If you decide to participate in the study, you will still get your regular care from your usual doctor or therapist. As part of the study, you will work with a study staff person called a Care Manager. They might connect with you over the phone, through video calls, or through text messages or emails. They might talk with you about how you are feeling, ask about your risk of self-harm, and work with you to develop a safety plan. They might see if you have appointments set up with your regular doctor or therapist and support you in connecting with them or other health care providers. Study care manager phone and video calls with your care manager will happen every 1 to 4 weeks over six months and last for 30 minutes to an hour each. The frequency of these calls will be based on your estimated risk of self-harm, and is determined by your care manager.

You may also be asked to join online group therapy with other teens and their parents or caregivers. There are 18 weekly group sessions over 4-6-months. Each session lasts up to an hour and a half. The group sessions teach skills that help change behaviors, thoughts, and emotions that cause distress. We will record all calls and group sessions to monitor the quality of these services and train study staff.

Some people will also be invited to complete a phone interview about what it was like to be in the study.

You will not be paid for taking part in the phone/video calls or the group sessions. If you are invited to do the optional interview about what it was like to be in the study, and you do the interview, we will give you a $40 gift card.

We will collect, use, and share information about you with other researchers in our team on the use of study services, such as phone or video calls and group sessions. We will also collect information such as your age, sex, race, ethnicity, sexual orientation, and gender identity; any mental health or medical diagnosis you may have or receive; health care you receive, such as outpatient, emergency, or hospital services that are not part of the study; and your answers to surveys on depression, anxiety, suicidal ideation, and substance use. Everything we collect will be carefully protected by all researchers in the study. Care Managers may add information to your medical record about your risk for self-harm so your doctors know more about how you are doing.

By participating in this study, you may learn new ways to help manage distress and prevent self-harm. Also, your participation may help other people who are at risk for self-harm. No names or identifying information will ever be used in reports about this study. If you decide not to participate, that’s fine too. Your choice to not participate in study services will not impact the health care or insurance you receive.