability. Solutions for barriers that come up frequently and have high impact on providers will be generated.
Who can participate in the study?
Please contact the study team listed below to learn more.