Intensive Outpatient Services for Teens
| Status: | Completed |
|---|---|
| Conditions: | Depression, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 12 - 18 |
| Updated: | 1/25/2018 |
| Start Date: | September 1, 2012 |
| End Date: | January 1, 2018 |
Intensive Outpatient Protocol for High Risk Suicidal Teens
This study will identify the effectiveness of an intensive treatment program for teens who
are at high risk for harming themselves.
are at high risk for harming themselves.
Suicidal ideation and behavior are the primary reasons for emergency psychiatric care and
inpatient psychiatric hospitalization in this country. These expensive contacts with the
health care system effectively address acute suicidality for many adolescents but there is a
significant subset of suicidal patients that have continued suicidality. This study will
target teens that are at risk for re-hospitalization based on continued suicidal ideation,
their mood and another risk factor such as self-harm or substance use. These risk factors
have been shown to increase risk for continued suicidal behavior and expensive contacts with
the health care system. This protocol has been designed to determine whether Intensive
Cognitive Behavioral Therapy (CBT), which was designed to treat adolescents with a mood
disorder, suicidal ideation, and substance use, will result in better treatment outcomes
compared to standard care in the community. The Intensive CBT condition will be delivered by
a team of two licensed mental health therapists over the course of one year and will work
with both the teen and parent. The standard care condition will receive treatment in the
community. One hundred-and fifty adolescents (38 a year) will be recruited from several
inpatient and partial hospital locations. Each adolescent will receive a thorough baseline
assessment to determine whether they are appropriate for the study and will be assigned to
either the Intensive CBT condition or treatment within the community. Both groups of teens
will receive follow-up assessments at 6, 12, and 18 months to identify how they are doing
over time.
inpatient psychiatric hospitalization in this country. These expensive contacts with the
health care system effectively address acute suicidality for many adolescents but there is a
significant subset of suicidal patients that have continued suicidality. This study will
target teens that are at risk for re-hospitalization based on continued suicidal ideation,
their mood and another risk factor such as self-harm or substance use. These risk factors
have been shown to increase risk for continued suicidal behavior and expensive contacts with
the health care system. This protocol has been designed to determine whether Intensive
Cognitive Behavioral Therapy (CBT), which was designed to treat adolescents with a mood
disorder, suicidal ideation, and substance use, will result in better treatment outcomes
compared to standard care in the community. The Intensive CBT condition will be delivered by
a team of two licensed mental health therapists over the course of one year and will work
with both the teen and parent. The standard care condition will receive treatment in the
community. One hundred-and fifty adolescents (38 a year) will be recruited from several
inpatient and partial hospital locations. Each adolescent will receive a thorough baseline
assessment to determine whether they are appropriate for the study and will be assigned to
either the Intensive CBT condition or treatment within the community. Both groups of teens
will receive follow-up assessments at 6, 12, and 18 months to identify how they are doing
over time.
Inclusion Criteria:
- Current Mood Disorder and suicidal ideation and one of the following
- NSSI
- Suicide Attempt
- Substance Use
Exclusion Criteria:
- Intelligence Quotient < 80
- Diagnosis of psychotic disorder, pervasive developmental disorder,
obsessive-compulsive disorder, bulimia nervosa or anorexia nervosa
- Adolescent use of illicit "hard" substances such as cocaine, heroine, and opiates 13
or more times over the prior 90 days
We found this trial at
1
site
69 Brown Street
Providence, Rhode Island 02912
Providence, Rhode Island 02912
(401) 863-1000
Principal Investigator: Anthony Spirito, PhD
Phone: 401-444-1929
Brown University Located in historic Providence, Rhode Island and founded in 1764, Brown University is...
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