Shame-Focused Cognitive Behavioral Therapy For Reducing Suicide Risk In Adolescent Psychiatric Inpatients (SF-CBT)

Inclusion Criteria: * Adolescents aged 13-18 years, male or female. * Recent suicide risk, defined as: At least one suicide attempt in the past month, or Current suicidal ideation within the past month (with or without plan/intent) and at least one previous attempt. * Elevated shame level (baseline score ≥ 9 on the External and Internal Shame Scale, EISS). * Adequate cognitive capacity to participate in interviews and assessments. * Parent/legal guardian (or designated responsible adult authorized by guardian) provides informed consent and agrees to participate. Exclusion Criteria: * Current manic episode. * History of schizophrenia spectrum disorder, intellectual disability, or organic brain disease. * Severe psychiatric or medical conditions that impair capacity for consent or participation. * Expected to receive electroconvulsive therapy (ECT) during hospitalization. * Anticipated inpatient stay shorter than 14 days (to ensure intervention completion).