Latino/a Adolescents With Suicidal Behavior

NCT02820636 | Completed

• 1 other identifier: K23MH097772
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The study is about developing the best aftercare treatment possible for Latino/a adolescents who have been hospitalized in a psychiatric unit due to a suicidal crisis (suicidal thoughts or attempts). The treatment's purpose is to help adolescents and their caregivers develop skills to prevent future suicidal crises. Latino/a adolescents usually report more suicidal behavior than other ethnic groups. The question that the investigators want to answer is if a new treatment (socio-cognitive behavioral therapy-(SCBT)) developed to their specific needs, taking into account their culture and aspects of adolescence, performs better than the treatment that they usually receive. Forty six adolescents were recruited from the Bradley Hospital adolescent inpatient unit or the Hasbro Inpatient Medical \& Psychiatric Program, or referred to Gateway Healthcare after discharge from other inpatient units in Rhode Island; half of them were assigned randomly to the treatment they would usually receive (TAU) and the other half to the new treatment (SCBT). In both groups, caregivers and adolescents completed questionnaires and interviews before the beginning of treatment and at 3, 6, and 12 months after the treatment begin. Questions to the participants were related to their presenting symptoms, family, social group, problems, and other similar topics. Also, participants were asked about their satisfaction with the treatment they were receiving. The purpose of the questionnaires and interviews are to follow their progress in therapy. At the end, comparisons will be made between the group who participated in TAU and the group who participated in the SCBT, based on the assessment results from the adolescents and caregivers.

Conditions

Suicide

Keywords

Suicidal ideation; Suicide attempt; Latinx teens

Outcome Measures

Primary Outcomes (2)

• Number of Suicide Behaviors (attempts, aborted & interrupted attempts, preparatory acts) and Suicide Events (hospitalizations, ER visits)

  Number of behaviors or events measured using the Columbia Suicide Severity Rating Scale (C-SSRS)

  Change from Baseline to 6 Month (6M) and 12 Month (12M)

• Suicidality

  Measured using the Suicidal Ideation Questionnaire (SIQ-JR)

  Change from Baseline to 6 Month (6M) and 12 Month (12M)

Secondary Outcomes (2)

• Psychiatric Symptoms [Axis I Diagnoses]

  Change from Baseline to 6M and 12M

• Depressive Symptoms

  Change from Baseline to 6M and 12M

Study Arms (2)

InVita

EXPERIMENTAL

Participants receive the Socio-Cognitive Behavior Therapy (S-CBT) treatment.

Behavioral: S-CBT

Treatment as Usual

ACTIVE COMPARATOR

Intensive outpatient therapy of standard care for adolescents and their parents

Behavioral: Treatment as Usual

Interventions

S-CBT BEHAVIORAL

The SCBT-SB protocol has 3 phases. Phase I, which is fixed (core sessions), includes 9 sessions (1 family, 5 individual \& 3 caretakers sessions). Topics include: understanding the suicidal crisis, identity in adolescence, chain analysis, communication skills, the power of thought and decision making, parenting skills, rearing in a different culture, and family communication. Phase II is flexible and consists of coping skills modules (thoughts, emotional regulation, social interactions, activities, substance abuse, family communication \& trauma). The treatment plan is adjusted to adolescents' needs. Family and primary caregiver sessions are flexible, depending on the family/caregivers' needs. Participants have received an adequate course of treatment if they at least complete the core sessions. This protocol should take 3-6 months. Once the active phase ends, booster sessions are recommended.

InVita

Treatment as Usual BEHAVIORAL

Intensive outpatient therapy with teens and their parents using a variety of eclectic treatments that characterize standard care for adolescents.

Treatment as Usual

Eligibility Criteria

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

You may qualify if:

• Latino/a
• Admitted to the inpatient unit for suicidal ideation or suicidal behaviors

You may not qualify if:

• Severe psychosis or psychoses independent of depression
• Department of Children and Families (DCYF) involvement
• Status as a ward of the state

Sponsors & Collaborators

• Brown University: lead
• University of Puerto Rico: collaborator

Study Sites (1)

Bradley Hospital

East Providence, Rhode Island, 02915, United States

Location

MeSH Terms

Conditions

Suicide; Suicidal Ideation; Suicide, Attempted

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• 02915 02915, Ph.D.

  Brown University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor (Research)

Study Record Dates

• First Submitted: March 28, 2016
• First Posted: July 1, 2016
• Study Start: January 1, 2016
• Primary Completion: July 1, 2018
• Study Completion: July 1, 2018
• Last Updated: January 29, 2020

Record last verified: 2020-01

Locations

US (1)