Evidence map›Paper›PMID 31937274›Full record

ArticleBMC psychiatry2020

A suicide prevention strategy for youth presenting to the emergency department with suicide related behaviour: protocol for a randomized controlled trial.

Daphne J Korczak, Yaron Finkelstein, Melanie Barwick, Gloria Chaim, Kristin Cleverley, Joanna Henderson, Suneeta Monga, Myla E Moretti, Andrew Willan, Peter Szatmari

Registry-linked trialAbstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03488602 (A Focused Suicide Prevention Strategy for Youth Presenting to the Emergency Department With Suicide Related Behaviour), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03488602 naunknown statusnot on this map

A Focused Suicide Prevention Strategy for Youth Presenting to the Emergency Department With Suicide Related Behaviour: A Randomized Controlled Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2018 to 2020Enrolled128ConditionsSuicide, Suicide, Attempted, Suicidal IdeationArmsF-SPS+UC, EUC
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Psychosocial interventions for self-harm in adults.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Trajectories of parent criticism across treatment for youth self-harm.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Exploring the Suicide Mechanism Path of High-Suicide-Risk Adolescents-Based on Weibo Text Analysis.International journal of environmental research and public health · 2022
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Daphne J KorczakDepartment of Psychiatry, Hospital for Sick Children, , Toronto, ON, Canada. daphne.korczak@sickkids.ca.ORCID 0000-0002-0061-7495
Yaron FinkelsteinResearch Institute, Hospital for Sick Children, Toronto, ON, Canada.
Melanie BarwickResearch Institute, Hospital for Sick Children, Toronto, ON, Canada.
Gloria ChaimDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Kristin CleverleyDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Joanna HendersonDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Suneeta MongaDepartment of Psychiatry, Hospital for Sick Children, , Toronto, ON, Canada.
Myla E MorettiClinical Trial Unit, Ontario Child Health Support Unit, Hospital for Sick Children, Toronto, ON, Canada.
Andrew WillanDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Peter SzatmariDepartment of Psychiatry, Hospital for Sick Children, , Toronto, ON, Canada.

Funding

Hospital for Sick Children Centre for Brain and Mental Health None
6 · The paper itself

Abstract

backgroundSuicide is a leading cause of death among adolescents in North America. Youth who present to the Emergency Department (ED) with acute suicidality are at increased risk for eventual death by suicide, thereby presenting an opportunity for secondary prevention of suicide. The current study evaluates the effectiveness of a standardized individual and family-based suicidal behaviour risk reduction intervention targeting adolescents at high-risk for suicide.

methodsA randomized controlled trial (RCT) will be conducted to evaluate the effectiveness of a manualized youth- and family- based suicide prevention strategy (SPS) as compared with case navigation (NAV) among adolescents aged 12 to 18 years of age who present to the ED with acute suicidal ideation (SI) or suicide risk behaviours (SRB). We will recruit 128 participants and compare psychiatric symptoms including SI/SRB, family communication, and functional impairment at baseline and follow-ups (post-intervention [6 weeks], 24 weeks). The primary outcome is change in suicidal ideation measured with the Suicide Ideation Questionnaire- Junior. SRBs are measured with the Suicide Behaviour Questionnaire. Secondary outcomes are change in depressive and anxious symptoms measured with semi-structured psychiatric interview and Screen for Child Anxiety Related Disorders; acute mental health crises measured by urgent medical (including ED) visits; family communication measured with Conflict Behaviour Questionnaire, functional impairment measured by Columbia Impairment Scale; cost effectiveness, and fidelity of implementation measured by audio recording and fidelity checklist. DISCUSSION: Results of this study will inform a larger multi-centre RCT that will include both community and academic hospitals in urban and rural settings. Study results will be shared at international psychiatry and emergency medicine meetings, in local rounds, and via publication in academic journals and clinician-oriented newsletters. If effective, the intervention may provide a brief, scalable, and transportable treatment program that may be implemented in a variety of settings, including those in which access to children's mental health care services is challenging.

trial registrationClinicalTrials.gov: NCT03488602, retrospectively registered April 4, 2018.

Indexed as

Mental DisordersMental Health ServicesResearch DesignAdolescentChildEmergency Service, HospitalHumansRandomized Controlled Trials as TopicSecondary PreventionSuicidal IdeationChild and adolescent psychiatryEmergency mental healthPsychotherapySelf-harmSuicide attemptSuicide prevention

Identifiers

PMID31937274
PMCPMC6961291

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.