I-CARE Digital Health Intervention for Adolescents in Psychiatric Crisis

This study is testing a digital program called I-CARE (Improving Care, Accelerating Recovery & Education) for adolescents (ages 12-17) who are in a medical hospital due to a mental health crisis, like a suicide attempt or suicidal thoughts, and are waiting to be transferred to a psychiatric hospital. I-CARE uses tablet-based animated videos and workbook exercises, guided by non-mental health professionals. The study aims to see if I-CARE can help reduce symptoms of depression, anxiety, and stress, and lower the risk of suicide. Researchers will measure these outcomes at the start, at hospital discharge, and then 30, 60, and 90 days after discharge. The study plans to enroll 173 participants, but its current status is unclear.

Study design
This is an interventional study, meaning participants will receive the I-CARE program. It plans to enroll 173 participants.
What's involved
Participants will engage with 7 tablet-based animated video modules and workbook exercises. Their mental health will be assessed at the start, at hospital discharge (around 72 hours later), and then 30, 60, and 90 days after discharge.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 90 days after hospital discharge to assess their mental health.

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NCT07150832

Efficacy of the I-CARE Digital Health Intervention

Recruiting
NAAges 12–17InterventionalHealth services
Dartmouth-Hitchcock Medical Center
~173 participants
Updated 2025-10-31 on ClinicalTrials.gov
What's tested:Improving Care, Accelerating Recovery & Education (ICARE)

At a glance

Recruiting sites
2 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Depression Anxiety Stress Scales Youth Version (DASS-Y )
Measured over Baseline/hospital admission (T1), hospital discharge/approximately 72 hours after admission (T2), and 30 days (T3), 60 days (T4), and 90 days (T5) post-discharge
+2 more outcomes measured
Mental Health Disorder
Suicide Attempt
Suicidal Ideation
Emergency Psychiatric
4 sites across 3 states
New Hampshire2
Connecticut1
New York1
  • JoAnna K. Leyenaar, MD, PhD, MPH · PRINCIPAL_INVESTIGATOR · Dartmouth College

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Eligibility criteria

Inclusion

Adolescents of any sex and gender, aged 12-17 years at ED visit or hospital encounter
Presenting with suicide attempt or ideation, or self-harm
Medically stable
English-speaking
Awaiting transfer for inpatient psychiatric care or disposition.

Exclusion

Cognitive or developmental delays precluding participation (intellectual functioning \<12 years of age)
Behavioral limitations that preclude program participation
Active psychosis
Legal parent/caregiver unable to speak English or unavailable to provide consent (e.g. Wards of the State)
  • Depression Anxiety Stress Scales Youth Version (DASS-Y )Baseline/hospital admission (T1), hospital discharge/approximately 72 hours after admission (T2), and 30 days (T3), 60 days (T4), and 90 days (T5) post-discharge

    The DASS-Y is a 21-item, youth-oriented validated measure that generates an aggregate assessment of emotional distress and sub-measures of depression, anxiety, and stress. Each item is self-reported on a 4-point Likert scale ranging from 0 (Did not apply to me at all) to 3 (Applied to me very much, or most of the time).

  • 9-item Concise Health Risk Tracking - Self-Report (CHRT-SR9)Baseline/hospital admission (T1), hospital discharge/approximately 72 hours after admission (T2), and 30 days (T3), 60 days (T4), and 90 days (T5) postdischarge

    The Concise Health Risk Tracking (CHRT) is a 9-item survey that assesses suicidal thoughts and behaviors in the past week, with response options ranging 0-4. Total scores range 0-36, with higher scores indicating more severe suicidality.

  • Harkavy-Asnis Suicide Scale (HASS)Time Frame: 30 days (T3), 60 days (T4), and 90 days (T5) postdischarge

    The HASS consists of 21 self-report items that cover the range of suicidal ideation and attempts, including both passive and active ideation. Responses on each item range 0-4; total scores range 0-84, with higher scores indicating more severe suicidality. The study will use only the 2 questions that inquire about suicide attempts.