Developing an Intervention to Address Suicide Risk During Substance Use Disorder
| Status: | Archived |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | April 2010 |
| End Date: | May 2011 |
This is a 2-year study designed to: (1) adapt and refine an existing cognitive-behavioral
treatment (CBT) intervention to decrease suicidal thoughts and behaviors for use in
Substance Use Disorder (SUD) treatment settings, and (2) conduct a pilot randomized
controlled trial with 50 patients in treatment for SUDs comparing the CBT intervention to an
enhanced control condition. Through this pilot randomized controlled trial, the
investigators hope to not only obtain information about the feasibility of implementing
these procedures in residential SUD treatment, but to also determine whether this
intervention decreases the level of suicidal ideation, suicide attempts, hopelessness, and
frequency of substance use relative to the control condition.
Existing research indicates that problematic alcohol and drug use are closely linked to both
fatal and non-fatal suicide attempts. Given the strong association between substance use and
suicide, an episode of substance use disorder (SUD) treatment provides a unique opportunity
to decrease the likelihood of suicidal behaviors. However, there are no data on the
effectiveness of specific interventions designed to decrease suicidal thoughts and behaviors
during an episode of SUD treatment in individuals at high risk for suicide. Patients for
this trial will be screened at the SUD treatment site for a combination of a past suicide
attempt and current suicidal ideation and will be randomized to CBT or control conditions.
All participants in the pilot randomized controlled trial will be assessed at baseline, at
the end of treatment, and at a 3-month follow-up. From a public health perspective, SUD
treatment programs contain large numbers of patients at high risk for future suicidal
behaviors and therefore have the potential to play a central role in our nation's efforts to
decrease suicide.
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