Teachable Moment Brief Intervention for Suicide Attempt Survivors in an Inpatient Setting

NCT03600532 | Terminated

• 1 other identifier: TU1808
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 2

Brief Summary

This study is looking at the helpfulness of a brief treatment targeting suicidality (Teachable Moment Brief Intervention \[TMBI\]) and experimental pain responses in an inpatient population as well as collecting comparison data from the community.

Conditions

Suicide, Attempted

Keywords

experimental pain

Outcome Measures

Primary Outcomes (1)

• Changes in Beck Scale for Suicide Ideation

  19-item assessment used to evaluate the current intensity of the patient's specific attitudes toward, behavior, and plans to commit suicide. Total score will be reported which ranges from 0 (no suicidal ideation) to 38 (high suicidal ideation).

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

Secondary Outcomes (10)

• Changes in Stages of Change Questionnaire

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

• Changes in Reasons for Living Inventory

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

• Changes in Adult State Hope Scale

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

• Change in Positive and Negative Affect Schedule

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

• Changes in Ischemic Pain Outcomes

  Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)

Study Arms (3)

Teachable Moment Brief Intervention

EXPERIMENTAL

The TMBI is informed by evidence based strategies to collaboratively identify 1) drivers of suicidal ideation, 2) functional aspects of the recent suicide attempt, 3) the patient's relationship with the concept of suicide, 4) what has been lost and gained as a result of the suicide attempt, 5) short term management suicide prevention management strategies, and 6) documentation of factors to address in a suicide-specific treatment plan.

Behavioral: Teachable Moment Brief Intervention (TMBI)

Treatment as Usual (TAU)

NO INTERVENTION

Usual care at Laureate Psychiatric Clinic and Hospital Adult Stabilization Unit who have attempted suicide involves psychiatric evaluation/treatment and ongoing medical stabilization. Patients will engage in usual care or a rest period before completing the post-assessment.

Community Control Group (CCG)

NO INTERVENTION

Patients will engage in a rest period before completing the post-assessment.

Interventions

Teachable Moment Brief Intervention (TMBI) BEHAVIORAL

Behavioral intervention informed by Collaborative Assessment and Management of Suicidality and Dialectical Behavior Therapy/Cognitive Behavior Therapy to assist in positive recovery trajectory following a suicide attempt.

Teachable Moment Brief Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• admitted to LPCH subsequent to a suicide attempt

You may not qualify if:

• acute psychosis,
• inability to read English, or
• taking narcotic or opioid pain medication
• CCG (data collection in the Psychophysiology Laboratory for Affective Neuroscience \[PLAN\] on the University of Tulsa campus)
• acute psychosis,
• current suicide ideation,
• history of self-harm,
• inability to read English, or
• taking narcotic or opioid pain medication

Sponsors & Collaborators

• University of Tulsa: lead

Study Sites (2)

University of Tulsa, Psychophysiology Laboratory for Affective Neuroscience (PLAN)

Tulsa, Oklahoma, 74104, United States

Location

Laureate Psychiatric Clinic and Hospital

Tulsa, Oklahoma, 74136, United States

Location

Related Publications (1)

• 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

MeSH Terms

Conditions

Suicide, Attempted

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Cassandra A Sturycz, MA

  University of Tulsa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be assigned in even numbers to TMBI \& TAU or recruited as part of a CCG

Study Record Dates

• First Submitted: July 3, 2018
• First Posted: July 26, 2018
• Study Start: July 1, 2018
• Primary Completion: July 1, 2019
• Study Completion: July 1, 2019
• Last Updated: August 14, 2019

Record last verified: 2019-08

Locations

US (2)