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iKinnect2.0 for Juvenile Justice Involved Youth at Risk for Suicide

Award Information
Agency: Department of Health and Human Services
Branch: National Institutes of Health
Contract: 1R44MH126819-01
Agency Tracking Number: R44MH126819
Amount: $957,530.00
Phase: Phase I
Program: SBIR
Solicitation Topic Code: 104
Solicitation Number: PA18-566
Solicitation Year: 2018
Award Year: 2021
Award Start Date (Proposal Award Date): 2021-05-10
Award End Date (Contract End Date): 2022-04-30
Small Business Information
Seattle, WA 98144-4012
United States
DUNS: 831785386
HUBZone Owned: No
Woman Owned: Yes
Socially and Economically Disadvantaged: No
Principal Investigator
 (206) 384-7371
Business Contact
Phone: (206) 265-2507
Research Institution

PROJECT SUMMARY/ABSTRACTSuicidal behaviors (ideation, planning, attempts) and non-suicidal self-injurious behaviors (NSSI) are highly
prevalent among juvenile justice-involved transition-age (TA) youth. More than half of youth in the juvenile
justice (JJ) system report suicidal ideation; one-third report a history of suicidal behavior. Black youth are
disproportionately represented in juvenile justice and are also at increased risk of suicide, as rates of suicidal
behavioral and death by suicide among Black youth have risen at an alarming rate, faster than other
racial/ethnic groups. This increase has resulted in a number of government initiatives to increase suicide
prevention efforts for Black youth. Reducing suicide risk among JJ-involved youth must occur in conjunction
with interventions addressing their broader needs for reduced externalizing behavior and in ways that are
culturally appropriate for Black youth.iKinnect is a paired mobile app platform that supports parents (in delivering) and youth (in receiving)
evidence-based practices to reduce youth problem behaviors. Based on Multisystemic Therapy principles,
iKinnect1.0 was originally designed to help youth with serious conduct problems. Results from a randomized
controlled trial (RCT; N=72) demonstrated its efficacy in reducing externalizing behaviors and improving parent
effectiveness. This fast-track proposal seeks to significantly expand iKinnect to prevent NSSI, suicidal
behaviors (ideation, planning, attempts), and death by suicide in JJ-involved TA youth while continuing to
decrease externalizing behaviors and prevent recidivism. Leaders in the area of suicide risk among Black
youth and cultural appropriateness of interventions will guide these efforts.This 33-month fast track will include three primary phases of evaluation: (1) a proof-of-concept formative
evaluation phase during which we will iteratively design, test, and build a central portion of iKinnect2.0 to
achieve its usability, acceptability, and relevance (Months 1-10); (2) a product design-and-build formative
evaluation phase, where we will design, build, and test all remaining features for iOS and Android phones,
while also preparing the platform for clinical use (Months 11-23); and (3) a summative evaluation phase
involving a pilot test (N=15) of iKinnect2.0 and an RCT (N=120) comparing iKinnect2.0 to an active control
condition; and results will then be analyzed, reported, and disseminated (Months 24-33). We predict that
iKinnect2.0 TA youth and parents will report a significantly greater decrease in suicidal and NSSI behaviors
and in conduct problem behaviors in TA youth. Furthermore, iKinnect2.0 participants (TA youth and parents)
will report significantly greater use of behavioral skills, as well as self-efficacy in coping with emotional distress
and other challenging situations. iKinnect2.0 parents will report greater awareness of and confidence in
applying evidence-based strategies to prevent suicide/NSSI and support their suicidal youth through a suicide
Non-suicidal self-injurious behaviors (NSSI) and suicidal behaviors (ideation, planning, attempts) are highly
prevalent among juvenile justice-involved youth. Rates of suicidal behavior and death by suicide among Black
youth, who are disproportionately involved in the juvenile justice system, have also risen at an alarming rate,
resulting in a number of government initiatives to increase suicide prevention interventions for Black youth that
are culturally-appropriate. This proposed iKinnect2.0 Fast-Track seeks to significantly expand iKinnect, an
efficacious paired mobile app that supports parents (in delivering) and youth (in receiving) evidence-based
techniques to reduce youth externalizing behaviors such as delinquency and drug use. iKinnect2.0 will be
expanded to also prevent NSSI, suicidal behaviors, and death by suicide in juvenile justice-involved youth
while continuing to prevent criminal recidivism.

* Information listed above is at the time of submission. *

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