[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"suicidal-ideation-and-behavior\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:suicidal-ideation-and-behavior":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,9,0,[8,45,115,148,176,208,236,263,294],{"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":28,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":33,"lastUpdatePostDateStruct":34,"startDateStruct":37,"completionDateStruct":39,"leadSponsor":41,"locationsCount":44},"100621050","design-and-feasibility-of-an-sms-based-safety-planning-intervention-100621050",false,"NCT07365579","Design and Feasibility of an SMS-based Safety Planning Intervention","mHealth for Suicide Prevention: Design, Development, and Feasibility of a Scalable SMS-based Safety Planning Intervention","Inclusion Criteria:\n\n1. Ages 18 to 24 \\*The age to provide consent in Nebraska is 19. Individuals recruited from the state of Nebraska must be 19 or older.\n2. endorsement of past 2-week suicidal ideation\n3. Resident of the United States\n4. Owns a smartphone\n\nExclusion Criteria:\n\n1. Serious mental illness for which intervention would be contraindicated (i.e., active psychosis or mania)\n2. Imminent suicidality (i.e., experiencing active suicidal ideation with a plan and intent to act)\n3. Written English language skills that are insufficient to engage in the consent, design, evaluation, or intervention procedures.","ALL","18 Years","24 Years",{"count":20,"type":21},60,"ESTIMATED","INTERVENTIONAL",[24],"NA","This study is testing whether it is feasible to run a larger randomized controlled trial and whether an automated text messaging program is acceptable to young adults who have suicidal thoughts. The program is designed to help participants create and use a safety plan, which is a personalized list of warning signs, coping strategies, supportive people, professional resources, ways to make their environment safer, and reasons for living. After joining and completing an initial survey, participants are randomly assigned by a computer to one of two groups. One group starts right away with the interactive safety planning text program. The other group first receives simple text messages with 24\u002F7 crisis resources and then, after four weeks, also receives the interactive safety planning program. Participants use the text program for about four weeks and complete online surveys at the start and again over a total period of 24 weeks.",[27],"Suicidal Ideation and Behavior",[29,30,31],"Text message","safety plan","suicide prevention","RECRUITING","2026-06-23",{"date":35,"type":36},"2026-06-25","ACTUAL",{"date":38,"type":36},"2026-06-02",{"date":40,"type":21},"2027-06-30",{"name":42,"class":43},"Northwestern University","OTHER",1,{"id":46,"slug":47,"hasResults":11,"nctId":48,"briefTitle":49,"officialTitle":50,"acronym":4,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":16,"minAge":52,"maxAge":53,"enrollmentInfo":54,"targetDuration":4,"studyType":22,"phases":56,"briefSummary":57,"conditions":58,"keywords":59,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":44},"100635997","adapting-youth-nominated-support-team-yst-to-prevent-suicide-100635997","NCT07559955","Adapting Youth Nominated Support Team (YST) to Prevent Suicide","Adapting Youth Nominated Support Team (YST) to Prevent the Escalation of Suicide Risk Among Youth on Probation","Inclusion Criteria:\n\nYST-P Pilot Youth on probation, referred to study by YST Intervention Specialist (n=40)\n\n1. Conversational in English (self-report\u002Fcaregiver)\n2. Age 12-17years 11months (self-report\u002Fcaregiver)\n3. Probation involvement (probation staff)\n4. Have a caregiver who is willing to participate (caregiver)\n5. Endorsed PY suicidal ideation (probation staff)\n6. Nominated 2-4 supportive adults, at least 2 of whom are willing to participate (Intervention Specialist, supportive adult)\n\nCaregivers, referred to study by YST Intervention Specialist (n=40)\n\n1. Conversational in English (self-report)\n2. Caregiver of a youth who is eligible and willing to participate (probation referral, youth report)\n\nSupportive adults, referred to study by YST Intervention Specialist (n=40)\n\n1. Participating as a supportive adult in YST-P as indicated by completion of YST-P psychoeducational session (Intervention Specialist report)\n2. Conversational in English (self-report)\n3. Approved by youths' caregiver (caregiver)\n4. Be appropriate as determined by the YST-P Intervention Specialist (Intervention Specialist).\n\nProbation staff, assisted by agency leadership (n=15)\n\n1. Conversational in English (self-report)\n2. Employed by Suffolk or Nassau County Probation working with youth (self-report\u002Fagency leadership)\n\nIntervention Specialists, assisted by agency leadership (n=2)\n\n1. Conversational in English (self-report)\n2. Employed by Hope for Youth Licensed behavioral health clinician (self-report\u002Fagency leadership)\n3. Trained as YST-P Intervention Specialists (Research team)\n4. Facilitating the YST-P intervention (Research team)\n\nExclusion Criteria:\n\n\\- Participants not meeting all inclusion criteria will be excluded from research activities.","12 Years","80 Years",{"count":55,"type":21},137,[24],"The goal of this study is to conduct a pilot test of a mental health support program called the Youth-Nominated Support Team - Probation (YST-P) for young people ages 12-17 on probation, experiencing suicidal ideation and behaviors (SIB). Young people on probation experience SIB at higher rates than youth in the general population, but often do not receive the mental health care they need due to multi-level barriers. YST-P is adapted from an existing evidence-based, social support intervention, Youth-Nominated Support Team (YST), which is a psychoeducational, social support intervention originally created as an adjunctive to standard behavioral health (BH) treatment for youth with suicide risk following psychiatric hospitalization. YST-P is an adaptation of YST designed to meet the unique needs of youth on probation, addressing their SIB and increasing their uptake of treatment, by leveraging their existing social networks. YST-P is designed as an early intervention program to prevent escalation of SIB and increase probation youths' treatment uptake, bridging them to care. The study entails a single-arm pilot to examine reductions in SIB (within-subject comparison), and increased treatment uptake (comparing YST-P participants to a propensity-matched, historical control). This study will additionally explore theorized mechanisms of intervention action as well as implementation outcomes and barriers\u002Ffacilitators to YST-P. The goal is for results from this study to inform a larger, fully powered effectiveness trial, as well as future studies leveraging youths' existing social support networks to prevent SIB and bridge them to care.",[27],[60,61,27,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106],"Behavioral Health","Suicide","Suicidal Ideation and Behaviors","Suicidal Ideation in Teens","Mental Health","Teen Mental Health","Adolescent Mental Health","Probation","Teens Probation Mental Health","Probation Mental Health","Probation Behavioral Health","Implementation","Implementation Science","Partnerships","e-Connect","YST","Youth Nominated Support Team","Caregiver Teens","Caregiver Mental Health","Teen Behavioral Health","Caregiver Behavioral Health","Probation Officer","Probation Officer Mental Health","Probation Staff Mental Health","Probation Staff","Social Workers","Social Workers Mental Health","Intervention","Interventions","Mental Health Interventions","Behavioral Health Interventions","Teen Probation Intervention","Youth Intervention","Youth Mental Health Intervention","Adolescent Probation","Juvenile Justice System","Juvenile Justice System Mental Health","Juvenile Probation","Juvenile Probation Mental Health","SIB","Teen SIB","Youth SIB","Adolescent SIB","Teen Suicidal Ideation and Behavior","Youth Suicidal Ideation and Behavior","Adolescent Suicidal Ideation and Behavior","Implementations","2026-05-29",{"date":38,"type":36},{"date":110,"type":21},"2026-09-01",{"date":112,"type":21},"2028-07-31",{"name":114,"class":43},"Columbia University",{"id":116,"slug":117,"hasResults":11,"nctId":118,"briefTitle":119,"officialTitle":120,"acronym":4,"eligibilityCriteria":121,"healthyVolunteers":11,"sex":16,"minAge":122,"maxAge":52,"enrollmentInfo":123,"targetDuration":4,"studyType":22,"phases":125,"briefSummary":126,"conditions":127,"keywords":131,"overallStatus":138,"whyStopped":4,"lastUpdateSubmitDate":139,"lastUpdatePostDateStruct":140,"startDateStruct":142,"completionDateStruct":144,"leadSponsor":146,"locationsCount":4},"100614574","pilot-trial-of-an-emotion-regulation-and-executive-functioning-intervention-for-self-injurious-thoughts-and-behaviors-sitbs-in-children-100614574","NCT07281365","Pilot Trial of an Emotion Regulation and Executive Functioning Intervention for Self-Injurious Thoughts and Behaviors (SITBs) in Children","Proof-of-Concept Trial of an Emotion Regulation and Executive Functioning Intervention for SITBs in Children","Inclusion Criteria:\n\n* between the ages of 7-12\n* at least one caregiver\u002Flegal guardian able to participate (more permitted)\n* experienced at least one episode of SITBs within the last month\n* ability to attend weekly sessions in-person or via telehealth\n* ability to attend baseline and 12-week assessments in-person.\n* estimated verbal IQ of 70 or greater\n\nExclusion Criteria\n\n* symptoms interfering with ability to participate in assessments\u002Ftherapy (i.e., psychosis)\n* estimated verbal IQ\\\u003C70 or previous diagnosis of intellectual development disorder\n* requiring inpatient psychiatric stabilization or high-intensity intervention to prevent hospitalization\n* active substance use\n* ward of the state","7 Years",{"count":124,"type":21},52,[24],"The goal of this study is to develop and test an outpatient intervention for preadolescents (ages 7-12) with self-injurious thoughts and behaviors (SITBs).\n\nThe main questions it aims to answer are:\n\n1. Does the newer intervention lead to better engagement of families in treatment compared to treatment as usual (TAU)?\n2. Is the new intervention feasible, acceptable, and appropriate?\n3. Does the new intervention lead to more improvements in SITBs, mental health symptoms, and treatment targets compared to TAU?\n\nPreadolescent participants with SITBs and their families will be randomized to either the new intervention or TAU, which will consist of the typical interventions the study therapist would use for preadolescents with SITBs. Participants will:\n\n1. Complete an initial baseline assessment to determine eligibility and assess SITBs, mental health symptoms, executive functioning, and emotion regulation\n2. Participate in a \\~weekly, outpatient intervention lasting around 3-4 months\n3. Complete additional assessments at mid-treatment, post-treatment, and 3-month follow-up\n4. Participate in an interview sharing their perceptions of the intervention",[128,27,129,130],"Self-injury","Executive Functioning","Emotion Regulation",[132,133,134,135,136,137],"Preadolescents","Children","Self-Injury","Suicidal ideation and behavior","Randomized controlled trial","Feasibility","NOT_YET_RECRUITING","2026-05-13",{"date":141,"type":36},"2026-05-14",{"date":143,"type":21},"2026-12",{"date":145,"type":21},"2028-05",{"name":147,"class":43},"University of Colorado, Denver",{"id":149,"slug":150,"hasResults":11,"nctId":151,"briefTitle":152,"officialTitle":153,"acronym":4,"eligibilityCriteria":154,"healthyVolunteers":155,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":156,"targetDuration":4,"studyType":22,"phases":158,"briefSummary":159,"conditions":160,"keywords":161,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":167,"lastUpdatePostDateStruct":168,"startDateStruct":170,"completionDateStruct":172,"leadSponsor":174,"locationsCount":44},"100574426","romsi-mobile-health-intervention-to-enhance-suicide-prevention-by-reducing-stigma-and-increasing-literacy-100574426","NCT06759129","RomSi: Mobile Health Intervention to Enhance Suicide Prevention by Reducing Stigma and Increasing Literacy","RomSi (Rompiendo el Silencio) Mobile Health Intervention to Enhance Suicide Prevention by Reducing Stigma and Increasing Literacy: Protocol for a Cross-Over Randomized Controlled Trial","Inclusion Criteria:\n\n* Be 18 years old or older.\n* Have a cell phone with internet access during the intervention and follow-up periods.\n* Be able to speak, understand, and read in Spanish.\n\nExclusion Criteria:\n\n* Presence of high suicidal ideation (measured during screening, with a score above 20 on the total SIDAS scale or between 7 and 10 on the item assessing suicide attempts).\n* Presence of high social desirability bias (measured during screening, with a score of 14 or higher on the MC-SDS scale).\n* Altered mental status that impedes the ability to provide informed consent or assent (e.g., acute psychosis, intoxication, or mania).",true,{"count":157,"type":21},214,[24],"Suicide is one of the leading causes of death in Spain, representing a public health crisis that requires urgent and effective solutions. The stigma surrounding suicide prevents many at-risk individuals from seeking help, worsening the problem. Addressing this stigma is essential to implement more effective and accessible prevention strategies. This study aims to design and evaluate an innovative mobile health intervention to reduce stigma and encourage help-seeking behaviours in the general population. While the intervention targets the general population, two specific groups will access specialized and tailored content: individuals with low suicidal ideation and family members or close friends of people who have died by suicide. A daily assessment will collect real-time data and evaluate the intervention's impact. The study will employ a randomised controlled trial (RCT) with a crossover design, with participants randomly assigned to immediate or delayed use conditions. The intervention's effectiveness and usability will be assessed at four key points through quantitative analyses and qualitative interviews. We hypothesise that the intervention will improve suicide literacy, reduce suicide-related stigma, increase help-seeking behaviours, and demonstrate high usability and acceptability.",[27,61],[162,163,164,165,166],"Suicide Prevention","Stigma","Suicide Literacy","Help Seeking","Randomized Controlled Trial","2026-05-07",{"date":169,"type":36},"2026-05-12",{"date":171,"type":36},"2025-10-15",{"date":173,"type":21},"2027-01",{"name":175,"class":43},"University of Valencia",{"id":177,"slug":178,"hasResults":11,"nctId":179,"briefTitle":180,"officialTitle":180,"acronym":181,"eligibilityCriteria":182,"healthyVolunteers":11,"sex":16,"minAge":183,"maxAge":184,"enrollmentInfo":185,"targetDuration":4,"studyType":22,"phases":187,"briefSummary":188,"conditions":189,"keywords":191,"overallStatus":138,"whyStopped":4,"lastUpdateSubmitDate":199,"lastUpdatePostDateStruct":200,"startDateStruct":202,"completionDateStruct":204,"leadSponsor":206,"locationsCount":4},"100626048","trauma-exposure-and-suicidal-behaviors-in-adolescents-aged-11-17-hospitalized-in-child-and-adolescent-psychiatry-100626048","NCT07430566","Trauma Exposure and Suicidal Behaviors in Adolescents Aged 11-17 Hospitalized in Child and Adolescent Psychiatry","ATTAQ","Common Inclusion Criteria:\n\n* Age between 11 and 17 years inclusive\n* Admitted for full-time psychiatric hospitalization\n* Obtaining consent from at least one of the adolescent's legal representatives and the adolescent's personal assent\n\nInclusion Criteria - \"Suicidal Group\":\n\n\\- Reason for admission: suicidal behavior (suicide attempt)\n\nInclusion Criteria - \"Non-Suicidal Group\":\n\n\\- Reason for admission: other psychiatric causes (including suicidal thoughts without suicide attempt and non-suicidal self-injurious behavior)\n\nCommon Exclusion Criteria:\n\n\\- Neither parent available to participate in the intervention\n\nExclusion Criterion - \"Non-Suicidal Group\":\n\n\\- History of suicidal behavior prior to the current hospitalization","11 Years","17 Years",{"count":186,"type":21},120,[24],"It is a comparative monocentric study with longitudinal follow-up at 6 months in adolescents aged between 11 years and 17 years inclusive admitted to complete hospitalization either for suicidal behaviors or for other psychiatric causes. The objective is to explore the experiences of hospitalized adolescents regarding hospitalization, as well as their perceptions of the factors involved in their remission and their experience of the traumatic event(s) if they have been exposed.",[27,190],"Psychiatric Hospitalization",[192,193,194,195,196,197,198],"suicide","adolescent","post-traumatic stress disorder","neurodevelopmental disorders","résilience","biomarqueurs","comportements suicidaires","2026-02-18",{"date":201,"type":36},"2026-02-24",{"date":203,"type":21},"2026-03",{"date":205,"type":21},"2027-09",{"name":207,"class":43},"University Hospital, Montpellier",{"id":209,"slug":210,"hasResults":11,"nctId":211,"briefTitle":212,"officialTitle":213,"acronym":214,"eligibilityCriteria":215,"healthyVolunteers":155,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":216,"targetDuration":4,"studyType":22,"phases":218,"briefSummary":219,"conditions":220,"keywords":222,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":227,"lastUpdatePostDateStruct":228,"startDateStruct":230,"completionDateStruct":232,"leadSponsor":234,"locationsCount":44},"100619333","pilot-study-on-follow-up-of-acutely-suicidal-individuals-from-the-flemish-suicide-helpline-100619333","NCT07343258","Pilot Study on Follow-Up of (Acutely) Suicidal Individuals From the Flemish Suicide Helpline","Pilot Study on Follow-Up of (Acutely) Suicidal Individuals From the Flemish Suicide Helpline, Zelfmoordlijn 1813, to Promote Continuity of Care","CONT-1813","1. Callers\n\n   Inclusion criteria:\n   * The caller is 18 years or older.\n   * The caller speaks Dutch.\n   * The caller calls the Zelfmoordlijn 1813 for themselves due to suicidal ideation.\n   * The caller must benefit from callback conversations fitting one of the three callback profiles.\n   * The caller is not a frequent caller to the Zelfmoordlijn 1813.\n   * The caller can be called back directly on a personal device.\n   * The caller is legally competent, meaning they can oversee the potential consequences of participation, such as time investment and availability.\n   * At the time of recruitment, the caller is not receiving support within a care trajectory where attention is paid to their suicidality. Or the care provider is not available quickly enough (e.g., due to maternity leave) if the caller falls within the callback profile focusing on a safety conversation.\n\n   Exclusion criteria:\n   * The caller is younger than 18 years.\n   * The caller does not speak Dutch.\n   * The caller does not call the Zelfmoordlijn 1813 for themselves.\n   * The caller is a frequent caller to the Zelfmoordlijn 1813.\n   * The call responder assesses that urgent medical help is necessary.\n   * The caller expresses a homocide threat during the original conversation to the Zelfmoordlijn 1813.\n   * The caller cannot be called back on a personal device (e.g., persons in detention).\n   * The caller is not legally competent to oversee the consequences of participation (e.g., under the influence of alcohol and\u002For drugs).\n   * At the time of recruitment, the caller is receiving support within a care trajectory where attention is paid to their suicidality.\n2. Call responders The CPZ chooses to recruit call responders who have extensive experience in answering calls at the Zelfmoordlijn 1813. Therefore, not all call responders of the Zelfmoordlijn 1813 are trained to recruit callers.\n3. Callback callers The staff members of the CPZ who are involved in developing and implementing the callback methodology will also participate in the research by means of an interview.",{"count":217,"type":21},98,[24],"This pilot study aims to assess the acceptance, feasibility, and added value of follow-up calls at the suicide helpline, Zelfmoordlijn 1813, in Flanders (Belgium). It serves as a crucial preparatory step in the development and implementation process of the callback methodology at Zelfmoordlijn 1813.",[61,27,221],"Crisis Intervention",[223,224,225,226],"suicidal ideation","suicide-related coping","suicidal behavior","crisis line","2026-02-16",{"date":229,"type":36},"2026-02-19",{"date":231,"type":36},"2026-01-05",{"date":233,"type":21},"2026-09-30",{"name":235,"class":43},"University Ghent",{"id":237,"slug":238,"hasResults":11,"nctId":239,"briefTitle":240,"officialTitle":241,"acronym":4,"eligibilityCriteria":242,"healthyVolunteers":11,"sex":16,"minAge":243,"maxAge":4,"enrollmentInfo":244,"targetDuration":4,"studyType":22,"phases":246,"briefSummary":247,"conditions":248,"keywords":251,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":253,"lastUpdatePostDateStruct":254,"startDateStruct":256,"completionDateStruct":258,"leadSponsor":260,"locationsCount":262},"100619020","hiv-suicide-prevention-with-ai-dbt-100619020","NCT07339189","HIV Suicide Prevention With AI-DBT","Piloting AI-Delivered Dialectical Behavioral Therapy for Suicide Prevention in Older Patients Living With HIV","Inclusion Criteria:\n\n* Aged 50+\n* evidence of suicide risk as defined by at least one of the following: PHQ-9 suicide item \\> 0, Ask Suicide Questions (ASQ, an NIMH-supported suicide risk screener with a version tailored for primary care) \\> 0, expression of suicidal thoughts to the provider during appointment, a suicide attempt in the past year, or PHQ-9 total score ≥ 8,\n* ability to read and communicate fluently in English or Spanish\n* not at imminent risk for suicide (does not have significant intent to die within 48 hours)\n* has a smartphone capable of texting and accessing the internet.\n\nExclusion Criteria:\n\n* deemed clinically inappropriate to participate because of severe psychosis, severe substance use, or severe cognitive deficits that would interfere with their comprehending study and intervention material.","50 Years",{"count":245,"type":21},50,[24],"One in four older persons living with HIV\u002FAIDS (PLWHA) report at least one suicide attempt in their lifetime, and the risk for death by suicide is 100 times higher in PLWHA than in the general population. Currently, there are no behavioral interventions that specifically address suicide prevention for older PLWHA, despite their unique biopsychosocial and structural risk factors. Through this work, investigators will adapt Dialectical Behavior Therapy, an evidence-based intervention for suicide prevention, for patients with PLWHA to be delivered by an AI-powered conversational Agent developed by our industry partner, Empower Health. Investigators will then pilot test the feasibility, usability, acceptability and preliminary efficacy to improve self-efficacy to manage negative emotions in n=50 older adults living with HIV\u002FAIDS.",[27,249,250],"HIV","AIDS (Acquired Immune Deficiency Syndrome)",[192,249,252],"mHealth","2026-01-14",{"date":255,"type":36},"2026-01-15",{"date":257,"type":36},"2026-01-07",{"date":259,"type":21},"2028-06",{"name":261,"class":43},"Rutgers, The State University of New Jersey",2,{"id":264,"slug":265,"hasResults":11,"nctId":266,"briefTitle":267,"officialTitle":268,"acronym":269,"eligibilityCriteria":270,"healthyVolunteers":11,"sex":16,"minAge":271,"maxAge":17,"enrollmentInfo":272,"targetDuration":4,"studyType":22,"phases":274,"briefSummary":275,"conditions":276,"keywords":277,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":285,"lastUpdatePostDateStruct":286,"startDateStruct":288,"completionDateStruct":290,"leadSponsor":292,"locationsCount":44},"100617634","stepped-care-for-suicidal-youth-and-children-100617634","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).","6 Years",{"count":273,"type":21},350,[24],"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.",[27],[31,278,193,279,280,281,282,283,284],"youth","inter personal counseling","stepped care","Suicide thoughts","paraprofessional","IPT","treatment","2025-12-27",{"date":287,"type":36},"2026-01-06",{"date":289,"type":36},"2024-05-07",{"date":291,"type":21},"2027-12-31",{"name":293,"class":43},"Shira Barzilay",{"id":295,"slug":296,"hasResults":11,"nctId":297,"briefTitle":298,"officialTitle":299,"acronym":4,"eligibilityCriteria":300,"healthyVolunteers":155,"sex":16,"minAge":52,"maxAge":301,"enrollmentInfo":302,"targetDuration":4,"studyType":22,"phases":304,"briefSummary":305,"conditions":306,"keywords":310,"overallStatus":138,"whyStopped":4,"lastUpdateSubmitDate":327,"lastUpdatePostDateStruct":328,"startDateStruct":330,"completionDateStruct":332,"leadSponsor":334,"locationsCount":4},"100592640","effects-of-a-multifaceted-school-based-intervention-to-protect-mental-health-and-prevent-suicidal-behaviour-in-adolescents-in-spain-100592640","NCT06996054","Effects of a Multifaceted School-Based Intervention to Protect Mental Health and Prevent Suicidal Behaviour in Adolescents in Spain","DEVELOPMENT AND EVALUATION OF A MULTIFACETED SCHOOL-BASED INTERVENTION TO PROTECT MENTAL HEALTH AND PREVENT SUICIDAL BEHAVIOR AMONG ADOLESCENTS IN SPAIN","Inclusion Criteria:\n\n* Students enrolled in the 2nd or 3rd year of compulsory secondary education during the 2026-2027 academic year in the Balearic Islands, Spain.\n* Aged between 12 and 16 years at the time of recruitment.\n* Provision of written informed consent from both the student and at least one parent\u002Flegal guardian.\n* Attending school centres with a student population composed of no more than 75% of a single gender.\n* Enrollment in a participating classroom randomly selected for the study.\n\nExclusion Criteria:\n\n* Presence of cognitive, developmental, or language impairments that, in the judgment of school staff or study personnel, would prevent the student from understanding the intervention content or completing the study assessments reliably.\n* Students currently receiving intensive psychological or psychiatric treatment for acute suicidality or severe mental health conditions that require individualized clinical management beyond the scope of a school-based programme.\n* Students or parents who explicitly decline participation in specific intervention components, such as group discussions on suicide or mental health.\n* Participation in a concurrent school-based mental health programme that could confound the effects of the intervention.","16 Years",{"count":303,"type":21},2280,[24],"What is this study about? This study aims to find out if a school-based program can help improve mental health and prevent suicidal thoughts and behaviors in teenagers in Spain. Suicide is one of the leading causes of death among young people. Many teens who think about or attempt suicide are also struggling with mental health problems like depression. Schools offer a unique opportunity to help because almost all adolescents attend school regularly.\n\nWhat will happen in the study?\n\nThe study will include about 2,280 students aged 12 to 16 years from 38 secondary schools in the Balearic Islands, Spain. Schools will be randomly assigned to one of two groups:\n\nIntervention group: Students will participate in four weekly classroom sessions led by trained psychologists. These sessions will help students learn about mental health, manage their emotions, recognize signs of distress in themselves or others, and ask for help when needed. At the same time, parents and teachers will follow a digital training program with videos and resources to help them support students' mental health and recognize warning signs.\n\nControl group: Students will receive a minimal intervention, which includes educational posters displayed in classrooms.\n\nWhat is the purpose of this program? The main goal is to reduce suicidal thoughts and behaviors. The program also aims to improve students' overall mental well-being, reduce depression symptoms, and encourage help-seeking behaviors. It also helps parents and teachers feel more confident in supporting teens who may be at risk.\n\nHow will the study be evaluated? Students will complete questionnaires at the start of the study and again after six months. These surveys will ask about mental health, suicidal thoughts, emotional well-being, self-harm, substance use, and experiences with bullying. Parents and teachers will also complete surveys about their knowledge and confidence in supporting students.\n\nWhy is this study important? There is an urgent need to find effective ways to prevent suicide and support young people's mental health. This program involves students, families, and schools in working together to create a safe and supportive environment. If the program works, it could be used in schools throughout Spain and possibly in other countries too.\n\nWho is funding this study? The study is funded by Fundación Mutua Madrileña.",[307,308,66,309,27],"Suicide Attempt","Depression","Self-Harm",[311,312,313,314,308,315,316,317,318,319,320,321,322,323,324,325,326],"School-based intervention","Suicide prevention","Suicidal ideation","Suicidal behavior","Adolescents","Mental health promotion","Psychoeducation","Gatekeeper training","Teachers","Parents","Digital health","Cluster randomized controlled trial","Spain","Secondary education","Emotional regulation","Self-harm","2025-05-21",{"date":329,"type":36},"2025-05-30",{"date":331,"type":21},"2025-10",{"date":333,"type":21},"2027-06",{"name":335,"class":336},"Fundació d'investigació Sanitària de les Illes Balears","OTHER_GOV"]