Raising Children in Different Cultures: Working with Latinx Youth with Suicidal Behaviors and Their Families.
Gisela Jimenez-Colon, Yovanska Duarté-Vélez
https://pubmed.ncbi.nlm.nih.gov/35476733/Actively Recruiting
Led by Bradley Hospital · Updated on 2025-03-19
150
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a new clinical approach to support LatinxHispanic youth aged 12 to 18 who experience suicidal thoughts and behaviors, along with their caregivers. The study aims to test a culturally relevant treatment called Socio-Cognitive Behavioral Therapy for Suicidal Behavior SCBT-SB, which is tailored to address the unique cultural and developmental needs of these youth. The study compares the standard SCBT-SB treatment to a new model that includes additional support from community health workers CHWs, trusted community members who help families access resources and reduce stigma. Participants will receive the SCBT-SB treatment, which includes individual, caregiver, and family sessions conducted in English or Spanish. The therapy has two phases an initial crisis module with nine core sessions, followed by flexible coping skills sessions. Half of the families will also receive support from a CHW who will assess social needs, provide referrals, psychoeducation, and ongoing follow-up at least once a month. The clinician and CHW coordinate care to enhance family engagement. Youth and their families will be followed for nine months, with assessments of suicidal thoughts, suicide attempts, and depressive symptoms at baseline, six months, and nine months. Data will be collected through self-reports and clinical interviews to measure changes in these symptoms. The study uses a randomized, double-blind design to evaluate the impact of adding CHWs to standard therapy. Participation involves regular treatment sessions and monitoring of mental health outcomes over the study period.
CONDITIONS
A New Clinical Model for the Engagement of Latinx Youth With Suicidal Behavior
Y
Yovanska Duarte-Velez, PhD
G
Gisela Jimenez-Colon, PhD
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Bradley Hospital
Lead 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 | SCBT-SB plus Community Health Worker | SCBT-SB Only |
|---|---|---|
| What it is | A manualized therapy for suicidal behavior in Latinx youth, delivered alongside structured support from a Community Health Worker who assesses social needs, provides referrals, psychoeducation, and helps engagement. | Manualized Socio-Cognitive Behavioral Therapy for Suicidal Behavior tailored to Latinx youth; does not include Community Health Worker involvement. |
| Role in the trial | Investigational arm; participants receive both the SCBT-SB therapy and structured support from a CHW. | Comparator arm; participants receive the SCBT-SB protocol without additional CHW support. |
| Primary use | Designed to reduce suicidal ideation, suicidal attempts, and depressive symptoms among Latinx youth through culturally tailored therapy and additional support addressing social determinants. | Designed to reduce suicidal thoughts and depressive symptoms among Latinx youth using a manualized therapy framework without additional social support. |
| How it is given/performed | One clinician delivers SCBT-SB, with a Community Health Worker assigned to each family. Therapy includes individual, caregiver, and family sessions. CHW meets with clinicians and families, assesses needs, provides referrals, offers psychoeducation, and supports engagement. Manuals available in Spanish and English. | One clinician delivers SCBT-SB therapy with individual, caregiver, and family sessions. Manuals are offered in Spanish and English; no CHW involvement. |
| Evidence status | This combination has not yet been evaluated in published randomized trials; the ongoing study aims to establish its effectiveness for reducing suicidality and depression in this population. | Prior pilot trials suggest SCBT-SB alone can reduce suicidal thoughts in Latinx adolescents, though broader efficacy evidence is still limited and ongoing. |
| Important limitations | SCBT-SB + CHW is a new combination being tested in a single-center study; effectiveness, safety, and implementation are not yet established across broader settings. Cultural adaptation and additional support may require resources not available in all health systems. | Evidence for SCBT-SB alone is limited to small samples and previous pilot trials; long-term outcomes and effectiveness outside pilot contexts are not widely established. |
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.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 9 months
Participants receive Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB), a culturally centered CBT treatment involving individual, caregiver, and family sessions. Some participants also receive support from a community health worker who provides additional engagement and resource connection.
Regular sessions as per therapy protocol with clinician and community health worker support
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Gisela Jimenez-Colon, Yovanska Duarté-Vélez
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https://pubmed.ncbi.nlm.nih.gov/26928136/Bradley Hospital
Lead Sponsor