Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department.
Barbara Stanley, Gregory K Brown, Lisa A Brenner...
https://pubmed.ncbi.nlm.nih.gov/29998307Actively Recruiting
Phase Not Applicable
Age: 12Years - 24Years
All Genders
ID06151158
Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings
Led by Johns Hopkins University · Updated on 2026-05-04
1000
Participants Needed
6
Research Sites
N/A
Total Duration
On this page
Sponsors
J
Johns Hopkins University
Lead Sponsor
J
Johns Hopkins All Children's Hospital
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are comparing two brief and scalable interventions aimed at helping youth aged 12 to 24 at risk for suicide in emergency department (ED) settings. The study focuses on diverse urban areas and addresses increasing rates of suicidal thoughts and attempts, especially among racial, ethnic, and sexual minority youth. The goal is to find which intervention better prevents suicidal crises and informs future standard care for at-risk youth. The two interventions being studied are the Stanley Brown Safety Planning Intervention with Follow-up Contacts (SPI+) and Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI). SPI+ is a brief, individualized safety plan developed collaboratively to reduce suicide risk, including follow-ups after discharge. IPT-A SCI is a psychotherapeutic crisis treatment that teaches skills to prevent suicidal crises and addresses interpersonal problems. Participants are randomly assigned to receive one of these interventions. During the study, participants are assessed at baseline and followed for 12 months with evaluations at 3, 6, and 12 months. Assessments include measures of suicidal ideation and behavior, mental health service use, quality of life, anxiety, depression, family conflicts, social interactions, and skill use related to each intervention. Follow-up contacts and ongoing monitoring help track changes over time and participant safety throughout the study period.
CONDITIONS
Brief Title
Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings
Who Can Participate
Age: 12Years - 24Years
All Genders
Eligibility Criteria
You may qualify if you...
- Youth aged 12 to 24 years
- At least one suicide risk factor during acute care visit (suicide-related complaint, recent suicidal thoughts or behaviors)
- Access to a cell phone capable of receiving calls and texts for 12 months
- Ability to communicate, understand, and read English or Spanish
- Discharged from higher level of care and back in the community within 4 weeks of acute care visit (if applicable)
You will not qualify if you...
- Significant cognitive or developmental delays preventing use of study interventions
- Altered mental status such as acute psychosis, intoxication, or mania
- Unable or unwilling to provide informed consent, assent, or parental permission
- Study services not in the best clinical interest due to need for different care level or approach
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Up to 5 weeks
Participants receive one of two brief behavioral interventions: a Safety Planning Intervention completed in the emergency department with 3 follow-up contacts after discharge, or five sessions of Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention designed to teach skills to prevent suicidal crises.
1 emergency department visit and up to 5 outpatient visits
Follow-up
Duration - 12 months
Participants are monitored through follow-up assessments to track changes in suicidal ideation, behavior, and other mental health outcomes over 12 months after completing the intervention.
Assessments at 3, 6, and 12 months post-intervention
Trial Site Locations
Total: 6 locations
1
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States, 33701
Actively Recruiting
2
Johns Hopkins University
Baltimore, Maryland, United States, 21205
Actively Recruiting
3
Columbia University Irving Medical Center (CUMC)
New York, New York, United States, 10032
Actively Recruiting
4
Weill-Cornell Medicine
New York, New York, United States, 10065
Actively Recruiting
5
University of North Carolina Medical Center
Chapel Hill, North Carolina, United States, 27514
Actively Recruiting
6
Childrens Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Actively Recruiting
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Research Team
H
Holly C Wilcox, PhD
T
Taylor Ryan, MA
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Ultra-Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI) Pilot Study Results.
Liat Haruvi Catalan, Mira Levis Frenk, Ella Adini Spigelman...
https://pubmed.ncbi.nlm.nih.gov/33362595