[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"emergency-psychiatric\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:emergency-psychiatric":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,50],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100604539","efficacy-of-the-i-care-digital-health-intervention-100604539",false,"NCT07150832","Efficacy of the I-CARE Digital Health Intervention","I-CARE: Efficacy of a Digital Health Intervention to Reduce Suicidal Ideation During Psychiatric Boarding","Inclusion Criteria:\n\n* Adolescents of any sex and gender, aged 12-17 years at ED visit or hospital encounter\n* Presenting with suicide attempt or ideation, or self-harm\n* Medically stable\n* English-speaking\n* Awaiting transfer for inpatient psychiatric care or disposition.\n\nExclusion Criteria:\n\n* Cognitive or developmental delays precluding participation (intellectual functioning \\\u003C12 years of age)\n* Behavioral limitations that preclude program participation\n* Active psychosis\n* Legal parent\u002Fcaregiver unable to speak English or unavailable to provide consent (e.g. Wards of the State)","ALL","12 Years","17 Years",{"count":20,"type":21},173,"ESTIMATED","INTERVENTIONAL",[24],"NA","When presenting to an ED with suicide, self-harm or other mental health crises, youth may also experience \"boarding\", which is defined by the Joint Commission as \"the practice of holding patients in the ED or another temporary location after the decision to admit or transfer has been made.\" A recent national survey of 88 US acute care hospitals conducted by our research team found that 98.9% of hospitals were boarding youth awaiting psychiatric hospitalization, for an average of 2-3 days. However, as illustrated in a systemic review, little research has focused on developing interventions to support youth during this highly vulnerable time. 3\n\nI-CARE is a modular, blended digital health intervention facilitated by individuals who are not mental health clinical staff to teach youth evidence-based psychosocial skills during the boarding period. This study will evaluate I-CARE's efficacy using a patient-level randomized clinical trial (RCT), randomizing youth to receive standard safety supervision or I-CARE in addition to standard safety supervision. If found to the efficacious, I-CARE could be scaled-up in new settings with limited resources and has the potential to significantly improve the quality of care received by youth experiencing boarding.",[27,28,29,30],"Mental Health Disorder","Suicide Attempt","Suicidal Ideation","Emergency Psychiatric",[32,33,34,35,36],"Children","Adolescents","Emergency Department","Mental Health Boarding","Psychosocial Skills","RECRUITING","2025-10-29",{"date":40,"type":41},"2025-10-31","ACTUAL",{"date":43,"type":41},"2025-10-06",{"date":45,"type":21},"2027-06-30",{"name":47,"class":48},"Dartmouth-Hitchcock Medical Center","OTHER",4,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":54,"acronym":4,"eligibilityCriteria":55,"healthyVolunteers":11,"sex":16,"minAge":56,"maxAge":57,"enrollmentInfo":58,"targetDuration":60,"studyType":61,"phases":4,"briefSummary":62,"conditions":63,"keywords":70,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":75,"lastUpdatePostDateStruct":76,"startDateStruct":78,"completionDateStruct":80,"leadSponsor":82,"locationsCount":49},"100547361","brief-admission-by-self-referral-for-individuals-with-self-harm-effects-on-compulsory-care-100547361","NCT06406972","Brief Admission by Self-referral for Individuals With Self-harm: Effects on Compulsory Care","Inclusion Criteria:\n\n* Living in the uptake area of Lund, Linköping, Helsingborg or Norrköping\n* Age 18-65 years at the time of inclusion\n* Admitted to hospital either diagnosed with ICD-10 diagnosis BPD F60.3, or admitted at least twice with Intentional self-harm X60-83 in combination with one of more of the following diagnoses ADHD (F90.0-F90.X), Bipolar disorder type 2, (F31.8W, F318A-F, F31.0, F31.8-9, F31.8W) or Autism, Atypical autism, Aspergers syndrome (F84.0, F84.1, F84.5) or Mild intellectual disability (F70.0-F70.9).\n\nExclusion Criteria:\n\n* not fulfilling inclusion criteria","18 Years","65 Years",{"count":59,"type":21},7000,"5 Years","OBSERVATIONAL","Brief Admission by self-referral (BA) is a standardized treatment model, providing patient-controlled and person-centered care. It was developed to reduce self-harm and compulsory care by promoting autonomy. Randomized clinical trials have not yielded significant between group differences with respect to inpatient care, including compulsory care. The major difficulty in evaluating BA is preventing the control group from cross-contamination, as in the implementation process of BA, all physicians, all inpatient and outpatient staff as well as managers need to be informed and undergo basic education regarding the intervention. As BA addresses a prevalent and frustrating issue in psychiatric health care, there is considerable risk that the approach leaks to the control group, reducing the possibility to detect between-group differences. In the current study this will be addressed through a register-based approach, comparing similar clinics, implementing BA at different timepoints over time. Individuals with traits of borderline personality disorder will be included and comparisons will be made with respect to compulsory care, voluntary inpatient care and mortality.",[64,65,66,67,68,30,69],"Self-injury","Suicide","Suicide, Attempted","Self-harm","Borderline Personality Disorder","Hospitalizations Psychiatric",[71,72,73,74],"Brief Admission by self-referral","self-harm","traits of borderline personality disorder","compulsory care","2025-08-10",{"date":77,"type":41},"2025-08-14",{"date":79,"type":41},"2010-09-15",{"date":81,"type":21},"2025-12-31",{"name":83,"class":48},"Region Skane"]