RecruitingNot ApplicableNCT06194331

Optimizing Suicide Prevention Strategies for Pediatric Primary Care

Sponsor

University of Pittsburgh

Enrollment

60 participants

Start Date

Jun 22, 2025

Study Type

INTERVENTIONAL

Conditions

Depression Suicidal Ideation Suicidal and Self-injurious Behavior

Summary

Increasing rates of suicidal thoughts and behaviors among adolescents must be addressed. The study will adapt and collect preliminary effectiveness data on a digital suicide prevention intervention that can be delivered in pediatric primary care settings by front line pediatricians. The study has the potential to offer a low-cost and scalable primary care intervention that may decrease risk of suicide among at-risk youth.

Eligibility

Min Age: 12 YearsMax Age: 17 Years

Plain Language Summary

Simplified for easier understanding

This study is testing two digital tools — a safety planning app and a peer-support app — to help prevent suicide in teenagers seen at primary care clinics who show signs of depression or suicidal thinking. **Your teen may be eligible if...** - They are between 12 and 17 years old - A parent or legal guardian consents to their participation - They can speak and read English and own a smartphone or device - They scored at a moderate or severe level on a depression screening tool (PHQ-9M), or have had suicidal thoughts recently, or have attempted suicide in their lifetime **Your teen may NOT be eligible if...** - They have an intellectual disability or developmental disorder - They have another condition that would prevent them from understanding the study questions or modules Talk to your doctor to see if this trial is right for your teen.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALiCHART/cASAP

When patients disclose suicidal ideation on the PHQ-9, the intervention of iCHART/cASAP will be implemented in the pediatrician's office, and in collaboration with parents, which includes safety planning, teaching skills to improve distress tolerance and emotion regulation all on the teen's smart device. iCHART/cASAP will include: Screening Wizard, a digital screening tool that will guide the provider to gauge patient satisfaction with current treatment and making further personalized treatment recommendations; cASAP, a computerized version of the As Safe As Possible intervention that focuses on psychoeducation in safety planning, distress tolerance, and emotion regulation skills; BRITE, a safety planning app with distress monitoring that a teen can be guided through with automated onboarding manuals; Text2Connect, an automated text messaging sent centrally to patients and parents to enhance treatment adherence.

BEHAVIORALTreatment as usual

When patients disclose suicidal ideation on the PHQ-9, a treatment as usual approach will be given to the patient and their parent by the pediatrician which includes a paper safety plan will be completed and given to the patient and a referral placed for the patient to begin behavioral health services.