An observational study in Anxiety, Suicidal Ideation and Mental Health Issue, sponsored by Centre Hospitalier Esquirol. Recruiting at 1 site in France. Open to participants aged 16 Years to 24 Years. Per ClinicalTrials.gov, last updated 2026-06-04.
Sponsored by Centre Hospitalier Esquirol · Observational
Climate change has become a major source of concern, particularly among younger generations who are facing the progressive degradation of ecosystems, loss of biodiversity, and alarming environmental information disseminated through the media. The direct perception of climate-related disruptions has been shown to engender a profound sense of helplessness and loss. This distress, termed eco-anxiety, is characterised by feelings of fear, sadness and guilt regarding the planet's future.
In a context where there has been a marked increase in suicidal thoughts and attempts among young people over the past decade, it is essential to explore the psychological manifestations of eco-anxiety within this vulnerable population. The paucity of studies investigating this association underscores the significance of the present research.
The aims of this study is to examine the relationship between climate anxiety and suicidal risk among young people aged 16 to 24 years.
The study will encompass 108 young participants aged between 16 and 24 years, who are either hospitalised or receiving outpatient psychiatric care.
Each participant will be required to complete one clinician-administered assessment, namely the Columbia Suicide Severity Rating Scale (C-SSRS), and two self-report questionnaires: the Climate Change Anxiety Scale - French version (CCAS-FR) and the State-Trait Anxiety Inventory (STAI-Y).
Furthermore, a sociodemographic questionnaire will be administered in order to collect information regarding the subjects' age, sex, education level, living conditions, and psychiatric history.
It is hypothesised that there is a positive association between climate anxiety and suicidal risk, with the most eco-anxious participants showing higher C-SSRS scores. It is further predicted that eco-anxiety will correlate with elevated levels of state and trait anxiety, with the potential for modulating this relationship by sociodemographic factors, including gender.
This study will contribute to a better understanding of the psychological impacts of climate change on young people and help identify the most vulnerable profiles.
The Anx-RS France study investigates the association between climate change-related anxiety (eco-anxiety) and suicidal ideation among young people aged 16 to 24 years in France. Growing evidence suggests that climate change may contribute to psychological distress and feelings of hopelessness in younger generations. However, data on the link between eco-anxiety and suicide risk in this age group remain limited.
This is an observational, cross-sectional study including 108 participants recruited from university settings and the general population in France. Eligible participants are aged 16-24 years, fluent in French, and provide informed consent (parental consent is obtained for minors). Participants will be excluded if they have a health condition that prevents them from understanding or completing the study questionnaires. This includes major sensory impairments (e.g., deafness, blindness), severe psychiatric disorders affecting cognition or communication (e.g., acute psychosis, pervasive developmental disorder, confusional state), or current hospitalization in specialized psychiatric units for severe mental illness.
Participants complete a self-administered online survey composed of three validated instruments:
Descriptive analyses will estimate the prevalence and intensity of climate-related anxiety. Correlational and multivariate analyses will assess the association between eco-anxiety (CCAS) and suicidal ideation (C-SSRS), adjusting for general anxiety levels (STAI-T/Y).
The results will improve understanding of how climate-related distress affects mental health and suicide risk among young people in France, and support prevention strategies and mental-health policy adaptation to emerging environmental stressors.
569 studies on the registry are indexed under Suicidal Ideation; 203 are open to participants now.
This study's planned enrollment of 108 is below the median of 143 across 74 observational studies indexed under Suicidal Ideation.
Browse Suicidal Ideation studies →Centre Hospitalier Esquirol is the lead sponsor of 25 studies on the registry; 7 are open to participants now.
Compared within Suicidal Ideation, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anxiety Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →
The study population consists of 108 adolescents and young adults aged 16 to 24 years, recruited within the Esquirol Hospital Center (France). Participants are approached in adult and pediatric emergency departments, adult psychiatry, and child and adolescent psychiatry units, as well as during outpatient consultations.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Adolescents and young adults aged 16-24 years, recruited from emergency, inpatient, and outpatient psychiatry units at Esquirol Hospital Center (France). Participants complete standardized questionnaires assessing climate change anxiety (CCAS-FR), suicidal ideation and behavior (C-SSRS), and general anxiety (STAI-C or STAI-Y).
Other: Columbia Suicide Severity Rating Scale · Other: Climate Change Anxiety Scale - French version · Other: State-Trait Anxiety Inventory, French version · Other: Socio demographic profil
Standardized tool for evaluating suicidal ideation and behavior. Measures severity and intensity of suicidal thoughts and actions.
22-item self-report questionnaire assessing cognitive, emotional, functional, and pro-environmental dimensions of climate change-related anxiety.
40-item self-report inventory measuring both state and trait anxiety levels.
Collects demographic and background variables such as age, gender, education level and living conditions.
Climate Change Anxiety Score
Global score from the 13-item French version of the Climate Change Anxiety Scale (CCAS-FR), obtained by summing the cognitive, emotional, and functional disturbance subscales. Higher scores indicate greater levels of climate change-related anxiety. Score ranges 13 to 65
Time frame: 10 min
Suicide Risk Score
Overall score of suicidal ideation and behavior assessed using the Columbia Suicide Severity Rating Scale (C-SSRS). Higher scores indicate greater suicide risk Score ranges from 2 to 25.
Time frame: 10 min
Extended Dimensions of Climate Change Anxiety
Subdimension scores from the extended version of the CCAS-FR, assessing cognitive, emotional, and functional disturbances, as well as direct or indirect experience of climate change and pro-environmental behaviors.
Time frame: 10 min
State and Trait Anxiety Scores
Anxiety levels measured using the State-Trait Anxiety Inventory (STAI). The STAI-C is used for participants aged 16-17 years, and the STAI-Y for those aged 18-24 years. Separate state and trait anxiety scores will be analyzed Score ranges 20 to 80
Time frame: 20 min
Plan to share: No
No publications or documents are linked to this record.
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
Contact study teamGet an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Centre Hospitalier Esquirol