Ultra-Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI): Understanding Mechanisms of Change
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Change in Severity of Suicidal Ideation
研究概览
简要总结
The goal of this clinical trial is to learn if the Ultra-Brief Interpersonal Psychotherapy for Adolescents with Suicidal Ideation (IPT-A-SCI) works to reduce suicidal thoughts and behaviors in children and adolescents. The study will also examine whether treatment effects continue after treatment ends and whether some participants benefit more from the intervention than others. The main questions it aims to answer are:
Does IPT-A-SCI reduce suicidal thoughts and behaviors in children and adolescents? Do the effects of IPT-A-SCI continue three months after treatment ends? Do some children and adolescents benefit more from IPT-A-SCI than others?
Participants will:
Receive IPT-A-SCI treatment consisting of five weekly sessions Complete questionnaires before treatment, during treatment, at the end of treatment, and three months after treatment ends Have their parents complete questionnaires at the same time points
详细描述
IPT-A-SCI (Ultra-Brief Crisis Interpersonal Psychotherapy for Adolescents with Suicidal Ideation) is a manualized five-session crisis intervention based on Interpersonal Psychotherapy (IPT) principles.
IPT-A-SCI is designed for children and adolescents aged 8-18 presenting with suicidal ideation or behavior. The intervention combines IPT principles with the Safety Planning Intervention and includes a three-month post-intervention contact protocol.
This is a single-group, pre-post interventional study with repeated measures collected at four time points. All participants will receive the IPT-A-SCI intervention. There is no control or comparison group in this study, as the research focuses on within-person mechanisms of change and moderators of treatment response rather than between-group comparisons.
Participants will be recruited from the Child and Adolescent Clinic at Geha Mental Health Center through emergency room referrals, outpatient providers, and treating therapists at the clinic. Initial evaluation and suicide risk assessment will be conducted by experienced clinical staff according to established clinical guidelines for suicide risk assessment in adolescents.
Up to 120 participants will be enrolled over an estimated two-year recruitment period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children and adolescents aged 8-18 years presenting with suicidal ideation or behavior
- •Suicide risk assessment indicating suitability for outpatient treatment,
- •Fluency in Hebrew
- •Ability to attend five weekly treatment sessions
- •Written informed consent provided by parents or legal guardians
- •Written informed assent/consent provided by participants in accordance with age and local ethical regulations
排除标准
- •Acute medical or psychiatric condition requiring immediate inpatient treatment
- •Linguistic, developmental, neurological, or intellectual limitations that prevent understanding of the treatment protocol or study procedures
- •Inability to participate in outpatient psychotherapy
研究组 & 干预措施
IPT-A-SCI
Participants will receive the IPT-A-SCI intervention consisting of five weekly sessions of ultra-brief interpersonal psychotherapy combined with safety planning for suicidal ideation and behavior.
干预措施: IPT-A-SCI (Behavioral)
结局指标
主要结局
Change in Severity of Suicidal Ideation
时间窗: Baseline to 3-month follow-up
Change in severity of suicidal ideation and behavior assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS). The C-SSRS assesses the severity of suicidal ideation and the occurrence of suicidal behaviors. The suicidal ideation severity score ranges from 1 to 5, with higher scores indicating greater severity of suicidal ideation.
次要结局
- Change in Intensity of Suicidal Ideation(Baseline to 3-month follow-up)
- Change in Depressive Symptoms(Baseline to 3-month follow-up)
- Change in Perceived Social Support(Baseline to 3-month follow-up)
- Change in Emotional Processing (Alexithymia)(Baseline to 3-month follow-up)
- Change in Hope(Baseline to 3-month follow-up)
- Change in Family Conflict and Interpersonal Stress(Baseline to 3-month follow-up)
- Change in Irritability and Emotional Dysregulation(Baseline to 3-month follow-up)
- Change in Interpersonal and Social Functioning(Baseline to 3-month follow-up)
- Behavioral and Emotional Problems at Baseline(Baseline only)
研究者
Chamutal Saragusty
Clinical Psychologist, M.A., Ph.D. Student, Tel Aviv University
Tel Aviv University