About this trial
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
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Single group
Treatments tested in this trial
IPT-A-SCI
BehavioralManualized ultra-brief interpersonal psychotherapy intervention combined with safety planning for children and adolescents with suicidal ideation or behavior.
Treatment groups
Trial outcomes
Primary outcomes
Change in Severity of Suicidal Ideation
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.
Secondary outcomes
Change in Intensity of Suicidal Ideation
Change in intensity of suicidal ideation assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS) ideation intensity scale. The C-SSRS assesses the intensity of the most severe suicidal ideation endorsed by evaluating five dimensions: frequency, duration, controllability, deterrents, and reasons for ideation. Total scores range from 0 to 25, with a score of 0 assigned when no suicidal ideation is endorsed and scores from 2 to 25 indicating increasing intensity of suicidal ideation. Higher scores indicate more intense suicidal ideation and a worse outcome.
Change in Depressive Symptoms
Change in depressive symptoms assessed using the Short Mood and Feelings Questionnaire (SMFQ). Scores range from 0 to 26, with higher scores indicating greater depressive symptom severity and a worse outcome.
Change in Perceived Social Support
Change in perceived social support assessed using the Multidimensional Scale of Perceived Social Support (MSPSS). Scores range from 12 to 84, with higher scores indicating greater perceived social support and a better outcome.
Change in Emotional Processing (Alexithymia)
Change in emotional processing and alexithymia assessed using the Toronto Alexithymia Scale (TAS-20). Scores range from 20 to 100, with higher scores indicating greater difficulty identifying and describing emotions (greater alexithymia) and a worse outcome.
Sponsors and contacts
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Tel Aviv University
Lead sponsor
Geha Mental Health Center
Collaborator
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