The Pursuit of Radical Hope: Suicidal Help-Seeking Behaviors Among Black Adolescents and Caregivers.
Sonyia C Richardson, Kimberly Gryglewicz, John A Williams...
https://pubmed.ncbi.nlm.nih.gov/41264369/Actively Recruiting
Led by University of North Carolina, Chapel Hill · Updated on 2026-07-07
180
Participants Needed
1
Research Sites
N/A
Total Duration
This research evaluates a culturally adapted care coordination intervention called Caring Connections designed for high-risk suicidal youth aged 13 to 19. The study tests the feasibility of this intervention, which is consumer-, community-, and theory-driven, aiming to reduce suicidal ideation and behaviors by improving engagement with services. It compares Caring Connections with usual treatment to assess its potential to lower suicide risk and improve service delivery within diverse communities, including faith-based organizations. Participants will be randomly assigned to either the Caring Connections group or a treatment-as-usual group. Caring Connections is a 90-day intervention delivered by Peer Support Specialists and Community Health Workers within mental health hubs located in faith-based organizations. This intervention includes strategies for monitoring suicide risk, linking to services, refining safety plans, and building supportive care networks, emphasizing cultural strengths and family relationships. The treatment-as-usual group receives standard care coordination with risk screening and referrals, typically involving crisis response and limited follow-up. During the study, youth, their caregivers, and community stakeholders will provide data at baseline, 30, 90, and 180 days. Assessments include measures of suicide ideation severity and reported suicide attempts. The study will monitor treatment adherence, therapeutic alliance, service usage, cultural humility, family relationships, and participation barriers. Data collection is conducted by blinded research assistants, supporting evaluation of intervention feasibility, usability, and impact over a six-month period.
CONDITIONS
Caring Connections Youth Suicide Detection and Intervention Study
S
Sonyia C Richardson, Ph.D.
M
Margaret Phipps-Bennett, M.S.W.
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
University of North Carolina, Chapel Hill
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Caring Connections | Treatment as Usual |
|---|---|---|
| What is it? | A behavioral care coordination intervention developed to support youth aged 13-19 who have recent or current suicidal thoughts, plans, attempts, or nonsuicidal self-injury, especially those with challenges accessing mental health services. | Standard or routine mental health, behavioral health, or related services normally provided to at-risk youth in community or clinical settings, without the care coordination enhancements of the investigational arm. |
| Role in trial | Randomly assigned intervention group, evaluated for its impact on suicide ideation and behavior among eligible youth. | Randomly assigned comparator group representing the care most youth would typically receive outside the study. |
| Primary use or intent | Designed to reduce suicide ideation and attempts through proactive care coordination, improved access to services, and engagement strategies adapted for youth at high risk. | To provide the standard clinical, behavioral, or referral services normally delivered in the healthcare or community system to youth at risk for suicide. |
| How it is provided | Participants receive tailored care coordination support; the program may include assessments, engagement, service connection, and check-ins. Developed and adapted with input from youth, caregivers, and community stakeholders to address barriers in service access. | Participants receive whichever standard services, referrals, or therapies they would normally access based on existing community or clinical pathways, without additional structured care coordination from the study. |
| Evidence status | Clinical evaluation is ongoing; no published outcome results from this specific trial yet. Prior studies of similar care coordination approaches have shown improvement in service engagement for at-risk youth, but conclusive effects on reducing suicide attempts require further study. | Routine community or clinical services vary and may not provide structured engagement or care coordination; engagement and follow-up rates for at-risk youth in standard care remain low, especially for marginalized groups. |
| Important limitations | Still under investigation with no posted trial outcomes; effectiveness across diverse populations is not yet established. Implementation may depend on community buy-in and resource availability. | Fragmented access, variable service quality, and persistent disparities, particularly among Black and marginalized youth; lack of structured support may limit engagement and follow-up. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 90 days
Participants receive either the Caring Connections intervention or Treatment as Usual, involving care coordination, risk monitoring, referrals, and follow-up support within mental health hubs at faith-based organizations.
Duration - Up to 180 days
Participants complete evaluations at baseline, 30, 90, and 180 days to monitor suicide ideation severity and suicide attempts, along with other measures of engagement and family relationships.
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Sonyia C Richardson, Kimberly Gryglewicz, John A Williams...
https://pubmed.ncbi.nlm.nih.gov/41264369/Sonyia C Richardson, Laura H Gunn, Margaret Phipps...
https://pubmed.ncbi.nlm.nih.gov/38095815/Kim Gryglewicz, Amanda Peterson, Eunji Nam...
https://pubmed.ncbi.nlm.nih.gov/34128700/Michelle M Vance, Kim Gryglewicz, Eunji Nam...
https://pubmed.ncbi.nlm.nih.gov/36100810/Sonyia C Richardson, Margaret Phipps-Bennett, Kim Gryglewicz...
https://pubmed.ncbi.nlm.nih.gov/40892589/University of North Carolina, Chapel Hill
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborating Sponsor