Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt
Recruitment status was Recruiting
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Purpose
The aim of the study is to refine, elaborate, and pilot a brief intervention for patients between 15-24 years of age following a suicide attempt provided during hospitalization in an acute medical setting. 40 participants will be randomized to receive the brief intervention + care as usual or only care as usual. It is hypothesized that the intervention will be acceptable and feasible to both patients and intervention clinicians.
| Condition | Intervention | Phase |
|---|---|---|
|
Suicidal Ideas |
Behavioral: Brief Intervention for Suicidality |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt |
- Patient Satisfaction Questionnaire [ Time Frame: (baseline) Assessment taking place immediately after completion of intervention ] [ Designated as safety issue: No ]The Patient Satisfaction Questionnaire will be used to determine the acceptability of the intervention by the patient.
- Scale for Suicide Ideation [ Time Frame: One month follow-up assessment ] [ Designated as safety issue: Yes ]The Scale for Suicide Ideation will be used to determine the severity of current suicidality in all participants at the one-month follow-up as compared to the baseline assessment.
| Estimated Enrollment: | 40 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | December 2011 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Brief Intervention
The brief intervention consists of stepped care protocol, including building rapport, functional analysis of suicidal behavior, and crisis planning
|
Behavioral: Brief Intervention for Suicidality
Focuses on behavioral elements of care, including building rapport, functional analysis, and crisis planning
|
|
No Intervention: care as usual
Patients randomized to the care as usual arm will not receive the brief intervention.
|
Detailed Description:
The aim of the study is to refine, elaborate, and pilot a brief intervention for patients between 15-24 years of age following a suicide attempt provided during hospitalization in an acute medical setting, and will be addressed with a sample of cases (N = 40) from Harborview. The participants will be randomized into one of two groups: those that receive the intervention and those that do not. All participants will complete a battery of assessments The intervention is based on the theory of teachable moments, wherein timing in proximity to injury and appropriate treatment setting provide a unique opportunity to create patient behavioral change. The brief intervention consists of engaging the patient in conversation regarding suicidal ambivalence (desire to live vs. desire to die), collaborative discovery of primary and secondary drivers of suicidality, and safety planning. A guide to delivering the intervention has been completed and may undergo changes throughout the study. Adherence measures will be developed in order to assess the degree to which the clinician accurately provided the brief intervention without including additional therapeutic elements or leaving out elements required in the intervention guide. Best methods for integrating the brief intervention into services provided on medical and surgical units will be determined, as well.
Eligibility| Ages Eligible for Study: | 15 Years to 24 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 15-24 years of age
- Inpatient on medical/surgical unit
- Admitted following a suicide attempt
- Sufficient English to benefit from psychotherapy in English
- Consents to be a research participant
Exclusion Criteria:
- Lack of sufficient English to participate in psychotherapy in English
- Prisoner/inmate at time of admission
- Too cognitively impaired, delirious, or psychotic to respond to psychotherapeutic intervention before end of stay on medical/surgical unit. Determination of cognitive impairment, delirium, agitation, and psychosis will be determined through the referral phone call between the PI and the referring care provider, as well as the PI's own clinical assessment of the patient at the outset of the brief intervention.
Contacts and Locations| Contact: Stephen O'Connor, PhD | 206-595-8615 | oconnor7@uw.edu |
| United States, Washington | |
| Harborview Medical Center | Recruiting |
| Seattle, Washington, United States, 98104 | |
| Contact: Richard Goss, MD, MPH 206-744-3134 meddirec@uw.edu | |
| Principal Investigator: | Stephen O'Connor, PhD | University of Washington |
More Information
No publications provided
| Responsible Party: | Stephen O'Connor, University of Washington |
| ClinicalTrials.gov Identifier: | NCT01355848 History of Changes |
| Other Study ID Numbers: | 39417-C, T32HS013835_1 |
| Study First Received: | May 10, 2011 |
| Last Updated: | May 24, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Washington:
|
Suicide Brief Intervention Youth |
Acute Medical Setting Readiness to Change Suicidality |
Additional relevant MeSH terms:
|
Suicide Suicide, Attempted Self-Injurious Behavior Behavioral Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013