Brief Cognitive Behaviour Therapy to Prevent Suicide Reattempts: A Feasibility Study in Swedish Psychiatric Inpatient Care

NCT07567885 | Not Yet Recruiting

• 2 other identifiers: 2025-08835-01.2025-00188
• Study Type: interventional
• Target: 32
• Locations: 0 countries
• Sites: N/A

Brief Summary

The goal of this study is to determine whether Brief Cognitive Behaviour Therapy (BCBT), a four-session psychological treatment aimed at reducing suicide attempts, is acceptable and feasible to deliver during psychiatric inpatient care for adults who have been hospitalised following a suicide attempt or who are at high risk of suicide. The main questions it aims to answer are:

• Receive four structured BCBT therapy sessions delivered during hospitalisation, in addition to usual care
• Be contacted for follow-up assessments at 1 and 3 months after completing treatment
• Take part in an interview about the participants' experience with the treatment 1 month after completing it Clinical staff, treating psychologists, and managers will also be interviewed to explore the participants' experiences, as well as barriers and facilitators to implementation. Overall, the findings from this study will inform the design of a future randomised trial to test the effectiveness of BCBT in reducing suicide attempts after discharge from inpatient psychiatric care.

Conditions

Suicide Attempt

Outcome Measures

Primary Outcomes (3)

• Treatment completion

  Proportion of participants completing 3 or more BCBT sessions

  Posttreatment assessment performed within two working days after the final treatment session.

• Treatment satisfaction

  Patient-reported treatment satisfaction assessed using the Client Satisfaction Questionnaire (CSQ-8). The CSQ-8 is an 8-item scale, with each item rated on a four-point Likert scale (1-4), giving a total score ranging from 8 to 32, with higher scores indicating greater treatment satisfaction.

  Posttreatment assessment performed within two working days after the final treatment session.

• Retention

  Proportion of participants completing follow-up assessments at 1 and 3 months

  1- and 3-month follow-up after the final treatment session

Secondary Outcomes (9)

• Decline rate

  From first potentially eligible participant approached until recruitment of 20 patients is completed (anticipated duration: 6 months)

• Recruitment pace

  From first potentially eligible participant approached until recruitment of 20 patients is completed (anticipated duration: 6 months)

• Likelihood of treatment component use

  During the 4-session treatment period (planned for 4 consecutive days), assessed at each session

• Use and perceived helpfulness of treatment components

  1- and 3-month follow-up after the final treatment session

• Adverse events and negative effects of treatment

  During the 4-session treatment period (planned for 4 consecutive days), assessed at each session; posttreatment assessment (performed within 2 working days after the final treatment session); and 1- and 3-month follow-up after the final treatment session

Study Arms (1)

BCBT

EXPERIMENTAL

Participants will receive four individual BCBT sessions delivered by trained clinical psychologists during their inpatient stay. Each session lasts approximately 60-90 minutes and focuses on specific therapeutic components. The first session includes psychoeducation, a narrative of the suicide attempt, and development of an individualised case conceptualisation and safety plan. The second session focuses on cognitive flexibility and identifying reasons for living, including the creation of a "hope box". The third session addresses restriction of access to lethal means and development of coping strategies, including coping cards. The fourth session focuses on consolidation of skills and relapse prevention, including guided imagery exercises to prepare for future crises. If discharge occurs before completion, sessions may be continued after discharge.

Behavioral: Brief Cognitive Behaviour Therapy

Interventions

Brief Cognitive Behaviour Therapy BEHAVIORAL

Brief Cognitive Behaviour Therapy to prevent suicide reattempts

BCBT

Eligibility Criteria

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

You may qualify if:

• admitted following a suicide attempt within one week of admission or presenting with suicidal ideation with a plan and a prior suicide attempt within the last two years
• years or older

You may not qualify if:

• current mania, current acute psychosis, or cognitive impairment
• expected inpatient stay shorter than four working days
• ongoing or planned electroconvulsive therapy
• psychiatric or somatic conditions leading to inability to provide informed consent

Sponsors & Collaborators

• Region Stockholm: collaborator
• Karolinska Institutet: lead

MeSH Terms

Conditions

Suicide, Attempted

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Central Study Contacts

Christian Rück, Professor

CONTACT

+46704843392; christian.ruck@ki.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 20, 2026
• First Posted: May 5, 2026
• Study Start: April 27, 2026
• Primary Completion (Estimated): December 14, 2026
• Study Completion (Estimated): December 14, 2027
• Last Updated: May 5, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share