Pilot Study of a Brief Intervention for Medically Hospitalized Suicide Attempt Survivors

NCT02414763 | Completed Phase 1 DMC

• 1 other identifier: 131757
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

The current study proposes to study the feasibility and acceptability of a brief psychosocial intervention delivered to suicide attempt survivors hospitalized on a medical/surgical floor or inpatient psychiatry unit at Vanderbilt University Medical Center. The proposed study will involve training of care providers affiliated with Vanderbilt University Medical Center to deliver the brief intervention. Additionally, the participants will complete baseline, 1, 3, and 12-month assessments on outcomes of interest, including readiness to change problematic behaviors, engagement in outpatient mental health services, suicidal ideation, self-harming behavior, and reasons for living.

Conditions

Suicide Attempt

Outcome Measures

Primary Outcomes (1)

• Client Satisfaction Questionnaire

  The 8-item Client Satisfaction Questionnaire is a general measure of individual satisfaction with health and human services that takes 3-8 minutes to complete.

  Immediately following Brief Intervention

Secondary Outcomes (6)

• Change in Stages of Change Questionnaire

  Baseline, 1-, 3-, and 12-months interviews

• Change in Scale for Suicide Ideation

  Baseline, 1-, 3-, and 12-months interviews

• Change in Suicide Attempt Self-Injury Count

  Baseline, 1-, 3-, and 12-months interviews

• Change in Interpersonal Needs Questionnaire

  Baseline, 1-, 3-, and 12-months interviews

• Change in Reasons for Living Inventory

  Baseline, 1-, 3-, and 12-months interviews

Study Arms (2)

Care as Usual

NO INTERVENTION

Participants will receive usual care services provided to suicide attempt survivors, including inpatient psychiatry, outpatient psychotherapy, and case management.

Teachable Moment Brief Intervention

EXPERIMENTAL

The brief intervention consists of engaging the patient in conversation regarding suicidal ambivalence (desire to live vs. desire to die), collaborative discovery of primary and secondary drivers of suicidality, functional analysis of the suicidal ideation and behaviors, and crisis response planning. Participants will also receive usual care services provided to suicide attempt survivors, including inpatient psychiatry, outpatient psychotherapy, and case management.

Behavioral: Teachable Moment Brief Intervention

Interventions

Teachable Moment Brief Intervention BEHAVIORAL

functional analysis, collaborative interpersonal style

Teachable Moment Brief Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age and above
• Inpatient on medical/surgical unit either currently or prior to transfer to inpatient psychiatric unit
• Admitted following a suicide attempt
• Sufficient English to benefit from psychotherapy in English
• Consents to be a research participant

You may not qualify if:

• Lack of sufficient English to participate in psychotherapy in English
• Prisoner/inmate at time of admission
• Too cognitively impaired, delirious, or psychotic to respond to psychotherapeutic intervention before end of stay in the medical center. Determination of cognitive impairment, delirium, agitation, and psychosis will be determined through the referral phone call between discussions with research team members and the Adult Psychiatry Consultation Service Physician providing care to the patient, as well as the interventionist's own clinical assessment of the patient at the outset of the brief intervention.

Sponsors & Collaborators

• Western Kentucky University: lead
• Vanderbilt University: collaborator

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Related Publications (2)

• Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.

  PMID: 33884617 DERIVED

• O'Connor SS, Mcclay MM, Choudhry S, Shields AD, Carlson R, Alonso Y, Lavin K, Venanzi L, Comtois KA, Wilson JE, Nicolson SE. Pilot randomized clinical trial of the Teachable Moment Brief Intervention for hospitalized suicide attempt survivors. Gen Hosp Psychiatry. 2020 Mar-Apr;63:111-118. doi: 10.1016/j.genhosppsych.2018.08.001. Epub 2018 Aug 10.

  PMID: 30389316 DERIVED

MeSH Terms

Conditions

Suicide, Attempted

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Stephen S O'Connor, Ph.D.

  Western Kentucky University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 16, 2014
• First Posted: April 13, 2015
• Study Start: July 1, 2014
• Primary Completion: June 14, 2017
• Study Completion: June 14, 2017
• Last Updated: May 3, 2018

Record last verified: 2018-05

Locations

US (1)