Stepped-Care for Suicidal Youth and Children

Recruiting now · Not applicable

Conditions studied: Suicidal Ideation and Behavior

In brief

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.

Key facts

Study ID

NCT07321171

Run by

Shira Barzilay

People needed

350

Starts

2024-05-07

Expected to finish

2027-12-31

Last updated by the study team

2026-01-06

Who can join

Age: 6 and older, up to 18. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• Acute medical conditions.
• Current psychotic disorders.
• Non-fluency in Hebrew (language of intervention and assessment).
• Diagnosed intellectual disability.
• Diagnosed neurodevelopmental disorders (other than those that commonly co-occur with STB and are deemed manageable by the study team).
• Inability to provide informed consent (participant) or parental permission (parent/guardian).

Where it is running

• Shneider children's Medical Center — Petah Tikva, Israel (enrolling)

Full record on ClinicalTrials.gov

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