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Suicide and DepressionNCT05748730

Clinical Trial for Integrated Care to Help At Risk Teens (iCHART) Intervention

A study testing iCHART and Treatment As Usual in people with Suicide and Depression and Adolescent Behavior, run by University of Pittsburgh at 13 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This protocol will test the effectiveness of an intervention, iCHART (integrated Care to Help At-Risk Teens) and facilitate recruitment for other studies in the larger ETUDES Center grant, which are focused on treatment development for target risk factors for suicidal behavior, specifically, sleep, anhedonia, and… Read more about this study

Who is it for?
Ages 12 to 18 years
Conditions the study is for
Suicide and Depression, Adolescent Behavior
What is being tested?
iCHART and Treatment As Usual
Could I receive a placebo?
No, everyone receives an active treatment
How many people
765 participants
Where
13 sitesUnited States
Study dates
26 Jan 2023to 30 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • YOUTH
  • Youth will be age 12-18 and speak English.
  • Youth will have current depression or suicidal behavior. Suicidal behavior for iCHART (N=900) is defined as past suicidal thoughts in the past two weeks as indicated by clinician interview or report or as indicated by responses to a standardized assessments such as the PHQ-9, PHQ-9M, ASQ, CSSRS, or Behavioral Health Screen, or seeking acute care or clinical contact for mental health crisis/problem in the past year.
  • CAREGIVERS/PARENTS
  • Parents/caregivers of youth in the study must be at least 18 years old and their child must be willing to participate in the study. Caregivers/parents must be able to speak English. Parents are considered biological/adoptive parents or have court documentation that they can provide consent for research as a legal guardian of a youth. Only 1 parent/caregiver will be engaged in research, but in case 1 parent is unavailable, the other may be engaged (meaning it doesn't have to be the same parent participating in assessments/interviews throughout youth study participation).

Who cannot join

  • YOUTH
  • Exclusion criteria include conditions that might impair their ability to effectively deploy ETUDES interventions, including:
  • current manic or psychotic episode, presence of a life-threatening medical condition requiring immediate treatment, intellectual or developmental disability precluding comprehension of study procedure. The latter will be assessed by parental report of placement in self-contained Special Education classes, EHR review, and during the consent/assent and/or baseline to determine if the participant is not understanding research procedures.
  • Participants without access to a phone and/or tablet to interact with components of the intervention that require a phone will be excluded.
  • CAREGIVERS/PARENTS
  • There are no specific exclusion criteria for caregivers and providers. However, as mentioned in the inclusion criteria, caregivers will be excluded if they are not the biological parent or court-appointed guardian of the youth being interviewed.

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

United States13 sites
  • Gibbsboro

    Gibbsboro, New Jersey, 08026

  • Conemaugh Memorial Medical Center-Family Medicine

    Johnstown, Pennsylvania, 15905

  • CHOP Primary Care, CHOP Campus

    Philadelphia, Pennsylvania, 19104

  • Roxborough

    Philadelphia, Pennsylvania, 19128

  • CHOP Primary Care, Cobbs Creek

    Philadelphia, Pennsylvania, 19139

  • Karabots

    Philadelphia, Pennsylvania, 19139

  • Children's Community Pediatrics (CCP) of Children's Hospital of Pittsburgh UPMC

    Pittsburgh, Pennsylvania, 15213

  • UPMC Center for Adolescent and Young Adult Health

    Pittsburgh, Pennsylvania, 15213

  • UPMC Family Medicine

    Pittsburgh, Pennsylvania, 15213

  • Kids Plus Pediatrics (KPP)

    Pittsburgh, Pennsylvania, 15217

  • Berks Community Health Center

    Reading, Pennsylvania, 19604

  • Springfield

    Springfield, Pennsylvania, 19064

  • CHOP Primary Care, West Chester

    West Chester, Pennsylvania, 19380

Other trials in United States

About this study

Official title: The Center for Enhancing Triage and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary Care-iCHART RCT

This protocol will test the effectiveness of an intervention, iCHART (integrated Care to Help At-Risk Teens) and facilitate recruitment for other studies in the larger ETUDES Center grant, which are focused on treatment development for target risk factors for suicidal behavior, specifically, sleep, anhedonia, and stress related to cyber-victimization. This study will recruit 900 adolescents which will be enrolled in a randomized controlled trial to test iCHART and will be randomized to iCHART or treatment as usual (TAU). Based on previous work, the investigators hypothesize that iCHART, compared to TAU, will decrease suicide-related events by 50%. The investigators will use implementation science methods to assess contextual factors (i.e., barriers and facilitators) and implementation outcomes specifically, acceptability, feasibility, appropriateness, and cost for our predictive algorithm and iCHART to inform future implementation efforts and promote health equity.

Read the detailed description

iCHART is an intervention that includes 3 components previously studied in within the ETUDES Center including the:

  1. Safety planning app for suicidal youth which enables a primary care provider to streamline the gold standard of care for those with current suicidality symptoms through an app (instead of a paper based version);
  2. Mental Health Screener questionnaire that gathers additional mental health symptoms, treatment preferences, and family's readiness for treatment engagement;
  3. Text Messages which aims to provide texts for 2-3 weeks to motivate youth to engage with the safety plan.

Aim 1. Test the effectiveness of iCHART in reducing suicide-related events at 6 months, the primary outcome, and examine mediators and moderators of treatment response. The investigators hypothesize: 1) iCHART will reduce suicide-related events; 2) Individual-, family-, and neighborhood-level risk and protective factors will moderate response; and 3) Examine a predictive algorithm to examine heterogeneity of treatment response.

Aim 2. Examine barriers, facilitators, and implementation outcomes specifically, acceptability, feasibility, appropriateness, and cost for iCHART to inform future implementation efforts and promote health equity. Barriers and facilitators that span multiple levels of context (e.g., aspects of clinic workflows, provider beliefs and knowledge) are expected to be uncovered. Further, incorporating iCHART in pediatric primary care will be viewed as feasible, acceptable, and appropriate by youth and caregivers across different racial and ethnic groups.

Being tested
iCHART, Treatment As Usual
Medical subject headings
Suicide, Depression, Adolescent Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • iCHARTBehavioural

    The Safety Planning App will guide clinicians in the use of an emotion regulation and safety planning app (BRITE) to be loaded on the phone of depressed and suicidal adolescents in order to improve depression and reduce the likelihood of a suicide attempt.

    The Mental Health Screener is a decision support tool to guide clinicians to make a referral that reflects patient clinical needs and patient and parental treatment preferences and perceived barriers to treatment.

    The Text Messages is a personalized text messaging intervention for patients and parents that targets engagement with the safety plan to increase the likelihood that a depressed or suicidal patient will maintain or initiate recommended services.

    Participants will receive psychoeducation and referral to a mental health treatment provider, if needed.

  • Treatment As UsualBehavioural

    Participants in this group will receive usual care from their clinician which may include development of a paper safety plan.

Study groups in NCT05748730
Study groupRoleWhat they receive
iCHARTExperimentaliCHART is an intervention that includes 3 components previously studied in within the ETUDES Center including a: 1. Safety Planning App for suicidal youth which enables a clinician to streamline the gold standard of care for those with current suicidality symptoms through an app (instead of a paper based version); 2. Mental Health Screener questionnaire that gathers additional mental health symptoms, treatment preferences, and family's readiness for treatment engagement to help clinicians make a personalized, tailored treatment plan a suicidal youth is more likely to adhere to; 3. Text Messages which aims to provide texts for 2-3 weeks to motivate you to engage with the safety plan and recommended treatment following the patient visit. Participants will receive psychoeducation and referral to a mental health treatment provider, if needed.
Receives: Behavioral: iCHART
Treatment As Usual (TAU)Active comparatorParticipants in this group will receive usual care from their clinician which may will include development of a paper safety plan.
Receives: Behavioral: Treatment As Usual

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Suicide related event

    Suicidal Event definition: combination of items on CSSRS + CASA: actual attempt=yes; interrupted attempt=yes; aborted attempt=yes; preparatory acts=yes; emergency referral=yes in CSSRS and include emergency referral items in CASA that are suicide related (receipt of treatment from a medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center). Note this is a composite score.

    Measured: Cumulative through 6-month follow up

Secondary outcomes (18)
  1. Suicide related event

    Suicidal Event definition: combination of items on CSSRS + CASA: actual attempt=yes; interrupted attempt=yes; aborted attempt=yes; preparatory acts=yes; emergency referral=yes in CSSRS and include emergency referral items in CASA that are suicide related (receipt of treatment from a medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center). Note this is a composite score.

    Measured: Cumulative through 12-month follow up

  2. Depression Severity

    Total scores from the Patient Health Questionnaire (PHQ-9-M) will be used to assess depression severity.

    Measured: Cumulative 6-month follow up

  3. Time from randomization to first suicide related event

    Time of onset to suicide related to event. Dates are collected on CSSRS and CASA when suicidal behavior events occur (CSSRS) and referrals are made to medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center.

    Measured: Cumulative through 6-month follow up

  4. Time from randomization to first suicide related event

    Time of onset to suicide related to event. Dates are collected on CSSRS and CASA when suicidal behavior events occur (CSSRS) and referrals are made to medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center.

    Measured: Cumulative through 12-month follow up

  5. Frequency of suicide-related events

    Number of suicide related events across sample collected from CSSRS and CASA.

    Measured: Cumulative through 6-month follow up

  6. Frequency of suicide-related events

    Number of suicide related events across sample collected from CSSRS and CASA.

    Measured: Cumulative through 12-month follow up

  7. Aborted Attempts

    Behavior section, aborted (self-interrupted) attempt endorsed for interval covered on CSSRS.

    Measured: Cumulative through 6-month follow up

  8. Aborted Attempts

    Behavior section, aborted (self-interrupted) attempt endorsed for interval covered on CSSRS.

    Measured: Cumulative through 12-month follow up

  9. Interrupted Attempts

    Behavior section, interrupted attempt endorsed for interval covered on CSSRS.

    Measured: Cumulative through 6-month follow up

  10. Interrupted Attempts

    Behavior section, interrupted attempt endorsed for interval covered on CSSRS.

    Measured: Cumulative through 12-month follow up

  11. Actual attempt (non-fatal)

    Behavior section, actual attempt endorsed for the interval covered on CSSRS.

    Measured: Cumulative through 6-month follow up

  12. Actual attempt (non-fatal)

    Behavior section, actual attempt endorsed for the interval covered on CSSRS.

    Measured: Cumulative through 12-month follow up

  13. Preparatory acts taken for a suicide attempt

    Suicidal behavior indicator endorsed for preparatory acts or behavior toward imminent suicidal behavior endorsed for the interval covered on CSSRS.

    Measured: Cumulative through 6-month follow up

  14. Preparatory acts taken for a suicide attempt

    Suicidal behavior indicator endorsed for preparatory acts or behavior toward imminent suicidal behavior endorsed for the interval covered on CSSRS.

    Measured: Cumulative through 12-month follow up

  15. Emergency referral for increased suicidal ideation

    Study emergency referral recorded in connection with increased suicidal ideation.

    Measured: Cumulative through 6-month follow up

  16. Emergency referral for increased suicidal ideation

    Study emergency referral recorded in connection with increased suicidal ideation.

    Measured: Cumulative through 12-month follow up

  17. Emergency referral for increased suicidal ideation

    Designated CASA emergency referral items where the referral is suicide related (on items related to receipt of treatment from a medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center).

    Measured: Cumulative through 6-month follow up

  18. Emergency referral for increased suicidal ideation

    Designated CASA emergency referral items where the referral is suicide related (on items related to receipt of treatment from a medical or psychiatric inpatient facility, emergency department, outpatient facility, or crisis center).

    Measured: Cumulative through 12-month follow up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2023
  2. Study start26 Jan 2023
  3. Primary completion30 Apr 2027 (estimated)
  4. Study completion30 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study uses an effectiveness-implementation hybrid type 1 randomized clinical trial (RCT) design. A qualitative, descriptive design will be used to analyze qualitative aims of this study.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
765 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05748730
Sponsor's protocol ID
STUDY22020069
Other IDs
P50MH115838
Status last verified
Oct 2026
First submitted
8 Feb 2023
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All requests for study data will follow NIMH's data sharing and data use policies. The final completely de-identified dataset(s) will include demographic and clinical data at baseline, and primary and secondary outcomes for all studies, including those funded by the innovation contests. These analytic datasets may also include derived variables with documentation. Our form datasets will include original case report forms, a detailed codebook of variable names, value labels, and programming formats and all study documentation including the protocol and manual of procedures. For descriptive/raw data, study investigators/study staff will upload to NIMH's National Database for Clinical Trials Related to Mental Health Illness (NDCT) on a semi-annual basis all analyzed data being uploaded prior to primary paper publication.

Questions about this trial

What is this clinical trial studying?

A study testing iCHART and Treatment As Usual in people with Suicide and Depression and Adolescent Behavior, run by University of Pittsburgh at 13 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Suicide related event (time frame: Cumulative through 6-month follow up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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