[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100617634":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":62,"collaborators":66,"id":69,"slug":70,"hasResults":71,"nctId":72,"briefTitle":73,"officialTitle":74,"acronym":75,"eligibilityCriteria":76,"healthyVolunteers":71,"sex":77,"minAge":78,"maxAge":79,"enrollmentInfo":80,"targetDuration":26,"studyType":83,"phases":84,"briefSummary":86,"conditions":87,"keywords":89,"overallStatus":40,"whyStopped":26,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"University of Haifa","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention Arm: Stratified Stepped Care (SSC)","EXPERIMENTAL","The role of this arm is to test the efficacy of a new, tiered model for treating suicidal thoughts and behaviors (STB) in youth. Participants in this group will receive an intervention that is tailored to their specific needs and level of risk, as determined by an initial clinical assessment.\n\nLow-Intensity Treatment: Participants with mild-to-moderate STB will receive an adapted form of Interpersonal Counseling (IPC-A-SCI) delivered by a trained non-specialist. This intervention focuses on safety planning and improving interpersonal skills.\n\nHigh-Intensity Treatment: Participants with more severe STB, or those whose condition worsens, will receive Interpersonal Psychotherapy (IPT-A-SCI) from a professional therapist. This provides a clear \"step-up\" pathway to a more intensive level of care.",[13,14],"Behavioral: IPC-A-SCI (Interpersonal Counseling for Suicide Crisis Intervention)","Behavioral: IPT-A-SCI (Interpersonal Psychotherapy for Adolescents with Suicidal Crisis Intervention)",{"label":16,"type":17,"description":18,"interventionNames":19},"Control Arm: Care as Usual (CAU)","ACTIVE_COMPARATOR","The role of this arm is to serve as a comparison group to the SSC model. It represents the standard of care currently available in a public outpatient clinic in Israel.\n\nStandard Treatment: Participants in this arm will receive an initial psychiatric assessment. They will then be placed on a waitlist for a brief IPT intervention. Follow-up assessments will be conducted every three months. After completing the brief IPT, some participants may be referred to community services, and a small percentage may receive longer-term psychotherapy.",[14],[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","IPC-A-SCI (Interpersonal Counseling for Suicide Crisis Intervention)","The IPC-A-SCI is a manualized, low-intensity intervention adapted for adolescents experiencing suicidal thoughts and behaviors. It is based on Interpersonal Psychotherapy (IPT) principles but is designed to be delivered in a limited number of sessions by trained non-specialists. The protocol focuses on identifying and addressing interpersonal problems that may trigger or maintain suicidal behaviors. It includes core components such as safety planning, building interpersonal skills, and emotional processing, with a specific emphasis on involving parents in the treatment process. The intervention is a key component of the overall stratified stepped-care (SSC) model, which aims to provide targeted, effective, and accessible care in a public health setting.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"IPT-A-SCI (Interpersonal Psychotherapy for Adolescents with Suicidal Crisis Intervention)","The IPT-A-SCI is a crisis-focused psychotherapeutic intervention developed for adolescents with suicidal thoughts and behaviors. It is based on the principles of Interpersonal Psychotherapy (IPT).",[16,9],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Shira Barzilay, Principal Investigator, Phd","CONTACT","972-54-5309759","bshira@haifa.ac.il",[38],{"facility":39,"status":40,"city":41,"state":26,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":51},"Shneider children's Medical Center","RECRUITING","Petah Tikva","4920235","Israel","IL",{"type":46,"coordinates":47},"Point",[48,49],34.88747,32.08707,{"lat":49,"lon":48},[52,56,59],{"name":53,"role":34,"phone":54,"phoneExt":26,"email":55},"Alan S Apter, Prof","972-3-9253582","eapter@clalit.org.il",{"name":57,"role":34,"phone":54,"phoneExt":26,"email":58},"Noa Ben Aroya milshtein, MD","noabena@clalit.org.il",{"name":60,"role":61,"phone":26,"phoneExt":26,"email":26},"Shira barzilay, Phd","PRINCIPAL_INVESTIGATOR",{"type":63,"investigatorFullName":64,"investigatorTitle":65,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"SPONSOR_INVESTIGATOR","Shira Barzilay","Principal Investigator Dr Shira Barzilay",[67],{"name":68,"class":6},"Schneider Children's Medical Center, Israel","100617634","stepped-care-for-suicidal-youth-and-children-100617634",false,"NCT07321171","Stepped-Care for Suicidal Youth and Children","Examining the Efficacy of a Stratified-Stepped-Care Model for Brief Interpersonal Couseling (IPC) in Youth With Imminent Suicidal Risk: A Prospective, Randomized Controlled Trial.","SURE-CARE","Inclusion Criteria:\n\n* Participants must be between 6 and 18 years old, inclusive.\n* Participants currently exhibit various forms of STB, including suicidal thoughts, gestures, behaviors, or attempted suicide.\n\nExclusion Criteria:\n\n* Acute medical conditions.\n* Current psychotic disorders.\n* Non-fluency in Hebrew (language of intervention and assessment).\n* Diagnosed intellectual disability.\n* Diagnosed neurodevelopmental disorders (other than those that commonly co-occur with STB and are deemed manageable by the study team).\n* Inability to provide informed consent (participant) or parental permission (parent\u002Fguardian).","ALL","6 Years","18 Years",{"count":81,"type":82},350,"ESTIMATED","INTERVENTIONAL",[85],"NA","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:\n\n1. Does the SSC model effectively reduce STB and mental health symptoms?\n2. Can the SSC model improve access to treatment and be cost-effective?\n\nResearchers 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.\n\nParticipants 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.",[88],"Suicidal Ideation and Behavior",[90,91,92,93,94,95,96,97,98],"suicide prevention","youth","adolescent","inter personal counseling","stepped care","Suicide thoughts","paraprofessional","IPT","treatment","2025-12-27",{"date":101,"type":102},"2026-01-06","ACTUAL",{"date":104,"type":102},"2024-05-07",{"date":106,"type":82},"2027-12-31",{"name":64,"class":6},1]