Adapting a Brief Suicide Intervention for Pediatric Primary Care: Enhancing Uptake and Impact

Suicide is a leading cause of death among adolescents in the United States and improving access to high quality just-in-time suicide interventions to reduce risk has important public health implications. Integrating such interventions into routinely accessed settings, such as pediatric primary care, holds promise; however, many clinicians in these settings fail to adequately screen or intervene in youth suicidal thoughts and behaviors, representing a key barrier to reducing suicide. The proposed study is a pre-post quasi-experimental pilot feasibility and preliminary efficacy trial of a suicide prevention intervention informed by evidence based interventions including the SAFETY-Acute suicide prevention intervention implemented in 3 pediatric primary care clinics.

Adolescent Inclusion Criteria: * adolescent between the ages of 10 and 18 years old * speaks fluent English * current or recent suicide risk Adolescent Exclusion Criteria: * high suicide risk (in need of immediate crisis stabilization services such as inpatient medical or psychiatric hospitalization) * does not speak fluent English * does not have a primary care provider Caregiver Inclusion Criteria: * has a child who meets inclusion criteria * Age 18 years or older Caregiver Exclusion Criteria: * does not have a child who meets inclusion criteria * does not speak English Provider Inclusion Criteria: * Age 18 years or older * works in primary care/outpatient healthcare setting