Building Resilience and Attachment in Vulnerable Adolescents

NCT01925807 | Completed

• 1 other identifier: CHAMO_SI_Group_001
• Study Type: interventional
• Target: 76
• Locations: 1 country
• Sites: 1

Brief Summary

Suicide is the second leading cause of mortality for Canadian adolescents. Mental health complaints are one of the leading reasons for an emergency department visit at the Children's Hospital of Eastern Ontario and 60% of adolescents report suicidal ideation. The goal of the present investigation is to test the efficacy of a brief group intervention for adolescents with passive suicidal ideation and their caregivers that will focus on coping, familial support, and emotional regulation. The investigators hypothesize that a brief group intervention, delivered in the weeks following presentation for crisis services, will reduce suicidal ideation and improve coping and familial support.

Conditions

Suicidal Ideation

Keywords

Adolescent; Suicidal Ideation; Emergency Department; Crisis; Attachment; Coping

Outcome Measures

Primary Outcomes (1)

• Suicidal Ideation

  Suicidal ideation will be measured using the Suicidal Ideation Questionnaire Junior (SIQ-JR; Reynolds, 1988). Repeated Measures ANOVA or ANCOVA will be used to compare differences in suicidal ideation within groups (pre-post changes). Further comparisons using clinical cut-off will be conducted via McNemar test for matched pairs.

  6 weeks

Secondary Outcomes (1)

• Familial Support

  6 weeks

Other Outcomes (3)

• Coping Strategies

  6 weeks

• Depression

  6 weeks

• Anxiety

  6 weeks

Study Arms (1)

Group Intervention

EXPERIMENTAL

The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. For adolescents, the group sessions will focus on coping strategies and emotional regulation. For caregivers, the group sessions will be focused on attachment, family environment, and validation.

Behavioral: Group Intervention

Interventions

Group Intervention BEHAVIORAL

The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. For adolescents, the group sessions will focus on coping strategies and emotional regulation. For caregivers, the group sessions will be focused on attachment, family environment, and validation.

Group Intervention

Eligibility Criteria

• Age: 13 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Mild to moderate suicidal ideation
• Recently presented for services in response to a psycho-social crisis (Emergency Department, MH Urgent Care)
• One or two caregiver(s) committed to attending the majority of sessions

You may not qualify if:

• Presence of a suicidal plan and/or recent gesture/attempt
• Psychosis
• Schizophrenia
• Dual diagnosis
• Developmental disability or delay
• "Behavioural problem" as primary concern
• Major substance abuse
• Currently receiving mental health services (once every two weeks or more frequently)
• Inability to commit to majority of sessions (minimum 4 of 6 sessions)
• Children's aid society involvement
• Inability of at least one caregiver to commit to attending the majority of sessions

Sponsors & Collaborators

• Allison Kennedy: lead
• Mach Gaensslen Foundation: collaborator
• AFP Innovation Fund: collaborator

Study Sites (1)

Children's Hospital of Eastern Ontario

Ottawa, Ontario, K1H8L1, Canada

Location

Related Publications (9)

• Diamond GS, Wintersteen MB, Brown GK, Diamond GM, Gallop R, Shelef K, Levy S. Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2010 Feb;49(2):122-31. doi: 10.1097/00004583-201002000-00006.

  PMID: 20215934 BACKGROUND

• Rathus JH, Miller AL. Dialectical behavior therapy adapted for suicidal adolescents. Suicide Life Threat Behav. 2002 Summer;32(2):146-57. doi: 10.1521/suli.32.2.146.24399.

  PMID: 12079031 BACKGROUND

• Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc. 1987 Oct;16(5):427-54. doi: 10.1007/BF02202939.

  PMID: 24277469 BACKGROUND

• Cloutier, P. F., Kennedy, A., & Glennie, E. (2008, June). Coping behaviors and intensity of non-suicidal self-harm in Canadian adolescents presenting to emergency mental health services. Poster presented at the third annual meeting of the International Society for the Study of Self-Injury (ISSS), Harvard University, Cambridge, MA.

  BACKGROUND

• Kovacs, M. (2010). Children's Depression Inventory Manual. Toronto, ON: Multi-Health Systems Inc.

  BACKGROUND

• March, J.S. (2013). Manual for the Multidimensional Anxiety Scale for Children - 2nd Edition (MASC-2). Toronto, ON: MHS Inc.

  BACKGROUND

• Moos, R. H., & Moos, B. S. (1981). Family environment scale manual

  BACKGROUND

• Reynolds, W. M. (1988). Suicidal Ideation Questionnaire Professional Manual (p. 47).

  BACKGROUND

• Griffine, D. W., & Garthholomew, K. (1994). The metaphysics of measurement: The case of adult attachment. (pp. 17-52).

  BACKGROUND

MeSH Terms

Conditions

Suicidal Ideation; Emergencies

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Allison Kennedy, Ph.D.

  Children's Hospital of Eastern Ontario

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Psychologist

Study Record Dates

• First Submitted: August 14, 2013
• First Posted: August 20, 2013
• Study Start: February 1, 2014
• Primary Completion: May 1, 2017
• Study Completion: May 1, 2017
• Last Updated: August 14, 2017

Record last verified: 2017-08

Locations

CA (1)