Youth-Nominated Support Team for Suicidal Adolescents (Version 1): a randomized controlled trial.

In this study, the authors investigated the efficacy of the Youth-Nominated Support Team-Version 1 (YST-1), a psychoeducational social network intervention, with 289 suicidal, psychiatrically hospitalized adolescents (197 girls, 92 boys). Adolescents were randomly assigned to treatment-as-usual plus YST-1 or treatment-as-usual only. Assessments were completed pre- and postintervention (6 months). There were no main effects for YST-1 on suicide ideation or attempts, internalizing symptoms, or related functional impairment. Relative to other girls, however, those who received YST-1 reported greater decreases in self-reported suicidal ideation (actually treated analytic strategy) and significantly greater decreases in mood-related functional impairment reported by their parents (intent to treat and actually treated analytic strategies). This is the first randomized controlled clinical trial to investigate the efficacy of a social network intervention with suicidal youths.

[1]  C. Pfeffer.  The Suicidal Child , 1986 .

[2]  M. Prinstein,et al.  Friendship Qualities and Social-Emotional Functioning of Adolescents With Close, Cross-Sex Friendships , 1999 .

[3]  R. Harrington,et al.  Randomized trial of group therapy for repeated deliberate self-harm in adolescents. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  Jacob Cohen.  Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[5]  L. Slavin,et al.  Gender differences in emotional support and depressive symptoms among adolescents: A prospective analysis , 1990, American journal of community psychology.

[6]  A. Yarcheski,et al.  Differences in social support and loneliness in adolescents according to developmental stage and gender. , 1994, Public health nursing.

[7]  D. Reboussin,et al.  Suicide attempts among formerly hospitalized adolescents: a prospective naturalistic study of risk during the first 5 years after discharge. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[8]  R. Harrington,et al.  Randomized trial of a home-based family intervention for children who have deliberately poisoned themselves. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[9]  E. Hill,et al.  Alcohol consumption in relation to other predictors of suicidality among adolescent inpatient girls. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[10]  S. Henggeler,et al.  Multisystemic therapy effects on attempted suicide by youths presenting psychiatric emergencies. , 2004, Journal of the American Academy of Child and Adolescent Psychiatry.

[11]  B. Klimes-Dougan,et al.  Suicidal ideation and attempts: a longitudinal investigation of children of depressed and well mothers. , 1999, Journal of the American Academy of Child and Adolescent Psychiatry.

[12]  David Shaffer,et al.  Youth suicide risk and preventive interventions: a review of the past 10 years. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[13]  Benedetto Vitiello,et al.  Fluoxetine, cognitive-behavioral therapy, and their combination for adolescents with depression: Treatment for Adolescents With Depression Study (TADS) randomized controlled trial. , 2004, JAMA.

[14]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[15]  D. Black,et al.  Secondary Prevention of Attempted Suicide in Adolescence. , 1995 .

[16]  R. Anderson,et al.  Deaths: leading causes for 2001. , 2003, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[17]  B. J. Hirsch.  Natural support systems and coping with major life changes , 1980 .

[18]  C. King,et al.  Family functioning and suicidal behavior in adolescent inpatients with mood disorders. , 1993, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  H. Kraemer,et al.  National Institute of Mental Health Collaborative Multimodal Treatment Study of Children with ADHD (the MTA). Design challenges and choices. , 1997, Archives of general psychiatry.

[20]  B. Wagner.  Family risk factors for child and adolescent suicidal behavior. , 1997, Psychological bulletin.

[21]  M. Wong,et al.  Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale , 1996 .

[22]  C. King,et al.  Prediction of positive outcomes for adolescent psychiatric inpatients. , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  W. Reynolds,et al.  A longitudinal investigation of depression, hopelessness, social support, and major and minor life events and their relation to suicidal ideation in adolescents. , 1998, Suicide & life-threatening behavior.

[24]  T. Achenbach.  Manual for the Youth Self-Report and 1991 profile , 1991 .

[25]  J. Rhodes,et al.  The Test of Time: Predictors and Effects of Duration in Youth Mentoring Relationships , 2002, American journal of community psychology.

[26]  G. Noam,et al.  Suicidality and psychopathology in hospitalized children and adolescents. , 1989, Acta paedopsychiatrica.

[27]  P. Bearman,et al.  Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. , 1997 .

[28]  J. Swanson,et al.  Analog classroom assessment of Adderall in children with ADHD. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[29]  J. Stevenson,et al.  A longitudinal twin study of temperament and behavior problems: common genetic or environmental influences? , 1997, Journal of the American Academy of Child and Adolescent Psychiatry.