The goal of this study is to finalize a version of the Safety Planning Intervention suitable for 6-12-year-old children. This intervention provides individuals with strategies to reduce the risk of suicidal behavior. The main questions it aims to answer are: 1. Does the intervention appear clear and acceptable to the children and caregivers? 2. Does the intervention work to reduce suicidal behavior? Researchers will compare the group that received the intervention to a group that did not receive it, and to a group that received it and reported daily on its use. Participants will: 1. Children and parents will respond to questions in an interview and through self-reports in an in-person meeting 2. Children and parents will receive the intervention (those in the intervention groups) 3. Parents will report daily for one month (only those in the intervention + reporting group) 4. Children and parents will meet with the study team through a video call at 1 and 3 months from the first meeting for an interview.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
90
The Child Safety Planning Intervention (C-SPI) provides psychoeducation to children and caregivers about emotions, thoughts, and behaviors, emphasizing how these interact and change over time. Suicidal thoughts are framed as temporary reactions to triggers that can be recognized and managed. The intervention reviews a recent suicidal crisis to identify triggers, thoughts, feelings, and behaviors, which are then used to help the child recognize warning signs in the future. These signs are organized into levels (green, yellow, red), each linked to specific action steps.
C-SPI and daily, self-reported use of C-SPI
Children Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Feasibility and acceptability of the C-SPI
Whether intervention is clear and perceived as helpful on a scale of 1-5 (higher score indicates better perception of helpfulness)
Time frame: At baseline (following the intervention), and at 1 and 3 months follow-ups
Utilization of the C-SPI
Whether the C-SPI was used or not (0 or 1)
Time frame: Daily for a month (through EMA), and at 1 and 3 month follow-ups
Suicidal behavior
Whether suicidal behavior was present and how many times (count variable beginning with zero; higher score indicating worse outcome)
Time frame: 1 and 3 months
Suicidal ideation severity
On a scale of 0-5 with higher score indicating worse outcome
Time frame: 1 and 3 months
Mental health treatment engagement/service utilization
Number of contact with mental health providers (count variable beginning with zero; higher score indicating better outcome)
Time frame: 1 and 3 months
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