About this trial
The goal of this RCT study is to test the efficacy of a stratified stepped-care (SSC) model in reducing suicidal thoughts and behaviors (STB) in children and adolescents. The main questions it aims to answer are:
1. Does the SSC model effectively reduce STB and mental health symptoms? 2. Can the SSC model improve access to treatment and be cost-effective?
Researchers will compare the SSC model to Care as Usual (CAU). The SSC model includes low-intensity counseling delivered by non-specialists for mild STB and professional-delivered therapy for more severe cases. The CAU group will receive standard clinic treatment, which consists of a waitlist for brief therapy and follow-up.
Participants will be recruited from a clinic at Schneider Children's Medical Center, randomly assigned to either the SSC group or the CAU group, and Complete assessments at the start of the study and at 1, 3, and 6 months.
Eligibility criteria
Qualifiers
Participants must be between 6 and 18 years old, inclusive.
Participants currently exhibit various forms of STB, including suicidal thoughts, gestures, behaviors, or attempted suicide.
Disqualifiers
Acute medical conditions.
Current psychotic disorders.
Non-fluency in Hebrew (language of intervention and assessment).
Diagnosed intellectual disability.
Trial design
Treatments tested in this trial
- IPC-A-SCI (Interpersonal Counseling for Suicide Crisis Intervention)
- IPT-A-SCI (Interpersonal Psychotherapy for Adolescents with Suicidal Crisis Intervention)
Treatment groups
Sponsors and collaborators
Shira Barzilay
Lead sponsor
University of Haifa
Sponsor institution
Schneider Children's Medical Center, Israel
Collaborator