Reducing Suicidal Ideation in African American Adolescents: A Randomized Controlled Clinical Trial
Abstract
Objective: Suicide rates among African American adolescents have increased exponentially in recent years. The socio-ecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally-sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping with Stress course (A-CWS), a culturally-tailored preventive intervention, to reduce suicidal ideation in African American adolescents, utilizing a randomized controlled design. Method: Participants included 410 ninth-grade students in a large Midwestern city; most students identified as Black/African American. Participants were randomly assigned to either the A-CWS intervention or standard care control condition. All participants were assessed at baseline, immediately post-intervention, and 6- and 12-months post-intervention. Results: Treatment effects were examined using latent growth models comparing suicidal ideation trajectories in control and intervention conditions. Analyses were conducted using both intention-to-treat and treatment-as-received samples (i.e., intervention condition participants who attended at least 80% of sessions). In both intention-to-treat and treatment-as-received analyses, there was a significant treatment effect: individuals in the A-CWS intervention condition with higher baseline ideation evidenced a superior reduction in suicidal ideation over the course of the…
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