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Alaska Native Youth Aged 14 - 24BeWeLNCT05360888

Suicide Intervention for Alaska Native Youth

A study testing Tools for Life and Tools for Life + MISN in people with Alaska Native Youth Aged 14 - 24 and Suicide, Attempted, run by RAND at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Two interventions will be delivered virtually to American Indian/Alaska Native youth who have been hospitalized with suicidal attempt, suicidal ideation, or associated risk behaviors, including alcohol-related injury. Read more about this study

Who is it for?
Ages 14 to 24 yearsHealthy volunteers can take part
What is being tested?
Tools for Life and Tools for Life + MISN
Could I receive a placebo?
No, everyone receives an active treatment
How many people
302 participants
Where
2 sitesUnited States
Study dates
22 Dec 2022to 31 Jan 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 24 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Self-identify as Alaska Native youth
  • Between the ages of 14 and 24
  • Admitted to the hospital for suicide attempt, ideation, or associated risk behaviors including alcohol-related injury or acute intoxication

Who cannot join

  • -

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Yukon-Kuskokwim Health Corporation

    Bethel, Alaska, 99559

  • Tanana Chiefs Conference

    Fairbanks, Alaska, 99559

Other trials in United States

About this study

Official title: Comparative Effectiveness of Two Culturally-Centered Suicide Interventions for Alaska Native Youth

Two interventions will be delivered virtually to American Indian/Alaska Native youth who have been hospitalized with suicidal attempt, suicidal ideation, or associated risk behaviors, including alcohol-related injury.

Read the detailed description

The investigators will conduct a randomized controlled trial whereby Alaska Native (AN) youth who are hospitalized for suicide risk will be randomly assigned to either Qungasvik/Tools for Life or Tools for Life + Motivational Interviewing Social Network (MISN) intervention after their baseline survey, and followed up at 3-, 6-, and 12 months. All youth will receive Tools for Life and two 30-minute virtual follow-up visits (at 2- and 6-weeks post intervention) focused on connectivity to culture and obtaining support from intergenerational social networks in their home communities. Half of the youth will also receive MISN in addition to Tools for Life. Both interventions will be delivered virtually by a wellness team comprised of Alaska Native community behavioral health aides, prevention specialists and/or Elders who function in their communities as natural healers.

Being tested
Tools for Life, Tools for Life + MISN
Keywords
Alaska Native youth, suicide, prevention, culture
Medical subject headings
Suicide, Attempted, Suicidal Ideation, Alcoholic Intoxication, Suicide

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tools for LifeBehavioural

    Tools for Life focuses on empowering youth to learn more about their culture and their identity.

  • Tools for Life + MISNBehavioural

    Tools for Life focuses on empowering youth to learn more about their culture and their identity. MISN focuses on helping youth get support from their community and social networks.

Study groups in NCT05360888
Study groupRoleWhat they receive
Tools for LifeActive comparatorAll youth will receive the Tools for Life (Qungasvik) intervention. Tools for Life is an evidence-based, community-developed intervention focused on providing protective cultural experiences for Alaska Native youth to address suicide risk and alcohol use.
Receives: Behavioral: Tools for Life
Tools for Life + Motivational Interviewing Social Network intervention (MISN)Active comparatorHalf of the youth will will also receive MISN in addition to the Tools for Life intervention. MISN is an evidence-based treatment that augments motivational interviewing with personal social network composition and structure visualization as a means to cultivating healthy social networks and cultural worlds.
Receives: Behavioral: Tools for Life + MISN

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Suicide intent/risk

    We will use the Suicidal Ideation Attributes Scale (SIDAS) [0 = Never, 10 = Always]

    Measured: Change from baseline to 3 months

  2. Suicide intent/risk

    We will use the Suicidal Ideation Attributes Scale (SIDAS) [0 = Never, 10 = Always]

    Measured: Change from baseline to 6 months

  3. Suicide intent/risk

    We will use the Suicidal Ideation Attributes Scale (SIDAS) [0 = Never, 10 = Always]

    Measured: Change from baseline to 12 months

  4. Depression

    Patient Health Questionnaire (PHQ-9) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 3 months

  5. Depression

    Patient Health Questionnaire (PHQ-9) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 6 months

  6. Depression

    Patient Health Questionnaire (PHQ-9) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 12 months

  7. Anxiety

    Generalized Anxiety Disorder scale (GAD-7) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 3 months

  8. Anxiety

    Generalized Anxiety Disorder scale (GAD-7) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 6 months

  9. Anxiety

    Generalized Anxiety Disorder scale (GAD-7) [0 -not at all to 3-nearly every day]

    Measured: Change from baseline to 12 months

  10. Frequency of alcohol use

    Number of days used in the past 30 days. [ 0 to 30]

    Measured: Change from baseline to 3 months

  11. Frequency of alcohol use

    Number of days used in the past 30 days [ 0 to 30]

    Measured: Change from baseline to 6 months

  12. Frequency of alcohol use

    Number of days used in the past 30 days [ 0 to 30]

    Measured: Change from baseline to 12 months

  13. Alcohol use consequences

    Number of times in the past 3 months youth experience 4 different alcohol consequences [0 = Never to 6 = 20 or more times]

    Measured: Change from baseline to 3 months

  14. Alcohol use consequences

    Number of times in the past 3 months youth experience 4 different alcohol consequences [0 = Never to 6 = 20 or more times]

    Measured: Change from baseline to 6 months

  15. Alcohol use consequences

    Number of times in the past 3 months youth experience 4 different alcohol consequences [0 = Never to 6 = 20 or more times]

    Measured: Change from baseline to 12 months

Secondary outcomes (30)
  1. Sobriety self-efficacy

    Three items ask how sure youth are about staying sober from alcohol from 1= def drink to 5 = def not drink

    Measured: Change from baseline to 3 months

  2. Sobriety self-efficacy

    Three items ask how sure youth are about staying sober from alcohol from 1= def drink to 5 = def not drink

    Measured: Change from baseline to 6 months

  3. Sobriety self-efficacy

    Three items ask how sure youth are about staying sober from alcohol from 1= def drink to 5 = def not drink

    Measured: Change from baseline to 12 months

  4. Intentions to be sober from alcohol

    Youth report on intentions to be sober in the next 6 months from 1 = def yes to 4 = def no

    Measured: Change from baseline to 3 months

  5. Intentions to be sober from alcohol

    Youth report on intentions to be sober in the next 6 months from 1 = def yes to 4 = def no

    Measured: Change from baseline to 6 months

  6. Intentions to be sober from alcohol

    Youth report on intentions to be sober in the next 6 months from 1 = def yes to 4 = def no

    Measured: Change from baseline to 12 months

  7. Social network composition

    Participants will be asked to name 15 contacts ("alters") who are at least 18 years of age. Participants will rate each of the 15 people on the same set of questions with categorical response options (about demographics, relationship quality, likelihood to use drugs, etc.). For each participant, the selected responses will be summed across all of the network alters and divided by 15 to produce network composition percentages of the whole set of alters named by the participant (% of AI/ANs, % who engage in heavy drinking).

    Measured: Change from baseline to 3 months

  8. Social network composition

    Participants will be asked to name 15 contacts ("alters") who are at least 18 years of age. Participants will rate each of the 15 people on the same set of questions with categorical response options (about demographics, relationship quality, likelihood to use drugs, etc.). For each participant, the selected responses will be summed across all of the network alters and divided by 15 to produce network composition percentages of the whole set of alters named by the participant (% of AI/ANs, % who engage in heavy drinking).

    Measured: Change from baseline to 6 months

  9. Social network composition

    Participants will be asked to name 15 contacts ("alters") who are at least 18 years of age. Participants will rate each of the 15 people on the same set of questions with categorical response options (about demographics, relationship quality, likelihood to use drugs, etc.). For each participant, the selected responses will be summed across all of the network alters and divided by 15 to produce network composition percentages of the whole set of alters named by the participant (% of AI/ANs, % who engage in heavy drinking).

    Measured: Change from baseline to 12 months

  10. Social network structure

    Participants will rate the relationship strength between each of the 15 named alters. For each alter pair participants will rate if the two people know each other and, if yes, have individuals connected recently. Measures of network structure (i.e., network "connectedness") will be constructed from the set of evaluations for each participant. For example, network "density" will be constructed for the network overall, which is calculated by summing the number of alter pairs who know each other and dividing by the total number of possible ties among 15 alters (105). Individual alter "centrality" will be calculated by summing the number of connections each individual alter has with other alters in the network.

    Measured: Change from baseline to 3 months

  11. Social network structure

    Participants will rate the relationship strength between each of the 15 named alters. For each alter pair participants will rate if the two people know each other and, if yes, have individuals connected recently. Measures of network structure (i.e., network "connectedness") will be constructed from the set of evaluations for each participant. For example, network "density" will be constructed for the network overall, which is calculated by summing the number of alter pairs who know each other and dividing by the total number of possible ties among 15 alters (105). Individual alter "centrality" will be calculated by summing the number of connections each individual alter has with other alters in the network.

    Measured: Change from baseline to 6 months

  12. Social network structure

    Participants will rate the relationship strength between each of the 15 named alters. For each alter pair participants will rate if the two people know each other and, if yes, have individuals connected recently. Measures of network structure (i.e., network "connectedness") will be constructed from the set of evaluations for each participant. For example, network "density" will be constructed for the network overall, which is calculated by summing the number of alter pairs who know each other and dividing by the total number of possible ties among 15 alters (105). Individual alter "centrality" will be calculated by summing the number of connections each individual alter has with other alters in the network.

    Measured: Change from baseline to 12 months

  13. Time spent around peers who use alcohol

    Participants will report on how much time is spent around peers who drink from 0 = never to 3 = often

    Measured: Change from baseline to 3 months

  14. Time spent around peers who use alcohol

    Participants will report on how much time is spent around peers who drink from 0 = never to 3 = often

    Measured: Change from baseline to 6 months

  15. Time spent around peers who use alcohol

    Participants will report on how much time is spent around peers who drink from 0 = never to 3 = often

    Measured: Change from baseline to 12 months

  16. Awareness of connectedness

    Youth report on feelings of connectedness to community, family and environment from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 3 months

  17. Awareness of connectedness

    Youth report on feelings of connectedness to community, family and environment from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 6 months

  18. Awareness of connectedness

    Youth report on feelings of connectedness to community, family and environment from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 12 months

  19. Community protective factors

    Youth Community Protective Factors Scale. Youth report on feelings about different protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 3 months

  20. Community protective factors

    Youth Community Protective Factors Scale Youth report on feelings about different community protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 6 months

  21. Community protective factors

    Youth Community Protective Factors Scale Youth report on feelings about different community protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 12 months

  22. Individual protective factors

    Youth report on feelings about different individual protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 3 months

  23. Individual protective factors

    Youth report on feelings about different individual protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 6 months

  24. Individual protective factors

    Youth report on feelings about different individual protective factors from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 12 months

  25. Reasons for life

    Brief Reasons for Life Scale from 1 not at all important to 5 very important

    Measured: Change from baseline to 3 months

  26. Reasons for life

    Brief Reasons for Life Scale from 1 not at all important to 5 very important

    Measured: Change from baseline to 6 months

  27. Reasons for life

    Brief Reasons for Life Scale from 1 not at all important to 5 very important

    Measured: Change from baseline to 12 months

  28. Reflective processes

    The Reflective Processes scale taps a culturally patterned type of awareness and youth report from from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 3 months

  29. Reflective processes

    The Reflective Processes scale taps a culturally patterned type of awareness and youth report from from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 6 months

  30. Reflective processes

    The Reflective Processes scale taps a culturally patterned type of awareness and youth report from from 1 = strongly agree to 5 strongly disagree

    Measured: Change from baseline to 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2022
  2. Study start22 Dec 2022
  3. Primary completion31 Jan 2026
  4. Study completion31 Jan 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Half of the participants will be randomly assigned to Tools for Life, and the other half will receive Tools for Life plus a Motivational Interviewing Social Network intervention (MISN) and two booster sessions approximately 2 and 6 weeks post-intervention.
Masking
None (open label)
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05360888
Sponsor's protocol ID
YY46Q97AEZA8
Acronym
BeWeL
Status last verified
Sep 2026
First submitted
29 Apr 2022
Last updated
22 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The investigators will share only deidentified, aggregate data.

Publications

  • Rasmus S, D'Amico EJ, Allen J, Nation C, John S, Joseph V, Rodriguez A, Alvarado G, Gittens AD, Palimaru AI, Brown RA, Kennedy DP, Woodward MJ, Parker J, McDonald K. A protocol for a randomized controlled comparative effectiveness trial of two brief interventions focused on social and cultural connectedness to reduce risk for suicide and substance misuse in young Alaska Native people. BMC Public Health. 2025 Oct 15;25(1):3503. doi: 10.1186/s12889-025-24710-z.

    PubMed 41094443
  • Rasmus S, D'Amico EJ, Allen J, Nation C, John S, Joseph V, Rodriguez A, Alvarado G, Gittens AD, Palimaru AI, Brown RA, Kennedy DP, Woodward MJ, Parker J, McDonald K. Because We Love You (BeWeL): A protocol for a randomized controlled trial of two brief interventions focused on social and cultural connectedness to reduce risk for suicide and substance misuse in young Alaska Native people. Res Sq [Preprint]. 2024 Jan 22:rs.3.rs-3874293. doi: 10.21203/rs.3.rs-3874293/v1.

    PubMed 38343833

Questions about this trial

What is this clinical trial studying?

A study testing Tools for Life and Tools for Life + MISN in people with Alaska Native Youth Aged 14 - 24 and Suicide, Attempted, run by RAND at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Suicide intent/risk (time frame: Change from baseline to 3 months). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05360888, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2026.

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