Digital tools to help youth seek care sooner when at risk for psychosis
Official title: Digital Strategies to Advance Help-Seeking in Youth at Clinical High Risk for Developing Psychosis
Run by Columbia University · NCT06774417 · Data updated 2026-11-12
This project will test personalized digital messages and online strategies to help people ages 12–29 who screen positive for psychosis risk find and start local care sooner.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 12 Years to 29 Years |
| Sex | All |
| Enrollment | 25000 (estimated) |
| Sponsor | Columbia University Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | February 2, 2026 |
| Main results expected | May 31, 2028 |
| Study ends | May 31, 2028 |
| Registry record updated | June 18, 2026 |
| Trial ID | NCT06774417 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are English-speaking youth ages 12–29 who screen positive on Mental Health America's PQ-B and live within about 50 miles of a U.S.-based AMP-SCZ clinic.
✕Probably not a fit
People who live outside the 50-mile catchment of participating AMP-SCZ sites, who cannot complete the English PQ-B online, or who do not screen positive for psychosis risk are unlikely to benefit from the intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The project creates a Digital Laboratory that uses Mental Health America's national online screening to identify 25,000 youth ages 12–29 who screen positive for psychosis risk and to define help-seeking subtypes. It will use Micro-Randomized Trials and a Sequential Multiple Assignment Randomized Trial (SMART) to iteratively develop and optimize personalized digital nudges and engagement strategies. The team will identify the most accurate online screening threshold for clinical high risk (CHR) and connect indicated youth to local AMP-SCZ clinical programs across the U.S. through an academic–industry partnership that includes Columbia, UCSF, UCD, Mental Health America, and other collaborators.
Why it matters
Potential benefit: If successful, the approach could shorten delays to treatment by helping at-risk youth navigate online steps and reach appropriate local care faster.
How similar studies have gone: Adaptive digital engagement methods and micro-randomized designs have shown promise in other mental health areas, but applying these methods specifically to CHR youth and large-scale online screening is largely novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Ages 12-29 years * Living within a 50-mile radius of a US based AMP-SCZ site * Able to complete the English language PQ-B on MHA's screening platform
Where it's running
-
Columbia University Irving Medical Center
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Michael Birnbaum, MD — Columbia University
- Study coordinator: Michael Birnbaum, MD
- Email: mlb2216@cumc.columbia.edu
- Phone: 212-523-2154
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Digital strategies to improve help-seeking for youth at risk of psychosis
This study is testing new digital tools to help young people aged 12-29 who are at risk for psychosis find the support they need and start treatment faster.
-
State Representation in Early Psychosis 2
This observational study tests how people with early psychosis and healthy individuals use state information during tasks and how brain activity supports it.
-
BRAVE program to reduce violence risk in early psychosis
A CBT-based program called BRAVE is tested with young adults in early psychosis to see if it is feasible and acceptable when added to usual care.
-
On Track for Wellness: a stepped-wedge program to boost sleep and activity in first-episode psychosis
This program tests whether using Fitbit trackers, health education, and goal setting helps people with first-episode psychosis sleep better and move more.
-
Adding ketones to antipsychotics in young adults with first episode psychosis
This study tests whether giving exogenous ketones on top of antipsychotic treatment helps young adults experiencing a first episode of psychosis.
-
Add CBD to antipsychotic treatment for first-episode psychosis to see if it helps more than placebo
This study tests whether adding cannabidiol (CBD) to ongoing antipsychotic treatment helps people with a first episode of psychosis who haven’t fully responded to their first antipsychotic, compared with a placebo.
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.