[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100496783":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":39,"responsibleParty":210,"collaborators":213,"id":225,"slug":226,"hasResults":227,"nctId":228,"briefTitle":229,"officialTitle":230,"acronym":25,"eligibilityCriteria":231,"healthyVolunteers":227,"sex":232,"minAge":233,"maxAge":234,"enrollmentInfo":235,"targetDuration":25,"studyType":238,"phases":239,"briefSummary":241,"conditions":242,"keywords":25,"overallStatus":42,"whyStopped":25,"lastUpdateSubmitDate":245,"lastUpdatePostDateStruct":246,"startDateStruct":249,"completionDateStruct":251,"leadSponsor":253,"locationsCount":254},{"fullName":5,"class":6},"University of Pittsburgh","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"iCHART","EXPERIMENTAL","iCHART is an intervention that includes 3 components previously studied in within the ETUDES Center including a:\n\n1. Safety Planning App for suicidal youth which enables a primary care provider to streamline the gold standard of care for those with current suicidality symptoms through an app (instead of a paper based version);\n2. Mental Health Screener questionnaire that gathers additional mental health symptoms, treatment preferences, and family's readiness for treatment engagement to help primary care provider make a personalized, tailored treatment plan a suicidal youth is more likely to adhere to;\n3. Text Messages which aims to provide texts for 2-3 weeks to motivate you to engage with the safety plan and recommended treatment following the patient visit.\n\nParticipants will receive usual care at their pediatric primary care practice following screening including information, psychoeducation, and referral to a mental health treatment provider.",[13],"Behavioral: iCHART",{"label":15,"type":16,"description":17,"interventionNames":18},"Treatment As Usual (TAU)","ACTIVE_COMPARATOR","Participants in this group will receive usual care from their primary care provider or mental health care provider which may include development of a paper safety plan.",[19],"Behavioral: Treatment As Usual",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","The Safety Planning App will guide primary care providers or mental health clinicians in the use of an emotion regulation and safety planning app (BRITE) to be loaded on the phone of depressed and suicidal adolescents in order to improve depression and reduce the likelihood of a suicide attempt.\n\nThe Mental Health Screener is a decision support tool to guide the primary care provider to make a referral that reflects patient clinical needs and patient and parental treatment preferences and perceived barriers to treatment.\n\nThe Text Messages is a personalized text messaging intervention for patients and parents that targets engagement with the safety plan to increase the likelihood that a depressed or suicidal patient will maintain or initiate recommended services.\n\nParticipants will receive usual care at their pediatric primary care practice following screening including information, psychoeducation, and referral to a mental health treatment provider.",[9],null,{"type":22,"name":27,"description":17,"armGroupLabels":28,"otherNames":25},"Treatment As Usual",[15],[30],{"name":31,"affiliation":5,"role":32},"Stephanie Stepp, PhD","PRINCIPAL_INVESTIGATOR",[34],{"name":35,"role":36,"phone":37,"phoneExt":25,"email":38},"Brandie George-Milford, MA","CONTACT","412-246-5629","georgeba2@upmc.edu",[40,58,73,87,98,109,119,134,144,157,169,183,196],{"facility":41,"status":42,"city":41,"state":43,"zip":44,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":53},"Gibbsboro","RECRUITING","New Jersey","08026","United States","US",{"type":48,"coordinates":49},"Point",[50,51],-74.96489,39.83817,{"lat":51,"lon":50},[54],{"name":55,"role":36,"phone":56,"phoneExt":25,"email":57},"Jeffrey Fendrick, MD","856-783-2802","fendrickj@chop.edu",{"facility":59,"status":42,"city":60,"state":61,"zip":62,"country":45,"countryCode":46,"cosmosGeoPoint":63,"geoPoint":67,"contacts":68},"Conemaugh Memorial Medical Center-Family Medicine","Johnstown","Pennsylvania","15905",{"type":48,"coordinates":64},[65,66],-78.92197,40.32674,{"lat":66,"lon":65},[69],{"name":70,"role":36,"phone":71,"phoneExt":25,"email":72},"Jeannie Spencer, MD","(814) 534-9106","JSpence@conemaugh.org",{"facility":74,"status":42,"city":75,"state":61,"zip":76,"country":45,"countryCode":46,"cosmosGeoPoint":77,"geoPoint":81,"contacts":82},"CHOP Primary Care, CHOP Campus","Philadelphia","19104",{"type":48,"coordinates":78},[79,80],-75.16362,39.95238,{"lat":80,"lon":79},[83],{"name":84,"role":36,"phone":85,"phoneExt":25,"email":86},"Kathleen Zsolway, DO","215-590-2178","zsolway@chop.edu",{"facility":88,"status":42,"city":75,"state":61,"zip":89,"country":45,"countryCode":46,"cosmosGeoPoint":90,"geoPoint":92,"contacts":93},"Roxborough","19128",{"type":48,"coordinates":91},[79,80],{"lat":80,"lon":79},[94],{"name":95,"role":36,"phone":96,"phoneExt":25,"email":97},"Maria Dugan, MD","2154833444","duganm@chop.edu",{"facility":99,"status":42,"city":75,"state":61,"zip":100,"country":45,"countryCode":46,"cosmosGeoPoint":101,"geoPoint":103,"contacts":104},"CHOP Primary Care, Cobbs Creek","19139",{"type":48,"coordinates":102},[79,80],{"lat":80,"lon":79},[105],{"name":106,"role":36,"phone":107,"phoneExt":25,"email":108},"Andrea McGeary, MD","215-476-2223","mcgeary@chop.edu",{"facility":110,"status":42,"city":75,"state":61,"zip":100,"country":45,"countryCode":46,"cosmosGeoPoint":111,"geoPoint":113,"contacts":114},"Karabots",{"type":48,"coordinates":112},[79,80],{"lat":80,"lon":79},[115],{"name":116,"role":36,"phone":117,"phoneExt":25,"email":118},"Kari Draper, MD","267-425-9800","draper@chop.edu",{"facility":120,"status":42,"city":121,"state":61,"zip":122,"country":45,"countryCode":46,"cosmosGeoPoint":123,"geoPoint":127,"contacts":128},"Children's Community Pediatrics (CCP) of Children's Hospital of Pittsburgh UPMC","Pittsburgh","15213",{"type":48,"coordinates":124},[125,126],-79.99589,40.44062,{"lat":126,"lon":125},[129],{"name":130,"role":36,"phone":131,"phoneExt":132,"email":133},"Chris Cepullio, BSN, RN, CPPS","724-933-1100","247","cepulliocm2@upmc.edu",{"facility":135,"status":42,"city":121,"state":61,"zip":122,"country":45,"countryCode":46,"cosmosGeoPoint":136,"geoPoint":138,"contacts":139},"UPMC Center for Adolescent and Young Adult Health",{"type":48,"coordinates":137},[125,126],{"lat":126,"lon":125},[140],{"name":141,"role":36,"phone":142,"phoneExt":25,"email":143},"Ana Radovic, MD","412-692-6677","Ana.Radovic@chp.edu",{"facility":145,"status":42,"city":121,"state":61,"zip":122,"country":45,"countryCode":46,"cosmosGeoPoint":146,"geoPoint":148,"contacts":149},"UPMC Family Medicine",{"type":48,"coordinates":147},[125,126],{"lat":126,"lon":125},[150,154],{"name":151,"role":36,"phone":152,"phoneExt":25,"email":153},"Tracey Conti, MD","412-383-2378","conttd@upmc.edu",{"name":155,"role":36,"phone":152,"phoneExt":25,"email":156},"Jonathan Raviotta, MD","jraviotta@pitt.edu",{"facility":158,"status":42,"city":121,"state":61,"zip":159,"country":45,"countryCode":46,"cosmosGeoPoint":160,"geoPoint":162,"contacts":163},"Kids Plus Pediatrics (KPP)","15217",{"type":48,"coordinates":161},[125,126],{"lat":126,"lon":125},[164],{"name":165,"role":36,"phone":166,"phoneExt":167,"email":168},"Lisa Zur, MPH","412-521-6511","71144","Lisa.Zur@pediatricassociates.com",{"facility":170,"status":42,"city":171,"state":61,"zip":172,"country":45,"countryCode":46,"cosmosGeoPoint":173,"geoPoint":177,"contacts":178},"Berks Community Health Center","Reading","19604",{"type":48,"coordinates":174},[175,176],-75.92687,40.33565,{"lat":176,"lon":175},[179],{"name":180,"role":36,"phone":181,"phoneExt":25,"email":182},"Helen Wooten","(610) 988-4838","HWooten@berkschc.org",{"facility":184,"status":42,"city":184,"state":61,"zip":185,"country":45,"countryCode":46,"cosmosGeoPoint":186,"geoPoint":190,"contacts":191},"Springfield","19064",{"type":48,"coordinates":187},[188,189],-75.32019,39.93067,{"lat":189,"lon":188},[192],{"name":193,"role":36,"phone":194,"phoneExt":25,"email":195},"Jonathan Lee, MD","610-604-0888","leejo@chop.edu",{"facility":197,"status":42,"city":198,"state":61,"zip":199,"country":45,"countryCode":46,"cosmosGeoPoint":200,"geoPoint":204,"contacts":205},"CHOP Primary Care, West Chester","West Chester","19380",{"type":48,"coordinates":201},[202,203],-75.60804,39.96097,{"lat":203,"lon":202},[206],{"name":207,"role":36,"phone":208,"phoneExt":25,"email":209},"Wendy Wallace, DO","610-436-8611","wallace@chop.edu",{"type":32,"investigatorFullName":211,"investigatorTitle":212,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"Stephanie Stepp","Associate Professor",[214,216,218,220,222],{"name":215,"class":6},"Children's Hospital of Philadelphia",{"name":217,"class":6},"University of Oregon",{"name":219,"class":6},"Columbia University",{"name":221,"class":6},"Kaiser Permanente",{"name":223,"class":224},"National Institute of Mental Health (NIMH)","NIH","100496783","clinical-trial-for-integrated-care-to-help-at-risk-teen-ichart-intervention-100496783",false,"NCT05748730","Clinical Trial for Integrated Care to Help At Risk Teen (iCHART) Intervention","The Center for Enhancing Triage and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary Care-iCHART RCT","Inclusion Criteria:\n\n* YOUTH\n\n  * Youth will be age 12-18 and speak English.\n  * Youth will have current depression or suicidal behavior. Suicidal behavior for iCHART (N=900) is defined as past suicidal thoughts in the past two weeks as indicated by PHQ-9M item #9 ≥ 1, and\u002For past month suicidal thoughts, and\u002For prior history of attempt as indicated by items on the PHQ-9M; and 300 who screen positive for depression (PHQ-9M ≥ \"11\")\n  * 50% of the 300 youth with PHQ-9M ≥ \"11\" will also be positive for suicide risk as defined for iCHART.\n* CAREGIVERS\u002FPARENTS\n\n  * Parents\u002Fcaregivers of youth in the study must be at least 18 years old and their child must be willing to participate in the study. Caregivers\u002Fparents must be able to speak English. Parents are considered biological\u002Fadoptive parents or have court documentation that they can provide consent for research as a legal guardian of a youth. Only 1 parent\u002Fcaregiver will be engaged in research, but in case 1 parent is unavailable, the other may be engaged (meaning it doesn't have to be the same parent participating in assessments\u002Finterviews throughout youth study participation).\n\nExclusion Criteria:\n\n* YOUTH\n\n  * Exclusion criteria include conditions that might impair their ability to effectively deploy ETUDES interventions, including:\n  * current manic or psychotic episode, presence of a life-threatening medical condition requiring immediate treatment, intellectual or developmental disability precluding comprehension of study procedure. The latter will will be assessed by parental report of placement in self-contained Special Education classes, EHR review, and during the consent\u002Fassent and\u002For baseline to determine if the participant is not understanding research procedures.\n  * Participants without access to a phone and\u002For tablet to interact with components of the intervention that require a phone will be excluded.\n* CAREGIVERS\u002FPARENTS\n\n  * There are no specific exclusion criteria for caregivers and providers. However, as mentioned in the inclusion criteria, caregivers will be excluded if they are not the biological parent or court-appointed guardian of the youth being interviewed.","ALL","12 Years","18 Years",{"count":236,"type":237},900,"ESTIMATED","INTERVENTIONAL",[240],"NA","This protocol will test the effectiveness of an intervention, iCHART (integrated Care to Help At-Risk Teens) and facilitate recruitment for other studies in the larger ETUDES Center grant, which are focused on treatment development for target risk factors for suicidal behavior, specifically, sleep, anhedonia, and stress related to cybervictimization. This study will recruit 900 adolescents which will be enrolled in a randomized controlled trial to test iCHART and will be randomized to iCHART or treatment as usual (TAU). Based on previous work, the investigators hypothesize that iCHART, compared to TAU, will decrease suicidal-related events by 50%, and the effects will be mediated by increases in referrals, treatment engagement, and safety planning. The investigators will use implementation science methods to assess contextual factors (i.e., barriers and facilitators) and implementation outcomes specifically, acceptability, feasibility, appropriateness, and cost for our predictive algorithm and iCHART to inform future implementation efforts and promote health equity.",[243,244],"Suicide and Depression","Adolescent Behavior","2026-06-02",{"date":247,"type":248},"2026-06-04","ACTUAL",{"date":250,"type":248},"2023-01-26",{"date":252,"type":237},"2027-04-30",{"name":5,"class":6},13]