Intensive Crisis Intervention

Part of paid clinical trials in Columbus, Ohio.

Sponsor
Jennifer Hughes
Study ID
NCT06476886
Status
Recruiting
Apply to this trial

Conditions

  • Suicidal Ideation
  • Suicide
  • Suicide Threat
  • Suicide and Self-harm
  • Suicide, Attempted

Eligibility Criteria

Sex
ALL
Age
12 Years - 17 Years
Healthy Volunteers
Not accepted

Interventions

  • Intensive Crisis Intervention (ICI) — BEHAVIORAL
    ICI is a brief (Average Length of Stay \[ALOS\]: M±SD=4.5±1.4 days), intensive family-centered, skills-based alternative to traditional inpatient psychiatric care. Adolescents participate in 2-3 individual sessions and 1-2 family sessions daily. Based on the cognitive-behavioral model of suicidality, ICI emphasizes that learned, maladaptive cognitive, behavioral, and affective responses to stressors contributing to suicidal behavior can be changed. Master's-level clinicians facilitate this process by engaging adolescents and their families in developing more effective coping skills when faced with potential triggers to suicidal crises.
  • Adolescent Psychiatric Inpatient Unit (APIU) — BEHAVIORAL
    APIU provides comprehensive assessment and treatment services to children and adolescents with significant psychiatric difficulties and to their families using a multidisciplinary approach. Symptoms and behaviors that led to admission are targeted through a milieu-based model of care and therapeutic group programming. The multidisciplinary treatment team includes a child and adolescent psychiatrist, often in collaboration with an advanced practice provider, psychologist, psychiatric nursing staff including trained mental health specialists, behavioral healthcare clinicians, care managers, rehabilitative care staff, teachers, and parent partners. Average length of stay is 9-11 days. An individualized treatment plan is developed by the entire treatment team, including the patient and caregivers, and includes initial planning for discharge with the primary treatment goal being stabilization of acute psychiatric symptoms. Programming is based on a trauma-informed biopsychosocial approach.

Study Details

The study's purpose is to improve the clinical management of severe crises experienced by youth with psychiatric disorders by examining a brief, evidence-based alternative to inpatient psychiatric care.

Key Dates

Start date
Jun 3, 2024
Status verified
Aug 2025
Primary completion
Jul 31, 2026
Completion
Jul 31, 2026

Study Design

Enrollment
213 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Intervention Per Protocol
    Patient participant was transferred to either YCSU or APIU according to randomization
  • Other: As Treated
    Patient participant transferred to a non-randomized unit, either YCSU or APIU, due to clinical or hospital system factors.
  • No Intervention: Observation Only
    Patient participant was discharged without receiving either intervention due to clinical factors

Primary Outcome Measure

Youth's perspective on the value of services received on the Client Satisfaction Questionnaire (CSQ-8) [ Time Frame: Post-discharge (day of discharge or as soon as possible after intervention ends) ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Nationwide Children's HospitalColumbusOhio43215
John Psurny
[email protected]
(614) 355-4132
Jennifer L Hughes, PhD (PRINCIPAL_INVESTIGATOR)

Find similar trials in Columbus, OH

By research site
Nationwide Children's Hospital· Columbus, OH

Related Studies