Safety planning and transdiagnostic CBT to prevent suicide in Mozambican teens

Is this trial a fit for you?

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

What this trial studies

This implementation trial enrolls secondary school students in Sofala Province who screen positive for active suicidal ideation and compares a brief Suicide Safety Planning Intervention, a transdiagnostic cognitive behavioral therapy program for suicide prevention, and enhanced usual care. Students are identified using the Columbia Suicide Severity Rating Scale and receive interventions delivered in or linked to local health facilities. The study measures changes in suicidal ideation and behaviors, depressive symptoms, hypothesized mechanisms of effect, and implementation outcomes such as feasibility, costs, and cost-effectiveness. Results are intended to inform scalable adolescent suicide prevention approaches for low- and middle-income country settings.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Inclusion criteria for suicide risk screening:

1. Youth enrolled in a secondary school in Sofala Province that is located within 30 minutes of a health facility that hosts both an urgent care and mental health department.
2. Youth enrolled in 9th and/or 10th and/or 11th grade.
3. Legal guardian has provided consent to participate if under 18 or if youth is age 18 or older and has provided consent to participate.
4. Youth has assented to participation.

Inclusion criteria for trial participation and allocation to study arm:

1\. Youth expresses active suicidal ideation on the Columbia Suicide Severity Rating Scale (C-SSRS).

Exclusion Criteria:

1. Youth and/or guardian has not provided consent to participate, or responsible party is unable to provide informed consent.
2. Youth is not enrolled in a participating secondary school.
3. Youth declines to assent.
4. Youth is a ward of the State or any other agency, institution, or entity.

Where it's running

• 9 Secondary Schools
  Beira, Mozambique Recruiting
• 1 Secondary School
  Caia, Mozambique Recruiting
• 1 Secondary School
  Cheringoma., Mozambique Recruiting
• 1 Secondary School
  Chibabava, Mozambique Recruiting
• 4 Secondary Schools
  Dondo, Mozambique Recruiting
• 1 Secondary School
  Maringue, Mozambique Recruiting

Study contacts

• Principal investigator: Bradley Wagenaar, PhD, MPH — University of Washington
• Study coordinator: Morgan Turner, LICSW
• Email: morgank2@uw.edu
• Phone: 206-543-8382

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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.