Ultra - Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI)

Suicide, Attempted Clinical Trial

Official title:

Ultra - Brief Crisis IPT-A Based Intervention for Suicidal Children and Adolescents (IPT-A-SCI)

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04404322
• Other study ID #: 17-0634 RMC
• Status: Recruiting
• Phase: N/A
• Start date: April 17, 2018
• Est. completion date: April 17, 2024

Study information

• Verified date: January 2020
• Source: Rabin Medical Center
• Contact: Liat Haruvi Catalan, Dr
• Phone: 0544948037
• Email: liatcatalan[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To address the critical need in crisis intervention for children and adolescents at suicidal risk the investigators developed an ultra-brief acute crisis intervention, based on Interpersonal Psychotherapy (IPT). The current adaptation of IPT-A is comprised of five weekly sessions, followed by monthly follow-up caring email contacts to the patients and their parents, over a period of three months.

Description:

In recent years, suicidal behaviors have shown substantial increase worldwide. This trend is also prominent in Israel and has led to a dramatic increase in mental health treatment demand resulting in long wait times and low treatment acceptance rate. To address the critical need in crisis intervention for children and adolescents at suicidal risk, the investigators developed an ultra-brief acute crisis intervention, based on Interpersonal Psychotherapy (IPT). IPT is an evidence-based intervention for various psychopathologies among different age groups. The current adaptation of IPT-A is comprised of five weekly sessions, followed by monthly follow-up caring email contacts to the patients and their parents, over a period of three months.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 120
• Est. completion date: April 17, 2024
• Est. primary completion date: April 17, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 6 Years to 20 Years

Eligibility

Inclusion Criteria:

• depression symptoms

• suicidal behavior

Exclusion Criteria:

• acute medical condition

• intellectual disability

• cognitive impairment

• linguistic limitation

Related Conditions & MeSH terms

• Suicide
• Suicide, Attempted

Intervention

Other:
• IPT A Suicide Crisis Intervention
The intervention is comprised of five weekly sessions followed by monthly emails to the patients and their parents over a period of three months. The first session is aimed at introducing the intervention, assessing depression and suicidal risk and building a safety plan. The safety plan consists of a prioritized list of coping strategies that the patient can use when suicidal risk is increased. The second session is focused on reviewing the patient's interpersonal relationships (using the closeness circle and interpersonal inventory) and conceptualizing the interpersonal problem area. Sessions 3-4 focus on developing and practicing interpersonal, emotional and behavioral coping strategies relevant for suicidal risk. Lastly, in session 5, patient and therapist go over the process and main issues which were worked on, emphasizing relapse prevention by going back to the safety plan. First and fifth sessions always involve the parents.
• Treatment As Usual
patients receive an integrative combination of psychodynamic, supportive and cognitive behavioral therapy, usually lasting between 10-30 weeks

Locations

Country	Name	City	State
Israel	Schneider Children's Medical Center of Israel, Departemnt of Psychological Medicine	Petach Tikva

Sponsors (1)

Lead Sponsor	Collaborator
Rabin Medical Center

Country where clinical trial is conducted

Israel, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Suicide Ideation	suicidal ideation [Suicide Ideation Questionnaire (SIQ) (Reynolds, 1987)]	Change from Baseline to 5 weeks assessment and 4 months assessment
Primary	change in Depression	Mood and Feeling Questionnaire (MFQ) (Angold et al., 1995)	Change from Baseline to 5 weeks assessment and 4 months assessment