None listed
Conditions
Interventions
Behavioral : This study is a school-based, two-arm, parallel-group randomized controlled trial comparing Sandplay Therapy with Suicidal Ideation and Self-Injury–Focused Engagement (SPT-SAFE) with Trea
Sponsors
Dankook University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants will be eligible if they meet the following criteria. Children and adolescents from grade 4 of elementary school, aged 10 years or older, through high school in Chungcheongnam-do, South Korea Students referred by schools or specialized agencies because of suicidal ideation, suicide planning, self-injury, suicide attempts, or other suicide-related behaviors Students who provide voluntary assent after receiving developmentally appropriate study information, with written informed consent obtained from a parent or legal guardian Participants who meet at least one of the following criteria: Suicidal ideation or suicide risk, defined as an SIQ-JR score of 20 or higher or active ideation or higher on the C-SSRS. The SIQ-JR score of 20 is not used as a stand-alone diagnostic criterion or as a standard clinical cutoff. Rather, it is used as a study eligibility criterion to identify students with subthreshold or early suicidal ideation within a school-based high-risk referral system. Final eligibility will be determined by integrating C-SSRS assessment, clinical interview, caregiver interview, school referral information, and clinician judgment. Self-injurious behavior, defined as a recent FASM self-injury frequency of 5 or more, or clinically confirmed repetitive self-injurious behavior School-based or clinical referral, defined as classification as a suicide-risk or priority-management student through school emotional and behavioral screening and subsequent identification as high risk by a school counselor or clinician, or referral after suicidal ideation or suicide-risk signs are identified during interviews with a teacher or school counselor Suicide planning or risk of suicidal behavior, defined as a specific suicide plan or preparatory behavior for suicidal behavior
Exclusion criteria
Exclusion criteria: Participants will be excluded if they meet any of the following criteria. Acute suicide risk requiring immediate psychiatric hospitalization or emergency intervention Current need for hospitalization due to suicidal behavior, or recent long-term hospitalization of approximately one month or longer Severe psychiatric condition that makes participation in the study clinically inappropriate Developmental disorder, autism spectrum disorder, or other condition requiring specialized education or specialized clinical intervention beyond the scope of the study Receipt of sandplay therapy or similar play therapy within the previous two months Long-term psychiatric medication treatment, for example for one year or longer, with currently unstable clinical status. Participants may be included if their symptoms are clinically judged to be stable and study participation is considered appropriate. Receipt within the previous two months of structured intensive psychotherapy directly targeting suicidal ideation or self-injurious behavior, such as CBT, DBT, DBT-A, BCBT, or an equivalent intervention Any condition for which the investigator determines that study participation or continuation of the intervention is clinically inappropriate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in suicidal ideation severity: Suicidal ideation will be assessed using the Suicidal Ideation Questionnaire–Junior (SIQ-JR) total score. Higher scores indicate greater frequency and severity of suicidal ideation.;Change in non-suicidal self-injury frequency: Non-suicidal self-injury frequency will be assessed using the Functional Assessment of Self-Mutilation (FASM). The FASM frequency score will be used as the primary index of self-injurious behavior. | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in emotional, behavioral, and self-related functioning: Changes in depression, anxiety, aggression, impulsivity, self-concept, and other emotional and behavioral problems will be assessed. Depression will be measured using a standardized child and adolescent depression scale, anxiety using a standardized trait anxiety scale, aggression using a standardized aggression scale, impulsivity using a standardized impulsiveness scale, and self-concept using a standardized children’s self-concept scale. | — |
Countries
Korea, Republic of
Contacts
Public ContactUnKyoung Ahn
DANKOOK UNIVERSITY
Outcome results
None listed