Clinical trial Recruiting at 1 site Interventional Ages 13 to 17

Internet-delivered Emotion Regulation Therapy for Adolescents with NSSI

Official title: Internet-delivered Emotion Regulation Individual Therapy or Adolescents (IERITA) With Self-injury Within Child and Adolescent Mental Health Services

Run by Karolinska Institutet · NCT07573085 · Data updated 2026-11-12

This trial tests whether a flexible, internet-based therapy for teens who self-injure can be more effective than standard online treatment for reducing nonsuicidal self-injury symptoms.

Quick facts

Study typeInterventional
Ages13 Years to 17 Years
SexAll
Enrollment341 (estimated)
SponsorKarolinska Institutet
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedMay 22, 2026
Main results expectedDecember 2029
Study endsDecember 2040
Registry record updatedJune 8, 2026
Trial IDNCT07573085 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adolescents aged 13-17 who have at least one self-injury episode in the past three months and have a parent willing to engage in the program.

Probably not a fit

youths with immediate suicide risk or with severe global impairment, or who are already receiving certain intensive therapies, may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adolescents with nonsuicidal self-injury are randomized to standard IERITA or an adaptable version that personalizes dose and delivery. All participants start with four weeks of standard IERITA, after which those unlikely to remit may switch to the adaptable format for the remaining weeks. The study collects data before, during, and after treatment, with extended follow-up up to ten years via public registers. The primary endpoint is at one month post-treatment, with a focus on reducing ongoing NSSI in the adolescent population. The trial is conducted within child and adolescent mental health services, led by Karolinska Institutet in collaboration with regional partners.

Why it matters

Potential benefit: If successful, adolescents who are not responding to standard treatment could see greater reductions in self-injury and improved emotion regulation through a personalized, internet-delivered approach.

How similar studies have gone: Earlier studies suggest digital, structured emotion-regulation therapies can reduce NSSI, but this adaptive approach in adolescents is novel and aims to optimize responders.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 13-17 years old
* At least one self-injury episode in the past three months
* A parent willing to engage in the parent program

Exclusion Criteria:

* Immediate suicide risk
* Global functioning corresponding to a rating ≤40 of the Children's Global Assessment Scale (CGAS)
* Social problems needing immediate intervention (e.g., violence within the family)
* Ongoing dialectical behavior therapy for adolescents

Where it's running

  • Karolinska Institutet
    Stockholm, Sweden
    Recruiting

Study contacts

  • Principal investigator: Johan Bjureberg, PhD — Karolinska Institutet
  • Study coordinator: Olivia Ojala, PhD
  • Email: olivia.ojala@ki.se
  • Phone: +46761426565

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Blended ERITA for Teens Who Self-Injure

    A blended, youth-focused therapy test combines in-person sessions with digital tools to help teens who have recently self-injured see if this approach improves emotion regulation and daily functioning.

    Recruiting Karolinska Institutet · Stockholm · NCT07755774

  • Enhanced DBT skills group for Borderline Personality Disorder

    This study tests whether a 12-week DBT skills group helps reduce self-harm and suicidal behavior in people with borderline personality disorder better than a shorter 6-month program or usual care.

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    Recruiting University of Turku · Turku · NCT07378696

  • Nursing care based on Human Caring Theory for adolescents who self-harm

    This program will test whether a Human Caring Theory–based nursing approach helps adolescents aged 14–18 who self-harm improve self-esteem, coping, and self-compassion.

    Recruiting Akdeniz University · Antalya · NCT07368556

  • Digital tool for teens to help stop NSSI

    A small study will test a teen-focused app that delivers a guided digital program to see if it’s feasible for teens 14–18 who currently hurt themselves but aren’t in therapy.

    Recruiting Northwestern University · Chicago, Illinois · NCT07224165

  • Assessing mental health disorders in Hong Kong using a new recall method

    This study is testing a new way to help people in Hong Kong remember important life events to see how many have experienced major depression and thoughts of suicide.

    Recruiting The University of Hong Kong · Hong Kong · NCT06804525

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.