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

NCT04404322 | Unknown

• 1 other identifier: 17-0634 RMC
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Suicide, Attempted

Outcome Measures

Primary Outcomes (2)

• Suicide Ideation

  suicidal ideation \[Suicide Ideation Questionnaire (SIQ) (Reynolds, 1987)\]

  Change from Baseline to 5 weeks assessment and 4 months assessment

• change in Depression

  Mood and Feeling Questionnaire (MFQ) (Angold et al., 1995)

  Change from Baseline to 5 weeks assessment and 4 months assessment

Study Arms (3)

IPT A SCI

EXPERIMENTAL

The IPT-A SCI follows the intervention protocol, which includes an intensive phase of 5 weekly 50-minute sessions and 3 follow up personal emails.

Other: IPT A Suicide Crisis Intervention

Treatment as usual

ACTIVE COMPARATOR

TAU patients receive an integrative combination of psychodynamic, supportive and cognitive behavioural therapy, usually lasting between 10-30 weeks.

Other: Treatment As Usual

wait list

NO INTERVENTION

WL patients are monitored by a trained clinician during their waiting period and complete the study questionnaire battery at the parallel time intervals.

Interventions

IPT A Suicide Crisis Intervention OTHER

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.

IPT A SCI

Treatment As Usual OTHER

patients receive an integrative combination of psychodynamic, supportive and cognitive behavioral therapy, usually lasting between 10-30 weeks

Treatment as usual

Eligibility Criteria

• Age: 6 Years - 20 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• depression symptoms
• suicidal behavior

You may not qualify if:

• acute medical condition
• intellectual disability
• cognitive impairment
• linguistic limitation

Sponsors & Collaborators

• Rabin Medical Center: lead

Study Sites (1)

Schneider Children's Medical Center of Israel, Departemnt of Psychological Medicine

Petah Tikva, Israel

RECRUITING

MeSH Terms

Conditions

Suicide, Attempted

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Alan APTER, Prof

  Rabin MC

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Liat Haruvi Catalan, Dr

CONTACT

0544948037; liatcatalan@gmail.com

Alan APter, Prof

CONTACT

asapter@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients are referred to SCMC depression and suicide clinic through the ER, outpatient providers or are self-referred. They undergo an initial evaluation and risk assessment. Following initial evaluation, each subject is assigned to one of three study groups, based on clinical considerations. In this stratified randomization system, the most serious acute cases are generally referred to our ultra-short crisis intervention (IPT- A SCI) and the rest are randomized to either one of the three groups: IPT- A SCI, Treatment as usual (TAU) and waiting list (WL). All participants and their parents complete the questionnaires via a secure electronic interface, with the aid of a trained research assistant. Treatment drop-out rates, thus far, seem low and stand at about 11% for the IPT-A SCI and at about 16% for patients who receive TAU.

Study Record Dates

• First Submitted: May 4, 2020
• First Posted: May 27, 2020
• Study Start: April 17, 2018
• Primary Completion: April 17, 2022
• Study Completion: April 17, 2024
• Last Updated: May 27, 2020

Record last verified: 2020-01

Locations

IL (1)