Mountlake Terrace

Researchers are evaluating an adapted suicide prevention intervention designed for adolescents aged 10 to 18 years with low to moderate suicidal thoughts and behaviors. The study aims to improve how pediatric primary care clinics manage suicide risk by integrating a brief, evidence-based intervention derived from the SAFETY-Acute program. This pilot feasibility and preliminary efficacy trial compares the new approach to usual care across three clinics. The study includes two main periods. During months 1 and 2, participating clinics will provide their usual treatment protocols for adolescent patients. In months 3 and 4, providers will deliver the adapted pilot intervention, which may involve adolescents and their caregivers. The intervention focuses on psychoeducation, coping skills, safety planning, lethal means restriction, parenting and communication skills, identifying strengths, and connecting families to longer-term care. Participants will complete various assessments around two weeks after the intervention, including measures of feasibility, acceptability, appropriateness, satisfaction, and usability. Caregivers and adolescents will also complete questionnaires at baseline, shortly after intervention, and two months later to evaluate self-efficacy and relationship quality. The study will monitor the impact and practicality of the intervention, with the total participation period spanning approximately four months.