60 Participants Needed

Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities

LR
Overseen ByLauren R Khazem, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Ohio State University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 3 JurisdictionsThis treatment is already approved in other countries

Trial Summary

What is the purpose of this trial?

The purpose of this study is to examine the effectiveness of a psychotherapy (non-medication) treatment, Brief Cognitive Behavioral Therapy for Suicide Prevention, in reducing suicide ideation and attempts for people with physical disabilities.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications.

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

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities is an effective treatment?

The available research shows that Cognitive Behavioral Therapy (CBT) is effective for managing chronic pain, which is often a concern for people with physical disabilities. Studies have demonstrated that CBT can improve pain management and related problems, making it a valuable treatment option. Although the research focuses on chronic pain, the success of CBT in this area suggests it could also be beneficial for addressing suicidal thoughts in individuals with physical disabilities. The studies highlight that CBT is effective in various formats, including online and telephone, which can make it more accessible to people who might not otherwise receive treatment.12345

What data supports the effectiveness of the treatment Brief Cognitive Behavioral Therapy for People with Physical Disabilities?

Research shows that Brief Cognitive Behavioral Therapy (CBT) is effective for managing chronic pain, which suggests it could help people with physical disabilities who have suicidal thoughts. Studies have found that CBT can improve pain management and related problems, making it a promising option for those with physical challenges.12345

What safety data exists for Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities?

The provided research does not directly address safety data for Cognitive Behavioral Therapy (CBT) specifically targeting suicidal thoughts in individuals with physical disabilities. However, it does discuss the safety and effectiveness of Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP), which is a related intervention. The studies indicate that Brief CBT-CP is a safe and effective nonpharmacological treatment for chronic pain, with high patient satisfaction and reported improvements in pain-related functioning. While these findings suggest that CBT interventions can be safely implemented in primary care settings, specific safety data for the use of CBT in addressing suicidal thoughts in individuals with physical disabilities would require further investigation.13567

Is Brief Cognitive Behavioral Therapy safe for humans?

Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP) is considered safe and is a non-drug alternative to pain management, with patients reporting satisfaction and improved functioning after treatment.13567

Is Brief Cognitive Behavioral Therapy a promising treatment for suicidal thoughts in people with physical disabilities?

Yes, Brief Cognitive Behavioral Therapy (BCBT) is a promising treatment. It has been shown to effectively reduce the risk of suicide attempts, especially in groups like US Army soldiers. This suggests it could be helpful for people with physical disabilities who have suicidal thoughts.89101112

How is Brief Cognitive Behavioral Therapy unique for treating suicidal thoughts in people with physical disabilities?

Brief Cognitive Behavioral Therapy (BCBT) is unique because it is a short-term, focused approach that has been shown to effectively reduce suicide risk by addressing specific thought patterns and behaviors, making it potentially more resource-efficient compared to other therapies. It is particularly tailored to individuals with physical disabilities, which may differentiate it from other treatments that do not specifically consider the unique challenges faced by this group.89101112

Eligibility Criteria

This trial is for adults with physical disabilities affecting vision, hearing, or mobility who have had suicidal thoughts in the past week or a suicide attempt in the past month. Participants must be able to give informed consent and need internet access with a webcam.

Inclusion Criteria

I am 18 years old or older.
I have thought about suicide in the last week or attempted it in the last month.
I have a disability that affects my vision, hearing, or ability to move.

Exclusion Criteria

Inability to provide informed consent
Lack of internet connection and web camera

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive Brief Cognitive Behavioral Therapy for Suicide Prevention

12 weeks
Weekly sessions (telehealth)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Brief Cognitive Behavioral Therapy for People with Physical Disabilities
Trial OverviewThe study tests Brief Cognitive Behavioral Therapy aimed at reducing suicidal thoughts and attempts among people with physical disabilities. It's a psychotherapy approach that does not involve medication.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Brief Cognitive Behavioral Therapy for People with Physical DisabilitiesExperimental Treatment1 Intervention

Brief Cognitive Behavioral Therapy for People with Physical Disabilities is already approved in United States, European Union, Canada for the following indications:

🇺🇸
Approved in United States as Brief CBT for:
  • Chronic pain management
  • Mental health conditions in individuals with physical disabilities
🇪🇺
Approved in European Union as Brief Cognitive Behavioral Therapy for:
  • Anxiety disorders
  • Depressive disorders
  • Chronic pain management
🇨🇦
Approved in Canada as CBT-CP for:
  • Chronic pain management
  • Mental health conditions in veterans and military personnel

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ohio State University

Lead Sponsor

Trials
891
Recruited
2,659,000+

American Foundation for Suicide Prevention

Collaborator

Trials
36
Recruited
10,500+

Findings from Research

Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP) shows promising effectiveness in primary care settings, with significant improvements in pain intensity and functional limitations observed by the third appointment among 118 patients.
The most effective components of Brief CBT-CP included psychoeducation, goal setting, pacing, and relaxation training, suggesting that these strategies are beneficial for managing chronic pain without relying on medication.
Brief Cognitive Behavioral Therapy For Chronic Pain: Results From a Clinical Demonstration Project in Primary Care Behavioral Health.Beehler, GP., Murphy, JL., King, PR., et al.[2020]
Cognitive-behavioral therapy (CBT) is an effective first-line treatment for chronic pain, supported by numerous randomized controlled trials showing improvements in pain and related issues across various chronic pain syndromes.
Recent innovations in CBT delivery, such as web-based and telephone formats, have expanded its accessibility and effectiveness for diverse populations, including children and older adults, indicating a promising direction for future treatment approaches.
Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research.Ehde, DM., Dillworth, TM., Turner, JA.[2022]
The RESOLVE trial is a large-scale, 3-arm randomized control trial designed to compare the effectiveness of telephonic/video and online CBT for chronic pain against usual care, involving diverse populations across urban and rural areas.
This study aims to assess not only the clinical effectiveness of these CBT interventions in reducing pain severity but also their cost-effectiveness, potentially improving access to treatment for underserved populations.
Comparing the clinical and cost-effectiveness of remote (telehealth and online) cognitive behavioral therapy-based treatments for high-impact chronic pain relative to usual care: study protocol for the RESOLVE multisite randomized control trial.Mayhew, M., Balderson, BH., Cook, AJ., et al.[2023]

References

Brief Cognitive Behavioral Therapy For Chronic Pain: Results From a Clinical Demonstration Project in Primary Care Behavioral Health. [2020]
Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. [2022]
Comparing the clinical and cost-effectiveness of remote (telehealth and online) cognitive behavioral therapy-based treatments for high-impact chronic pain relative to usual care: study protocol for the RESOLVE multisite randomized control trial. [2023]
Interactive Voice Response-Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial. [2019]
Targeting Chronic Pain in Primary Care Settings by Using Behavioral Health Consultants: Methods of a Randomized Pragmatic Trial. [2022]
Patients' perspectives of brief cognitive behavioral therapy for chronic pain: Treatment satisfaction, perceived utility, and global assessment of change. [2021]
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: A Randomized Comparative Effectiveness Trial. [2023]
Economic Evaluation of Brief Cognitive Behavioral Therapy vs Treatment as Usual for Suicidal US Army Soldiers. [2022]
Psychosocial treatments of suicidal behaviors: a practice-friendly review. [2022]
Efficacy of psychological pain theory-based cognitive therapy in suicidal patients with major depressive disorder: A pilot study. [2019]
11.United Statespubmed.ncbi.nlm.nih.gov
Do physical disabilities differentiate between suicidal ideation and attempts? An examination within the lens of the ideation to action framework of suicide. [2020]
12.United Statespubmed.ncbi.nlm.nih.gov
Cognitive therapy for the suicidal patient: a case study. [2019]