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Preventing Suicidal Behavior in Youth

This study is looking at two different ways to help young people (ages 12-24) who are at risk for suicide and come to the emergency department. One approach is called Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+), which helps people create a plan to prevent suicidal crises. The other is Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI), a short therapy that teaches skills to prevent suicidal crises and addresses relationship problems. The study wants to see which of these interventions is more effective in reducing suicidal thoughts and behaviors. You might be able to join if you are between 12 and 24 years old and have a suicide risk during an acute care visit. The study aims to enroll 484 participants.

Study design
This is an interventional study comparing two behavioral interventions. It plans to enroll 484 participants aged 12 to 24.
What's involved
Participants will receive either the Stanley Brown Safety Planning Intervention in the emergency department with 3 follow-up contacts, or five sessions of Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention.
Compensation
Not stated in the trial record.
Follow-up
Your suicidal thoughts and behaviors will be checked at baseline, 3 months, 6 months, and 12 months after starting the study.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06151158

Preventing Suicidal Behavior With Diverse High-Risk Youth in Acute Care Settings

Recruiting
NAAges 12–24InterventionalPrevention
Johns Hopkins University
~484 participants
Updated 2026-07-08 on ClinicalTrials.gov
What's tested:Stanley Brown Safety Planning Intervention and Follow-up Contacts (SPI+)Interpersonal Psychotherapy for Adolescents Ultra Short Crisis Intervention (IPT-A SCI)

At a glance

Recruiting sites
6 of 6 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Suicidal ideation as assessed by the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recent
Measured over baseline, 3 months, 6 months, 12 months
+2 more outcomes measured

Conditions

Suicide, Attempted
Suicide Ideation
Suicide
Suicide Prevention

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Suicidal behavior

NCT06151158

Where you'd take part

This study runs at 6 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Childrens Hospital of Philadelphia

    Philadelphia, Pennsylvaniastudy coordinator listed

    Recruiting

  • Columbia University Irving Medical Center (CUMC)

    New York, New Yorkstudy coordinator listed

    Recruiting

  • Johns Hopkins All Children's Hospital

    St. Petersburg, Floridastudy coordinator listed

    Recruiting

  • Johns Hopkins University

    Baltimore, Marylandstudy coordinator listed

    Recruiting

  • University of North Carolina Medical Center

    Chapel Hill, North Carolinastudy coordinator listed

    Recruiting

  • Weill-Cornell Medicine

    New York, New Yorkstudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

Study leadership

  • Holly C Wilcox, PhD · PRINCIPAL_INVESTIGATOR · Johns Hopkins Bloomberg School of Public Health

Who to contact

Holly C Wilcox, PhD
[email protected]
4103700081
Email the study team

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Eligibility criteria

Inclusion

Suicide Risk During Acute Care Visit (At least one item in risk assessment is required; check all that apply): \_\_\_ Chief complaint of suicide-related concern (via Medical Record/Other), \_\_\_ Active suicidal ideation endorsed in past 1 month on validated suicide screener, \_\_\_ Suicidal behavior in the past 3 months on validated suicide screener, \_\_\_ Clinician indicated SI in past month or SA in past 3 months.
Have access to a cellular phone with the ability to receive phone calls and text messages over the 12-month follow- up period
Adolescent must be verbally fluent and can communicate, understand, and read in either English or Spanish
Adolescent has been/will be discharged from a higher level of care (i.e. inpatient, day hospital, partial hospitalization program (PHP), or residential treatment program) and back in the community within 4 weeks of their acute care visit. \[Note: this criterion does not apply to all patients - select N/A if this is the case.

Exclusion

Significant cognitive or developmental delays that prevent understanding or using SPI+ or IPT-A-SCI (includes inability to communicate verbally)
Altered mental status (acute psychosis, intoxication, or mania)
Unable or unwilling to provide informed consent (adults), assent (minors), or permission (parents/caregivers)
The services offered through the study are not in the best clinical interest of the patient (e.g., presenting problem requires a different level of care or treatment approach).

What this trial measures

  • Change in Suicidal ideation as assessed by the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recentbaseline, 3 months, 6 months, 12 months

    Suicidal thoughts: measured using the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recent. Scores for suicidal ideation range from 0 to 5, with higher scores indicating more serious suicidal ideation, where 0 = "no suicidal thoughts"; 1= "wish to be dead"; 2 = "nonspecific active suicidal thoughts"; 3 = "suicidal thoughts with methods"; 4 = "suicidal intent"; and 5 = "suicidal intent with plan".

  • Change in Suicidal behavior as assessed by the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recentbaseline, 3 months, 6 months, 12 months

    Suicidal behavior with intent to die: measured using the Suicide Assessment Five-step Evaluation and Triage (SAFE-T) with Columbia-Suicide Severity Rating Scale (C-SSRS) Recent. Scored 0 to 1, with 1 indicating a suicide attempt since last assessment.

  • Number of Suicides12 months

    Measured through Death Records or Suicide from Office of Chief Medical Examiner, family report or medical record