A program to reduce suicide risk in primary care for adolescents
Official title: Stepped Approach to Reducing Risk of Suicide in Primary Care
Run by Nationwide Children's Hospital · NCT06018285 · Data updated 2026-11-12
This study is testing a new program to see if it can help reduce the risk of suicide in teenagers aged 12-17 who visit their primary care doctors.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 12 Years to 17 Years |
| Sex | All |
| Enrollment | 2572 (estimated) |
| Sponsor | Nationwide Children's Hospital Academic / other |
| Locations | 15 sites (Akron, Ohio and 14 other locations) |
| Status | Recruiting |
| Started | August 8, 2023 |
| Main results expected | July 31, 2027 |
| Study ends | July 31, 2027 |
| Registry record updated | August 8, 2025 |
| Trial ID | NCT06018285 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adolescents aged 12-17 who are identified as being at risk for suicide and receive primary care services.
✕Probably not a fit
Patients who are medically or cognitively unable to participate in study procedures or do not have access to a telephone may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the effectiveness of the STARRS-PC intervention, a stepped approach designed to reduce suicide risk among adolescents aged 12-17 in pediatric primary care settings. It involves recruiting 2,572 participants, including both youth and their parents, who will undergo initial assessments and follow-up evaluations over a year. The intervention includes evidence-based clinical pathways for risk detection and management, compared to standard treatment practices. The study will be conducted across 14 primary care clinics, with data collected at multiple time points to assess the intervention's impact.
Why it matters
Potential benefit: If successful, this intervention could significantly reduce the incidence of suicidal behavior among adolescents in primary care settings.
How similar studies have gone: Previous studies have shown that stepped care approaches can effectively reduce suicide risk, indicating potential success for this intervention.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria (Youth and Parent): * All patients between the ages of 12 - 17 years and their parent/guardian at time of consent who are identified as being at risk for suicide and receive primary care services at one of 14 participating sites are eligible for study inclusion. * Youth will be recruited without regard to current or past histories of mental health problems. * Youth with comorbid physical illness (e.g., asthma) and those receiving medication treatment for a comorbid physical or psychiatric condition will be eligible to participate provide they otherwise meet study entry criteria. Inclusion Criteria (Provider): * Providers must work with patients at one of the participating PCCs. Exclusion Criteria (Youth and Parent): Subjects will be excluded for being: * medically or cognitively unable to participate in study procedures * without permanent residence or access to a telephone * unable to speak English adequately to understand study procedures Exclusion Criteria (Provider): * Unable to give consent * Unable to speak English adequately to understand study procedures.
Where it's running
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AxessPointe Community Health Centers/Health Quarters
Akron, Ohio, United States Recruiting -
Signature Health
Ashtabula, Ohio, United States Recruiting -
Holzer Health System
Athens, Ohio, United States Recruiting -
Dayton Children's Hospital - Hope Center
Dayton, Ohio, United States Recruiting -
Dayton Children's Hospital - Main
Dayton, Ohio, United States Recruiting -
Holzer Health System
Gallipolis, Ohio, United States Recruiting
Show 9 more locations
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Hilliard Pediatrics
Hilliard, Ohio, United States Recruiting -
Holzer Health System
Jackson, Ohio, United States Recruiting -
Maumee Pediatric Associates
Maumee, Ohio, United States Recruiting -
Cornerstone Pediatrics
Miamisburg, Ohio, United States Recruiting -
Signature Health
Painesville, Ohio, United States Recruiting -
Signature Health
Willoughby, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Not yet recruiting -
Village Square Primary Care Center
Perrysburg, Ohio, United States Not yet recruiting -
Franklin Avenue Primary Care Center
Toledo, Ohio, United States Terminated
Study contacts
- Principal investigator: Jeffrey Bridge, PhD — Abigail Wexner Research Institute at NCH
- Study coordinator: Cynthia Fontanella, PhD
- Email: cynthia.fontanella@nationwidechildrens.org
- Phone: (614) 938-0323
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.