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Suicide Preventive Psychosocial Treatment for Youths
Sponsor: Karolinska Institutet
Summary
Suicide is the leading cause of death amongst 10-18-year-olds in Sweden. Suicide attempts are the strongest predictor of subsequent death by suicide, often lead to inpatient care, and are associated with substantial societal costs, making suicide attempts a critical target in psychiatric intervention research. Although youths attempting suicide are typically assessed and treated for potential comorbid psychiatric conditions, there is currently no trans-diagnostic evidence-based treatment specifically targeting suicidal behavior. To fill this gap, the Safe Alternatives for Teens and Youths (SAFETY) was developed. SAFETY is a transdiagnostic family-based cognitive-behavioral suicide prevention program that has shown promise but more studies are needed. The overall objective of this project is to evaluate the efficacy, durability, and cost-effectiveness of the SAFETY intervention, a scalable suicide prevention intervention that can be offered immediately following a youth suicide attempt, in a fully powered single-blind randomized controlled superiority trial. Our primary hypothesis is that the SAFETY intervention will be superior to Enhanced Treatment As Usual (enhanced with the evidence-based intervention safety planning) in reducing the proportion of suicide reattempts. Moreover, we predict that these improvements will be maintained for up to 60 months post-treatment. Finally, we expect that SAFETY will be cost-effective compared to the control intervention, both at the primary endpoint and in the longer term.
Official title: Suicide Preventive Psychosocial Treatment for Youths: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
10 Years - 17 Years
Study Type
INTERVENTIONAL
Enrollment
282
Start Date
2025-05-28
Completion Date
2032-09
Last Updated
2026-02-25
Healthy Volunteers
No
Interventions
Safe Alternatives for Teens and Youth (SAFETY)
Please see description of experimental arm (arm one)
Enhanced Treatment As Usual
Please see description of active comparator arm (arm two).
Locations (5)
Child and Adolescent Mental Health Services, Region Skåne
Helsingborg, Sweden
Child and Adolescent Psychiatry, Region Värmland
Karlstad, Sweden
Child and Adolescent Mental Health Services, Region Halland
Kungsbacka, Sweden
Child and Adolescent Mental Health Services, Region Stockholm
Stockholm, Sweden
Child and Adolescent Psychiatry, Region Uppsala
Uppsala, Sweden