Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 15 - 24 |
| Updated: | 2/7/2015 |
| Start Date: | May 2011 |
| End Date: | December 2011 |
| Contact: | Stephen O'Connor, PhD |
| Email: | oconnor7@uw.edu |
| Phone: | 206-595-8615 |
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.
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.
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.
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.
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.
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