Family-based Crisis Intervention With Suicidal Adolescents in the ED

NCT02610309 | Completed DMC

• 1 other identifier: P00000105
• Study Type: interventional
• Target: 143
• Locations: 1 country
• Sites: 1

Brief Summary

The Family Based Crisis Intervention (FBCI) is an emergency psychiatry intervention designed to sufficiently stabilize suicidal adolescents within a single ED visit so that they may return home safely with their families. This study is a randomized clinical trial of FBCI v. TAU in an urban Emergency Department.

Conditions

Suicide

Keywords

family-based crisis intervention; adolescent suicide

Outcome Measures

Primary Outcomes (1)

• Disposition at discharge from the ED (psychiatric hospitalization or other)

  The primary outcome measure is disposition (psychiatric hospitalization vs. less restrictive level of care) after receiving the FBCI intervention or TAU. Psychiatric hospitalization was reassessed at 1 day, 1 week and 1 month intervals after randomization.

  one day, one week, and one month

Secondary Outcomes (2)

• Family Empowerment Scale (FES)

  one month

• Client Satisfaction Questionnaire (CSQ-8)

  one day

Study Arms (2)

Family-Based Crisis Intervention

EXPERIMENTAL

The Family-Based Crisis Intervention (FBCI) is a single-session intervention that takes place in the Emergency Department. Adolescents randomized to the experimental condition received a standard psychiatric evaluation followed by the experimental intervention. FBCI was administered by licensed psychiatric social workers who were trained in the intervention. The research clinician provided FBCI to the suicidal adolescent and his/her parent(s)/guardian(s) in a 60-90 minute session in which she helped the adolescent and family develop a joint crisis narrative of the problem and taught them cognitive-behavioral skill-building, therapeutic readiness, psycho-education about depression, and safety planning.

Behavioral: Family-Based Crisis Intervention

Treatment As Usual

NO INTERVENTION

Treatment as usual included an emergency psychiatry evaluation (standard care).

Interventions

Family-Based Crisis Intervention BEHAVIORAL

This intensive ED-based intervention with suicidal adolescents and their families includes cognitive behavioral skill building, psychoeducation, enhancing therapeutic readiness, safety planning, and co-creation of a joint crisis narrative.

Family-Based Crisis Intervention

Eligibility Criteria

• Age: 13 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• adolescent presenting to the ED with suicidality
• presence of a consenting parent or legal guardian with whom the adolescent resided.

You may not qualify if:

• either adolescent or parent/guardian lacked fluency in English;
• adolescent was not medically stable, including intoxication;
• adolescent demonstrated cognitive limitations prohibiting completion of research instruments;
• adolescent presented with active psychosis;
• adolescent required physical or medication restraint in the ED.

Sponsors & Collaborators

• Boston Children's Hospital: lead

Study Sites (1)

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Elizabeth A Wharff, PhD

  Boston Children's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Researcher

Study Record Dates

• First Submitted: November 13, 2015
• First Posted: November 20, 2015
• Study Start: January 1, 2012
• Primary Completion: May 1, 2014
• Study Completion: May 1, 2014
• Last Updated: November 20, 2015

Record last verified: 2015-11

Locations

US (1)