Bridge the Gap (BTG) - Black Youth Group

Primary outcomes

1. The Collaborative Assessment & Management of Suicidality - Suicide Status Form (SSF)

   Time frame: From pre-treatment until 3 months post-treatment, approximately 23 weeks.

   An assessment of suicide risk that consists of six core assessment constructs: psychological pain, stress, agitation, hopelessness, self-hate, and overall risk of suicide; as well as reasons for living and reasons for dying constructs, and wish to live and wish to die constructs.

2. Ethnic Identity Scale (EIS)

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A 17-item scale that assesses the three components of ethnic identity and distinguishes between exploration, resolution, and affirmation. Scores range from 17-68, with higher scores indicating higher levels of affirmation, exploration, and resolution.

3. Living Ladder Scale

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A one-item measure that is prospectively associated with suicidal ideation and suicide attempts by measuring readiness to continue living among individuals thinking of suicide. Scores range from 0-8, with 8 indicating an individual is committed to making changes to make their lives worth living.

4. Brief Suicide Cognitions Scale (B-SCS)

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A 6-item self-report scale that measures the suicidal belief system, including dimensions of unlovability, unbearability, and unsolvability. Scores range from 6-30, with lower scores indicating fewer suicide cognitions.

5. Therapeutic Relationship Working Alliance Inventory, Short Revised (WAI-SR)

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A 12-item scale that reflects Bordin's three-dimensional conceptualization of therapeutic alliance: task, goal, and bond. Scores range from 12-60, with higher scores indicating higher therapeutic alliance.

6. Optimism and Hope Scale (OHS)

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A 14-item scale that measures an individual's level of both optimism, as characterized by a positive outlook on the future, and hope, as characterized by the belief in one's ability to achieve goals and navigate challenges. Scores range from 14-56, with lower scores indicating more hope and optimism.

7. Parent Readiness for Hospital Discharge Scale (RHDS)

   Time frame: From baseline until 3 months post-treatment, approximately 22 weeks.

   A 23-item scale aimed at providing a discharge readiness assessment before pediatric discharge from care in hospital settings. Scores range from 0-80, with higher scores indicating more readiness.

8. Group Cohesion Scale

   Time frame: From baseline until the beginning of post-treatment, approximately 10 weeks.

   A 12-item self-report scale that measures group cohesion, including dimensions of engagement, conflict, and avoidance. Scores across the subscales range from 0-72; higher scores indicate more of that dimension.