Clinical Trial for Integrated Care to Help At Risk Teens (iCHART) Intervention

Inclusion Criteria:

• YOUTH

• Youth will be age 12-18 and speak English.

• Youth will have current depression or suicidal behavior. Suicidal behavior foriCHART (N=900) is defined as past suicidal thoughts in the past two weeks asindicated by clinician interview or report or as indicated by responses to astandardized assessments such as the PHQ-9, PHQ-9M, ASQ, CSSRS, or BehavioralHealth Screen, or seeking acute care or clinical contact for mental healthcrisis/problem in the past year.

• CAREGIVERS/PARENTS

• Parents/caregivers of youth in the study must be at least 18 years old andtheir child must be willing to participate in the study. Caregivers/parentsmust be able to speak English. Parents are considered biological/adoptiveparents or have court documentation that they can provide consent for researchas a legal guardian of a youth. Only 1 parent/caregiver will be engaged inresearch, but in case 1 parent is unavailable, the other may be engaged (meaning it doesn't have to be the same parent participating inassessments/interviews throughout youth study participation).

Exclusion Criteria:

• YOUTH

• Exclusion criteria include conditions that might impair their ability toeffectively deploy ETUDES interventions, including:

• current manic or psychotic episode, presence of a life-threatening medicalcondition requiring immediate treatment, intellectual or developmentaldisability precluding comprehension of study procedure. The latter will beassessed by parental report of placement in self-contained Special Educationclasses, EHR review, and during the consent/assent and/or baseline to determineif the participant is not understanding research procedures.

• Participants without access to a phone and/or tablet to interact withcomponents of the intervention that require a phone will be excluded.

• CAREGIVERS/PARENTS

• There are no specific exclusion criteria for caregivers and providers. However,as mentioned in the inclusion criteria, caregivers will be excluded if they arenot the biological parent or court-appointed guardian of the youth beinginterviewed.