I ran a short, steep (200 meters, 15%) staircase segment up and down 4 times in a single activity. Strava has counted it 7 times. At first I thought that it had counted a whole up-down-up as one attempt (in addition to counting each of the ups individually) but the total time doesn't check out (it's about 2m up and 2m down, but the false efforts are around 4m, not 6m).
See the four attached images - the real effort analysis, a false effort, the list of efforts including real and false, and the elevation profile showing clearly the 4 efforts.



