A personalized lifeline: can Stepped-Care in the ER keep suicidal youth engaged in treatment?
NCT ID NCT07092345
First seen Aug 14, 2026 · Last updated Aug 14, 2026
Summary
This trial tests a family-based, adaptive program for youth aged 8 to 17 who come to the emergency department (ED) with suicidal or self-injurious behavior. The program uses a stepped-care approach, starting with digital psychosocial support and adding text-based communication if needed, to help families engage with community mental health services after discharge. The goal is to see if this tailored intervention is feasible and acceptable, and whether it increases attendance at mental health care and reduces future ED visits.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A behavioral adaptive intervention combining digital psychosocial support with optional text-based communication, tailored to each family's needs.
- What this could lead to
- If successful, this could provide a practical, personalized way to connect at-risk youth to mental health care after an emergency visit, potentially reducing repeat visits and suicide risk.
- What could go wrong
- This is an early-stage feasibility study, so it may not show clear benefits. The intervention's success depends on family engagement, which can be unpredictable.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 186 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2025
- Expected to finish
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Mar 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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8 to 17 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Youth 8 to 17 years * Youth presenting to the ED with suicide and self-injurious behavior * Youth living at home with at least one legal guardian/caregiver Exclusion Criteria: * Youth presenting to the ED with psychosis, sexual assault, child abuse * Youth in police custody, * Youth with an active investigation with the department of child and youth services (DCYF) * Youth unable to assent due to severity of illness or developmental disabilities, * Youth who cannot communicate in English or Spanish, * Youth without a caregiver/legal guardian who can provide consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hasbro Children's Hospital
RECRUITINGProvidence, Rhode Island, 02903, United States
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