36 Participants Needed

CBT + Support Team for Suicide Prevention

Recruiting at 1 trial location
CM
Overseen ByChristina Magness
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of Michigan
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

What data supports the effectiveness of the treatment Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP)?

Research shows that cognitive-behavioral therapy (CBT) can significantly reduce suicidal behavior, especially in adults, and is more effective than minimal or usual treatment. Additionally, brief CBT has been effective in reducing suicide attempts among high-risk groups, such as US Army soldiers.12345

Is CBT for suicide prevention safe for humans?

Research on cognitive-behavioral therapy for suicide prevention (CBT-SP) shows it is generally safe, with low rates of worsening suicidal thoughts in trials. Studies on similar therapies, like brief CBT for military personnel, also support its safety.13678

How is CBT-SP different from other treatments for suicide prevention?

CBT-SP (Cognitive Behavioral Therapy for Suicide Prevention) is unique because it is a manual-based therapy specifically designed to prevent the recurrence of suicidal behavior, particularly in adolescents who have recently attempted suicide. Unlike other treatments, it focuses on teaching coping strategies and problem-solving skills to manage suicidal thoughts and behaviors.12379

What is the purpose of this trial?

The investigators are modifying and testing the preliminary effectiveness and implementation of the combination of two psychosocial interventions, Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and the computer-assisted version of the Youth-Nominated Support Team (eYST). This registration will be for Aim 2 and a pilot randomized clinical trial for Aim 3 will be registered separately.In this phase of the study, CBT-SP+eYST will be tested in an initial open trial (number of youth=6) to examine its feasibility and acceptability. Investigators will recruit Black adolescents that come to an urban emergency department (ED) for suicidal thoughts and/or behaviors to receive the intervention in an outpatient community mental health agency. The study focuses on the acute phase of CBT-SP, which is 12 sessions. Participants will nominate up to 4 caring adults in the participants lives to serve as support persons. These support persons will attend an education/orientation session to learn more about their role and how to support the youth.Youth will be assessed at baseline, 6 weeks, and 14 weeks. Parents will be assessed at baseline and 14 weeks. Support persons will be assessed at baseline and 14 weeks. Fidelity assessments will be completed by clinicians after each CBT-SP session, after the YST psycho-ed session, and weekly to document contact with the support team.

Research Team

CE

Cynthia Ewell Foster, PhD

Principal Investigator

University of Michigan

Eligibility Criteria

This trial is for Black adolescents who visit an urban emergency department with suicidal thoughts or behaviors. They will receive a combination of Cognitive Behavioral Therapy and support from nominated adults in their lives, aiming to improve mental health outcomes.

Inclusion Criteria

Patients that are able to provide at least one verifiable contact for emergency or tracking purposes
Eligible for care at MiSide
Present to the ED with suicide risk (per protocol)
See 10 more

Exclusion Criteria

Actively engaged in specialty mental health treatment
Do not have a parent/legal guardian available to provide consent
Do not understand written and spoken English
See 4 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) and engage with the Youth-Nominated Support Team (eYST) over 12 sessions

12 weeks
12 sessions (in-person)

Follow-up

Participants are monitored for feasibility and acceptability of the intervention

2 weeks
Assessments at 6 weeks and 14 weeks

Treatment Details

Interventions

  • Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP)
  • Youth-Nominated Support Team
Trial Overview The study tests the integration of Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) with a computer-assisted Youth-Nominated Support Team (eYST). Participants undergo 12 therapy sessions and nominate up to four adults as support persons, who are educated on how to assist.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: CBT for Suicide Prevention and the Youth-Nominated Support TeamExperimental Treatment2 Interventions
Participation will be 3 months.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

Children's Hospital of Michigan

Collaborator

Trials
26
Recruited
4,200+

National Institute of Mental Health (NIMH)

Collaborator

Trials
3,007
Recruited
2,852,000+

MiSide

Collaborator

Findings from Research

A manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) was developed and tested on 110 adolescents aged 13 to 19 who recently attempted suicide, focusing on risk reduction and relapse prevention.
The therapy was well-received, with 72.4% of participants completing 12 or more sessions, indicating its feasibility for preventing recurrence of suicidal behavior in this high-risk group.
Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability.Stanley, B., Brown, G., Brent, DA., et al.[2022]
Cognitive behavior therapy (CBT) and problem-solving therapy (PST) both led to significant improvements in various measures related to hopelessness and suicidal ideation among suicide attempters, indicating their efficacy as treatment options.
Participants receiving CBT and PST reported higher satisfaction levels compared to those receiving treatment as usual (TAU), highlighting the potential benefits of these brief therapies in managing suicidal thoughts.
Comparing cognitive behavior therapy, problem solving therapy, and treatment as usual in a high risk population.Stewart, CD., Quinn, A., Plever, S., et al.[2018]
Brief cognitive behavioral therapy (BCBT) is projected to prevent 23 to 25 more suicide attempts and 1 to 3 more suicide deaths per 100 patients compared to standard treatment for suicidal US Army soldiers, indicating its efficacy in reducing suicide risk.
BCBT is estimated to save the Department of Defense between $15,000 to $16,630 per patient compared to usual treatment, suggesting it may be a cost-effective intervention for addressing suicide risk among active-duty soldiers.
Economic Evaluation of Brief Cognitive Behavioral Therapy vs Treatment as Usual for Suicidal US Army Soldiers.Bernecker, SL., Zuromski, KL., Curry, JC., et al.[2022]

References

Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability. [2022]
Comparing cognitive behavior therapy, problem solving therapy, and treatment as usual in a high risk population. [2018]
Economic Evaluation of Brief Cognitive Behavioral Therapy vs Treatment as Usual for Suicidal US Army Soldiers. [2022]
Cognitive-behavioral interventions to reduce suicide behavior: a systematic review and meta-analysis. [2022]
Brief Cognitive-based Psychosocial Intervention and Case Management for Suicide Attempters Discharged from the Emergency Department in Taipei, Taiwan: A Randomized Controlled Study. [2021]
Rates and Predictors of Deterioration in a Trial of Internet-Delivered Cognitive Behavioral Therapy for Reducing Suicidal Thoughts. [2022]
Brief cognitive-behavioral therapy effects on post-treatment suicide attempts in a military sample: results of a randomized clinical trial with 2-year follow-up. [2022]
EVALUATING POTENTIAL IATROGENIC SUICIDE RISK IN TRAUMA-FOCUSED GROUP COGNITIVE BEHAVIORAL THERAPY FOR THE TREATMENT OF PTSD IN ACTIVE DUTY MILITARY PERSONNEL. [2019]
The Effectiveness of the Safety Planning Intervention for Adults Experiencing Suicide-Related Distress: A Systematic Review. [2022]
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