Effectiveness of the Suicidal Crisis Intervention (SCI)
RCT SCI
A Randomized Controlled Study on the Effectiveness of the Suicidal Crisis Intervention (SCI)
1 other identifier
interventional
390
1 country
12
Brief Summary
The main objective of this project is to be able to offer a new, specific evidence-based short-term treatment method, the Suicidal Crisis Intervention (SCI), to reduce suicidality. In addition, this study aims to investigate the influence of SCI on other important aspects of suicidality (secondary goal) such as hopelessness, defeat, entrapment, and interpersonal needs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2023
Typical duration for not_applicable
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 8, 2022
CompletedFirst Posted
Study publicly available on registry
December 6, 2022
CompletedStudy Start
First participant enrolled
July 11, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2026
ExpectedNovember 18, 2025
November 1, 2025
2.5 years
November 8, 2022
November 14, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Change in suicidality: Beck Scale for Suicide Ideation (BSI; Beck & Steer, 1991)
The BSI is a 21-item self-report questionnaire. Each item is rated on a scale from 0 to 2, resulting in a total score ranging from 0 to 38.
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
Secondary Outcomes (7)
Change in suicidal behaviour
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
Change in hopelessness: The Beck Hopelessness Scale (BHS; Beck et al., 1974)
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
Change in defeat: Defeat Scale (DS; Gilbert & Allen, 1998; Griffiths et al., 2015) - short version
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
Change in entrapment: Entrapment Scale (ES; Gilbert & Allen, 1998; Griffiths et al., 2015) - short version
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
Change in isolation: Interpersonal Needs Questionnaire (INQ; Van Orden et al., 2012; Hill et al., 2015) - short version
Change in baseline to post-test [42 days after randomization], to follow-up 1 [132 days after randomization] and to follow-up 2 [222days after randomization]
- +2 more secondary outcomes
Other Outcomes (1)
Treatment evaluation by close one [own questionnaire]
Post-test [42 days after randomization]
Study Arms (2)
Intervention Group
EXPERIMENTALParticipants in the intervention group received the Suicidal Crisis Intervention( SCI) in addition to their treatment as usual.
Control Group
NO INTERVENTIONParticipants in the control group received their treatment as usual.
Interventions
This study's experimental condition consisted of the Suicidal Crisis Intervention (SCI), developed by the Flemish Centre of Expertise of Suicide prevention. The SCI aims to provide tools for dealing with future suicidal crises for people after a suicidal crisis or suicide attempt. The intervention attempts to provide insight into the suicidal crisis by giving suicidality meaning within the life history. It aims to increase motivation for specialized care and therefore facilitate continuity of care. In addition, the method also wants to involve the close relative(s) of the suicidal person in the treatment. The SCI offers care providers a clear structure and handles to do this within a short period of time (4 sessions). Within the SCI are a number of crucial elements: the therapeutic relationship, involving loved ones, person-centred care, the Integrated Explanatory Model for Suicidal Behavior (Van Heeringen, 2007), the safety plan (Stanley \& Brown, 2012) and continuity of care.
Eligibility Criteria
You may qualify if:
- After a suicide attempt or suicidal crisis
- ≥ 18 years
- Availability of a smartphone, tablet and/or computer with internet access,
- Dutch-speaking.
You may not qualify if:
- Limited comprehension, cognitive impairment
- Psychotic disorder
- Unsuitable for individual therapy
- close one of the patient
- ≥ 18 years
- Dutch- speaking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Psychiatrisch Centrum Sint Amandus (incl. Mobiel Crisis Team)
Beernem, Belgium
Medisch Centrum St. Jozef
Bilzen, Belgium
Mobiel Crisis Team zorggroep Multiversum
Boechout, Belgium
Openbaar Psychiatrisch Zorgcentrum Geel
Geel, Belgium
UZ Gent
Ghent, 9000, Belgium
AZ Groeninge (incl. Mobiel Crisis Team Kortrijk)
Kortrijk, Belgium
Psychiatrisch Ziekenhuis Heilige Familie Kortrijk
Kortrijk, Belgium
Psychiatrisch Centrum Ariadne
Lede, Belgium
Openbaar Psychiatrisch Zorgcentrum Rekem
Rekem, Belgium
Algemeen Ziekenhuis Glorieux
Ronse, Belgium
Psychiatrisch Ziekenhuis Sint Lucia (incl. Mobiel Team Acute Zorgen)
Sint-Niklaas, Belgium
Bethanië GGZ (incl. mobiel crisis team SARA Het Veer)
Zoersel, Belgium
Related Publications (4)
Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry. 1997 Mar;170:205-28. doi: 10.1192/bjp.170.3.205.
PMID: 9229027BACKGROUNDHawton K, Zahl D, Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry. 2003 Jun;182:537-42. doi: 10.1192/bjp.182.6.537.
PMID: 12777346BACKGROUNDNordentoft M. Crucial elements in suicide prevention strategies. Prog Neuropsychopharmacol Biol Psychiatry. 2011 Jun 1;35(4):848-53. doi: 10.1016/j.pnpbp.2010.11.038. Epub 2010 Dec 2.
PMID: 21130823BACKGROUNDMichel, K., & Gysin-Maillart, A. (2015). ASSIP - Attempted Suicide Short Intervention Program: A manual for clinicians. Hogrefe Publishing.
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gwendolyn Portzky, Phd
University Ghent
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 8, 2022
First Posted
December 6, 2022
Study Start
July 11, 2023
Primary Completion
December 31, 2025
Study Completion (Estimated)
September 1, 2026
Last Updated
November 18, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share