[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100575270":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":35,"locations":44,"responsibleParty":83,"collaborators":86,"id":90,"slug":91,"hasResults":92,"nctId":93,"briefTitle":94,"officialTitle":95,"acronym":26,"eligibilityCriteria":96,"healthyVolunteers":92,"sex":97,"minAge":98,"maxAge":99,"enrollmentInfo":100,"targetDuration":26,"studyType":103,"phases":104,"briefSummary":106,"conditions":107,"keywords":110,"overallStatus":47,"whyStopped":26,"lastUpdateSubmitDate":112,"lastUpdatePostDateStruct":113,"startDateStruct":116,"completionDateStruct":118,"leadSponsor":120,"locationsCount":121},{"fullName":5,"class":6},"University of Pennsylvania","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Enhanced Friendship Bench + Safety Planning (FB+SP)","EXPERIMENTAL","Friendship Bench (FB) problem-solving therapy and Safety Planning (SP)",[13],"Behavioral: Behavioral: Enhanced Friendship Bench + Safety Planning",{"label":15,"type":16,"description":17,"interventionNames":18},"Augmented Usual Care","ACTIVE_COMPARATOR","Continue with usual outpatient care, augmented to provide mental health evaluation, brief supportive counseling, information, education and support on SIBs, and (if indicated) facilitation of referral to the clinic's psychiatric nurse or to Bwaila Hospital.",[19],"Behavioral: Augmented usual care",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Behavioral: Enhanced Friendship Bench + Safety Planning","The protocol will include six sessions, starting with the development of the SP during the first session. Each of the following sessions will include SIBs and suicide risk assessments, SP check-ins and revisions, as well as FB problem-solving to address SIBs and suicide risk. SP+FB will be delivered by selection of young counselors (mixed genders, aged 20-35) who are motivated to work with young people. Counseling sessions will take place in a discrete location within the HIV clinic and be available on weekends. Each structured session lasts 30-45 minutes and conducted in the participant's local language (Chichewa). After 4 sessions of individual therapy, the counselor can refer participants not improving or with suicidal ideation to a supervisor trained in mental health to reassess and manage the case. Case management may include additional counseling or pharmacotherapy, at the discretion of the managing clinician. Participants may also receive text message support and peer-support.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Augmented usual care","Care for suicidality in public facilities in Malawi includes options for basic supportive counseling by the primary provider or nurse, medication management by the primary provider, referral to the clinic's psychiatric nurse, or, for acute cases or crises, referral to the psychiatric units at tertiary care hospitals (Bwaila Hospital in Lilongwe District). Nurses and clinicians at the study sites have been specifically trained to use the Tool for Assessment of Suicide Risk for Adolescents (TASR-A) to assess ALWH considered at elevated risk for suicide. For this study, usual care will be augmented by a trained study nurse who will provide mental health evaluation, brief supportive counseling, information, education and support on SIBs, and (if indicated) facilitation of referral to the clinic's psychiatric nurse or to Bwaila Hospital.",[15],[32],{"name":33,"affiliation":5,"role":34},"Melissa Stockton, PhD","PRINCIPAL_INVESTIGATOR",[36,40],{"name":33,"role":37,"phone":38,"phoneExt":26,"email":39},"CONTACT","1-419-340-7476","melissaann.stockton@pennmedicine.upenn.edu",{"name":41,"role":37,"phone":42,"phoneExt":26,"email":43},"Kazione Kulisewa, MBBS MMed","+265-997-210-381","kkulisewa@yahoo.com",[45,62,69,76],{"facility":46,"status":47,"city":48,"state":26,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"Area 18 Health Center","RECRUITING","Lilongwe","Malawi","MW",{"type":52,"coordinates":53},"Point",[54,55],33.78725,-13.96692,{"lat":55,"lon":54},[58],{"name":59,"role":37,"phone":60,"phoneExt":26,"email":61},"Steve Mphonda","265-1755056","smphonda@unclilongwe.org",{"facility":63,"status":47,"city":48,"state":26,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":64,"geoPoint":66,"contacts":67},"Area 25 Health Center",{"type":52,"coordinates":65},[54,55],{"lat":55,"lon":54},[68],{"name":59,"role":37,"phone":60,"phoneExt":26,"email":61},{"facility":70,"status":47,"city":48,"state":26,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":71,"geoPoint":73,"contacts":74},"Kawale Health Center",{"type":52,"coordinates":72},[54,55],{"lat":55,"lon":54},[75],{"name":59,"role":37,"phone":60,"phoneExt":26,"email":61},{"facility":77,"status":47,"city":48,"state":26,"zip":26,"country":49,"countryCode":50,"cosmosGeoPoint":78,"geoPoint":80,"contacts":81},"Lighthouse Health Center",{"type":52,"coordinates":79},[54,55],{"lat":55,"lon":54},[82],{"name":59,"role":37,"phone":60,"phoneExt":26,"email":61},{"type":34,"investigatorFullName":84,"investigatorTitle":85,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Melissa Stockton","Assistant Professor of Psychiatry",[87],{"name":88,"class":89},"National Institute of Mental Health (NIMH)","NIH","100575270","suicide-assessment-and-feasible-evidence-based-treatments-for-youth-living-with-hiv-in-lilongwe-100575270",false,"NCT06770101","Suicide Assessment and Feasible Evidence-based Treatments for Youth Living With HIV in Lilongwe","Suicide Assessment and Feasible Evidence-based Treatments for Youth Living With HIV in Lilongwe: SAFETY Planning Pilot Trial","Inclusion Criteria:\n\n* Age 13-19\n* Diagnosed with HIV\n* Report current or historical suicidal ideation and behaviors (SIBs) on question 9 of the Patient Health Questionnaire modified for adolescents (PHQ-9-A) and the Ask Suicide-Screening questionnaire (ASQ)\n* Living in the clinic's catchment area with intention to remain for more than 1 year\n* Willing to provide consent (age 18+ or 16-17 years old and married and thereby considered emancipated minors per Malawi law) or assent with parental consent (age 13-17).\n\nExclusion Criteria:\n\n* Refuse to participate\n* Refuse to be audio-taped for in-depth interviews","ALL","13 Years","19 Years",{"count":101,"type":102},60,"ESTIMATED","INTERVENTIONAL",[105],"NA","The overall aim of this study is to determine the feasibility, fidelity, acceptability, and preliminary effectiveness of the Friendship Bench +Safety Planning intervention in reducing suicidal ideation and behaviors (SIBs) and improving HIV engagement amongst adolescents living with HIV (ALWH) when compared to augmented usual care.",[108,109],"HIV","Suicide",[108,109,111],"Suicidal Ideation","2026-06-04",{"date":114,"type":115},"2026-06-05","ACTUAL",{"date":117,"type":115},"2025-07-01",{"date":119,"type":102},"2026-09",{"name":5,"class":6},4]