The Effectiveness of Psychotherapy Classes in Reducing Suicidal Ideation

NCT03170934 | Completed

• 1 other identifier: H2017:068
• Study Type: observational
• Target: 63
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study will conduct a preliminary investigation of the effectiveness of two different psychotherapy classes at the Mental Health Crisis Response Centre (CRC) in reducing suicidal ideation. One class - Managing Difficult Emotions (MDE) - is an 8-session, Dialectical Behavioral Therapy-informed program that focuses on skills related to increasing tolerance for distress and emotion regulation such that harmful behaviors are reduced. The other class - Mindfulness-Based Cognitive Behavioral Therapy (CBTm) - is a 4-session program that focuses on challenging and changing maladaptive beliefs and behaviors in order to reduce distress. Both classes are delivered in lecture style, PowerPoint format. The investigators will also examine the effectiveness of participation in psychotherapy classes in reducing symptoms of general psychological distress, depression, anxiety, and emotion dysregulation.

Conditions

Suicidal Ideation

Outcome Measures

Primary Outcomes (1)

• Suicidal ideation

  Current suicidal thinking, as defined by the Beck Scale for Suicidal Ideation

  Change from baseline (information class) to class completion or drop-out (either at 4 or 8 weeks, depending on the class being completed)

Secondary Outcomes (4)

• Anxiety symptoms

  Change from baseline (information class) to class completion or drop-out (either at 4 or 8 weeks, depending on the class being completed)

• Depression symptoms

  Change from baseline (information class) to class completion or drop-out (either at 4 or 8 weeks, depending on the class being completed).

• Emotion regulation difficulties

  Change from baseline (information class) to class completion or drop-out (either at 4 or 8 weeks, depending on the class being completed)

• General psychological distress

  Change from baseline (information class) to class completion or drop-out (either at 4 or 8 weeks, depending on the class being completed)

Interventions

Psychotherapy skills class BEHAVIORAL

Rapid access, large-scale, psychotherapy classes that are open format and delivered in lecture style. One class - Managing Difficult Emotions (MDE) - is an 8-session, DBT-informed program. The other class - Mindfulness-Based Cognitive Behavioral Therapy (CBTm) - is a 4-session program.

Eligibility Criteria

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

Study Population

Study population is patients aged 18 years and older who access care at Manitoba's Crisis Response Centre or at a local emergency department and who have been referred to the CRC's UFITT program. Patients who are deemed by CRC staff as potentially benefitting from UFITT programming are asked to attend an Information Session where they are told about crisis follow-up services and in particular, the two psychotherapy classes available. It is those individuals who choose to be enrolled in one of these classes upon attending an Information Session who will be recruited for the proposed study.

You may qualify if:

• Person has been referred to the UFITT program following a mental health crisis
• years of age or older
• Fluent in English
• Ability to understand and read class material
• Ability to independently complete questionnaires
• Has a contact telephone number

You may not qualify if:

• Mental health needs better served by other community resources (e.g., a severe primary substance use disorder, intimate partner violence)
• At immediate risk of harming self or others
• Active psychotic symptoms

Sponsors & Collaborators

• University of Manitoba: lead
• Manitoba Medical Service Foundation: collaborator
• Winnipeg Foundation: collaborator

Study Sites (1)

Crisis Response Centre

Winnipeg, Manitoba, R3E 0W2, Canada

Location

MeSH Terms

Conditions

Suicidal Ideation

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor/Staff Psychologist

Study Record Dates

• First Submitted: May 23, 2017
• First Posted: May 31, 2017
• Study Start: May 31, 2017
• Primary Completion: October 30, 2018
• Study Completion: October 30, 2018
• Last Updated: April 23, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)