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Youth-Nominated Support Team for Suicidal Adolescents (Version 1): a randomized controlled trial
Cheryl A King1, Anne Kramer, Lesli Preuss
1Department of Psychiatry, University of Michigan, Ann Arbor 48109-0295, and Havenwyck Hospital, Auburn Hills, MI, USA. kingca@umich.edu
Journal of Consulting and Clinical Psychology
|March 23, 2006
Summary
The Youth-Nominated Support Team-Version 1 (YST-1) intervention showed no overall effect on suicidal adolescents. However, girls receiving YST-1 reported reduced suicidal ideation and mood impairment.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Interventions
- Social Network Analysis
Background:
- Suicidal adolescents often lack adequate social support.
- Psychoeducational social network interventions aim to bolster support systems.
Purpose of the Study:
- To evaluate the efficacy of the Youth-Nominated Support Team-Version 1 (YST-1) intervention.
- To assess YST-1's impact on suicidal ideation, attempts, and functional impairment in hospitalized adolescents.
Main Methods:
- Randomized controlled trial with 289 suicidal, hospitalized adolescents.
- Intervention group received treatment-as-usual plus YST-1; control group received treatment-as-usual only.
- Assessments conducted pre- and postintervention (6 months).
Main Results:
- No significant main effects of YST-1 on overall suicidal ideation, attempts, or internalizing symptoms.
- Girls receiving YST-1 showed greater reductions in self-reported suicidal ideation.
- Parents reported significantly greater decreases in mood-related functional impairment for girls in the YST-1 group.
Conclusions:
- YST-1 may offer specific benefits for suicidal adolescent girls regarding suicidal ideation and mood-related functional impairment.
- This is the first RCT of a social network intervention for suicidal youth, suggesting potential but requiring further investigation.