Suicidal Ideation and BehaviorNCT07559955
Adapting Youth Nominated Support Team (YST) to Prevent Suicide
A study testing Youth-Nominated Support Team for Probation in people with Suicidal Ideation and Behavior, run by Columbia University at 1 site in United States.
Trial summary
The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Read more about this study
- Who is it for?
- Ages 12 to 80 years
- Conditions the study is for
- Suicidal Ideation and Behavior
- What is being tested?
- Youth-Nominated Support Team for Probation
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 137 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Feb 2027to 31 Jul 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 to 80 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist (n=40)
- Conversational in English (self-report/caregiver)
- Age 12-17years 11months (self-report/caregiver)
- Probation involvement (probation staff)
- Have a caregiver who is willing to participate (caregiver)
- Endorsed PY suicidal ideation (probation staff)
Show all 23Show fewer
- Nominated 2-4 supportive adults, at least 2 of whom are willing to participate (Intervention Specialist, supportive adult)
- Caregivers, referred to study by YST Intervention Specialist (n=40)
- Conversational in English (self-report)
- Caregiver of a youth who is eligible and willing to participate (probation referral, youth report)
- Supportive adults, referred to study by YST Intervention Specialist (n=40)
- Participating as a supportive adult in YST-P as indicated by completion of YST-P psychoeducational session (Intervention Specialist report)
- Conversational in English (self-report)
- Approved by youths' caregiver (caregiver)
- Be appropriate as determined by the YST-P Intervention Specialist (Intervention Specialist).
- Probation staff, assisted by agency leadership (n=15)
- Conversational in English (self-report)
- Employed by Suffolk or Nassau County Probation working with youth (self-report/agency leadership)
- Intervention Specialists, assisted by agency leadership (n=2)
- Conversational in English (self-report)
- Employed by Hope for Youth Licensed behavioral health clinician (self-report/agency leadership)
- Trained as YST-P Intervention Specialists (Research team)
- Facilitating the YST-P intervention (Research team)
Who cannot join
- Participants not meeting all inclusion criteria will be excluded from research activities.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Columbia University Irving Medical Center (CUIMC) Alianza Dominicana Triangle Building
New York, New York, 10032
Raquel Shrager, (830) 446-0624, rs3823@cumc.columbia.edu
Corianna E Sichel, PhD
About this study
Official title: Adapting Youth Nominated Support Team (YST) to Prevent the Escalation of Suicide Risk Among Youth on Probation
The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care they need due to multi-level barriers. YST-P is adapted from an existing evidence-based, social support intervention, Youth-Nominated Support Team (YST), which is a psychoeducational, social support intervention originally created as an adjunctive to standard behavioral health (BH) treatment for youth with suicide risk following psychiatric hospitalization. YST-P is an adaptation of YST designed to meet the unique needs of youth on probation, addressing their SIB and increasing their uptake of treatment, by leveraging their existing social networks. YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them to care. The study entails a single-arm pilot to examine reductions in SIB (within-subject comparison), and increased treatment uptake (comparing YST-P participants to a propensity-matched, historical control). This study will additionally explore theorized mechanisms of intervention action as well as implementation outcomes and barriers/facilitators to YST-P. The goal is for results from this study to inform a larger, fully powered effectiveness trial, as well as future studies leveraging youths' existing social support networks to prevent SIB and bridge them to care.
Read the detailed description
The goal of YST-P is to improve youths' SIB and their uptake of behavioral health (BH) services (defined as intake +1 session), examining multilevel inner/outer context and bridging factors that influence implementation of YST-P. The proposed hybrid (Type I) effectiveness-implementation study will occur in two counties on Long Island in New York State: Suffolk County and Nassau County. Guided by Heaney and Israel's Social Support for Health (SSH) framework, Social Cognitive Theory (SCT), and the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, the larger project comprises three phases:
Phase 1: formative qualitative work with key stakeholders.
Phase 2: adaptation (informed by formative work) of existing YST protocols and materials to create YST-P through stakeholder consultant workgroups.
Phase 3 (clinical trial): single-arm YST-P pilot trial, implemented at a community-based BH agency, to examine preliminary evidence of (a) reductions in SIB (within-subject comparison in sample of N=40 YST-P participants), (b) increased treatment uptake (comparing YST-P participants to a propensity matched, historical control, with uptake defined as intake +1 session), exploring theory-driven mediators/moderators (e.g., youth personal factors/coping resources; family environment and resources) on SIB and treatment uptake.
The investigators will additionally examine YST-P implementation outcomes and elucidate multi-level inner/outer context and bridging factors, to inform a larger study. During the clinical trial, investigators will collect quantitative (surveys and structured interviews) and qualitative (interviews and focus groups) data from youth/caregivers, supportive adults, probation staff, and Intervention Specialists at multiple timepoints across the implementation period. Investigators will also collect administrative records data on all youth endorsing suicidal ideation at probation intake, beginning one year prior to YST-P implementation (historical control) and continuing throughout the intervention period.
- Conditions
- Suicidal Ideation and Behavior
- Being tested
- Youth-Nominated Support Team for Probation
- Keywords
- Behavioral Health, Suicide, Suicidal Ideation and Behavior, Suicidal Ideation and Behaviors, Suicidal Ideation in Teens, Mental Health, Teen Mental Health, Adolescent Mental Health, Probation, Teens Probation Mental Health, Probation Mental Health, Probation Behavioral Health, Implementation, Implementation Science, Partnerships, e-Connect, YST, Youth Nominated Support Team, Caregiver Teens, Caregiver Mental Health
- Medical subject headings
- Suicidal Ideation, Behavior, Suicide, Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Youth-Nominated Support Team for ProbationBehavioural
YST-P is a social support intervention to leverage youths' existing relationships as an approach to decrease SIB and address multilevel barriers to care for youth on probation.
| Study group | Role | What they receive |
|---|---|---|
| Youth | Experimental | Youth with an active probation case with reported past year suicidal ideation who receive the YST-P intervention (n=40). Receives: Behavioral: Youth-Nominated Support Team for Probation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Youth Suicide Ideation and Behaviors
Youth suicide ideation and behaviors will be calculated using the GAIN Short Screener (GAIN-SS) ver. 3.0.2.
The GAIN-SS is scored on five items, each ranging from 0 to 4, where 0 = never and 4 = problems reported in the past month. Lower scores indicate better outcomes.
Measured: Assessed at baseline, at completion of the 3-month intervention, and also 6-month post-baseline
Secondary outcomes (1)
Youth treatment uptake
Youth treatment uptake will be defined as completing intake plus one additional session of behavioral health treatment.
Measured: Up to 14 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Apr 2026
- Study start1 Feb 2027 (estimated)
- Primary completion30 Jun 2028 (estimated)
- Study completion31 Jul 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Suicidal Ideation and BehaviorStudies of the same condition, open and under way.
- More trials run by Columbia UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- This study is a single-arm YST-P pilot trial.
- Masking
- None (open label)
- Enrolment
- 137 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Columbia University
- Sponsor type
- University, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Responsible party
- Principal investigator, Corianna Sichel, Columbia University
- Investigators
- Corianna E Sichel, PhD, Principal investigator, Columbia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07559955
- Sponsor's protocol ID
- AAAV6265
- Other IDs
- 1R34MH139837-01
- Status last verified
- Jul 2026
- First submitted
- 24 Apr 2026
- Last updated
- 31 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
King CA, Arango A, Kramer A, Busby D, Czyz E, Foster CE, Gillespie BW; YST Study Team. Association of the Youth-Nominated Support Team Intervention for Suicidal Adolescents With 11- to 14-Year Mortality Outcomes: Secondary Analysis of a Randomized Clinical Trial. JAMA Psychiatry. 2019 May 1;76(5):492-498. doi: 10.1001/jamapsychiatry.2018.4358.
PubMed 30725077King CA, Klaus N, Kramer A, Venkataraman S, Quinlan P, Gillespie B. The Youth-Nominated Support Team-Version II for suicidal adolescents: A randomized controlled intervention trial. J Consult Clin Psychol. 2009 Oct;77(5):880-93. doi: 10.1037/a0016552.
PubMed 19803568
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adapting Youth Nominated Support Team (YST) to Prevent the Escalation of Suicide Risk Among Youth on Probation
- ClinicalTrials.gov ID
- NCT07559955
- Acronym / sponsor ID
- AAAV6265
- Conditions
- Suicidal Ideation and Behavior
- Keywords
- Behavioral Health, Suicide, Suicidal Ideation and Behavior, Suicidal Ideation and Behaviors, Suicidal Ideation in Teens, Mental Health, Teen Mental Health, Adolescent Mental Health
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 137 participants (estimated)
- Lead sponsor
- Columbia UniversityUniversity, hospital or other
- Collaborators
- National Institute of Mental Health (NIMH)
- Study start
- 1 Feb 2027 (estimated)
- Primary completion
- 30 Jun 2028 (estimated)
- Study completion
- 31 Jul 2028 (estimated)
- First posted
- 30 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care they need due to multi-level barriers. YST-P is adapted from an existing evidence-based, social support intervention, Youth-Nominated Support Team (YST), which is a psychoeducational, social support intervention originally created as an adjunctive to standard behavioral health (BH) treatment for youth with suicide risk following psychiatric hospitalization. YST-P is an adaptation of YST designed to meet the unique needs of youth on probation, addressing their SIB and increasing their uptake of treatment, by leveraging their existing social networks. YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them to care. The study entails a single-arm pilot to examine reductions in SIB (within-subject comparison), and increased treatment uptake (comparing YST-P participants to a propensity-matched, historical control). This study will additionally explore theorized mechanisms of intervention action as well as implementation outcomes and barriers/facilitators to YST-P. The goal is for results from this study to inform a larger, fully powered effectiveness trial, as well as future studies leveraging youths' existing social support networks to prevent SIB and bridge them to care.
Detailed description
The goal of YST-P is to improve youths' SIB and their uptake of behavioral health (BH) services (defined as intake +1 session), examining multilevel inner/outer context and bridging factors that influence implementation of YST-P. The proposed hybrid (Type I) effectiveness-implementation study will occur in two counties on Long Island in New York State: Suffolk County and Nassau County. Guided by Heaney and Israel's Social Support for Health (SSH) framework, Social Cognitive Theory (SCT), and the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, the larger project comprises three phases:
Phase 1: formative qualitative work with key stakeholders.
Phase 2: adaptation (informed by formative work) of existing YST protocols and materials to create YST-P through stakeholder consultant workgroups.
Phase 3 (clinical trial): single-arm YST-P pilot trial, implemented at a community-based BH agency, to examine preliminary evidence of (a) reductions in SIB (within-subject comparison in sample of N=40 YST-P participants), (b) increased treatment uptake (comparing YST-P participants to a propensity matched, historical control, with uptake defined as intake +1 session), exploring theory-driven mediators/moderators (e.g., youth personal factors/coping resources; family environment and resources) on SIB and treatment uptake.
The investigators will additionally examine YST-P implementation outcomes and elucidate multi-level inner/outer context and bridging factors, to inform a larger study. During the clinical trial, investigators will collect quantitative (surveys and structured interviews) and qualitative (interviews and focus groups) data from youth/caregivers, supportive adults, probation staff, and Intervention Specialists at multiple timepoints across the implementation period. Investigators will also collect administrative records data on all youth endorsing suicidal ideation at probation intake, beginning one year prior to YST-P implementation (historical control) and continuing throughout the intervention period.
Study design
- Primary purpose
- Prevention
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This study is a single-arm YST-P pilot trial.
| Arm | Type | Receives |
|---|---|---|
| Youth | Experimental | Behavioral: Youth-Nominated Support Team for ProbationYouth with an active probation case with reported past year suicidal ideation who receive the YST-P intervention (n=40). |
Who may qualify
- Ages
- 12 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (23 listed)
- YST-P Pilot Youth on probation, referred to study by YST Intervention Specialist (n=40)
- Conversational in English (self-report/caregiver)
- Age 12-17years 11months (self-report/caregiver)
- Probation involvement (probation staff)
- Have a caregiver who is willing to participate (caregiver)
Key exclusion criteria (1 listed)
- Participants not meeting all inclusion criteria will be excluded from research activities.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Youth-Nominated Support Team for ProbationYST-P is a social support intervention to leverage youths' existing relationships as an approach to decrease SIB and address multilevel barriers to care for youth on probation. | Behavioural | Youth |
Primary outcome
Youth Suicide Ideation and Behaviors
Time frame: Assessed at baseline, at completion of the 3-month intervention, and also 6-month post-baseline
Youth suicide ideation and behaviors will be calculated using the GAIN Short Screener (GAIN-SS) ver. 3.0.2. The GAIN-SS is scored on five items, each ranging from 0 to 4, where 0 = never and 4 = problems reported in the past month. Lower scores indicate better outcomes.
1 secondary outcome
Youth treatment uptake
Time frame: Up to 14 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2026.
- Background: PubMed 30725077King CA, Arango A, Kramer A, Busby D, Czyz E, Foster CE, Gillespie BW; YST Study Team. Association of the Youth-Nominated Support Team Intervention for Suicidal Adolescents With 11- to 14-Year Mortality Outcomes: Secondary Analysis of a Randomized Clinical Trial. JAMA Psychiatry. 2019 May 1;76(5):492-498. doi: 10.1001/jamapsychiatry.2018.4358.
- Background: PubMed 19803568King CA, Klaus N, Kramer A, Venkataraman S, Quinlan P, Gillespie B. The Youth-Nominated Support Team-Version II for suicidal adolescents: A randomized controlled intervention trial. J Consult Clin Psychol. 2009 Oct;77(5):880-93. doi: 10.1037/a0016552.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Corianna E Sichel, PhD principal investigator
Columbia University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Youth-Nominated Support Team for Probation in people with Suicidal Ideation and Behavior, run by Columbia University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 23 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 31 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Quinn R Anderson, MS (650-283-2448, qra2000@cumc.columbia.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Youth Suicide Ideation and Behaviors (time frame: Assessed at baseline, at completion of the 3-month intervention, and also 6-month post-baseline). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07559955, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2026.