Pilot Study of a Brief Intervention for Medically Hospitalized Suicide Attempt Survivors
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 5/5/2018 |
| Start Date: | July 2014 |
| End Date: | June 14, 2017 |
The current study proposes to study the feasibility and acceptability of a brief psychosocial
intervention delivered to suicide attempt survivors hospitalized on a medical/surgical floor
or inpatient psychiatry unit at Vanderbilt University Medical Center. The proposed study will
involve training of care providers affiliated with Vanderbilt University Medical Center to
deliver the brief intervention. Additionally, the participants will complete baseline, 1, 3,
and 12-month assessments on outcomes of interest, including readiness to change problematic
behaviors, engagement in outpatient mental health services, suicidal ideation, self-harming
behavior, and reasons for living.
intervention delivered to suicide attempt survivors hospitalized on a medical/surgical floor
or inpatient psychiatry unit at Vanderbilt University Medical Center. The proposed study will
involve training of care providers affiliated with Vanderbilt University Medical Center to
deliver the brief intervention. Additionally, the participants will complete baseline, 1, 3,
and 12-month assessments on outcomes of interest, including readiness to change problematic
behaviors, engagement in outpatient mental health services, suicidal ideation, self-harming
behavior, and reasons for living.
One-hundred participants will be recruited from a medical/surgical floor or inpatient
psychiatry unit at Vanderbilt University Medical Center. The PI, other Attending
Psychiatrists, Psychiatry Resident Physicians, Clinical Psychology Trainees, Psychiatric
Nurse Practitioners, Psychiatric Social Workers, and Psychiatric Nurse Case Managers will
serve as study therapists. A member from the Vanderbilt University research team will obtain
informed consent for the participants and then administer the baseline assessment battery.
Patients will then be randomized to either (1) a group receiving care as usual plus an
experimental intervention targeting suicidal thoughts and behaviors or to (2) a group
receiving care as usual. Patients randomized to the experimental group will receive the
intervention prior to discharge from the medical center, most likely on the same day as the
baseline assessment battery. Patients receiving the experimental intervention will then be
asked to complete a brief post-intervention client satisfaction survey. All study
participants will then complete telephone follow-up assessments at 1, 3, and 12 months. The
intervention will consist of no more than 90 minutes of 1:1 interaction with a study
clinician. The baseline assessment battery will take approximately 30 minutes, the
post-intervention measures will take approximately 10 minutes, and the 1-, 3-, and 12-month
assessment batteries will take approximately 30 minutes. Maximum length of time in the study
is approximately 3.75 hours.
psychiatry unit at Vanderbilt University Medical Center. The PI, other Attending
Psychiatrists, Psychiatry Resident Physicians, Clinical Psychology Trainees, Psychiatric
Nurse Practitioners, Psychiatric Social Workers, and Psychiatric Nurse Case Managers will
serve as study therapists. A member from the Vanderbilt University research team will obtain
informed consent for the participants and then administer the baseline assessment battery.
Patients will then be randomized to either (1) a group receiving care as usual plus an
experimental intervention targeting suicidal thoughts and behaviors or to (2) a group
receiving care as usual. Patients randomized to the experimental group will receive the
intervention prior to discharge from the medical center, most likely on the same day as the
baseline assessment battery. Patients receiving the experimental intervention will then be
asked to complete a brief post-intervention client satisfaction survey. All study
participants will then complete telephone follow-up assessments at 1, 3, and 12 months. The
intervention will consist of no more than 90 minutes of 1:1 interaction with a study
clinician. The baseline assessment battery will take approximately 30 minutes, the
post-intervention measures will take approximately 10 minutes, and the 1-, 3-, and 12-month
assessment batteries will take approximately 30 minutes. Maximum length of time in the study
is approximately 3.75 hours.
Inclusion Criteria:
- 18 years of age and above
- Inpatient on medical/surgical unit either currently or prior to transfer to inpatient
psychiatric 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 in the medical center. Determination of cognitive
impairment, delirium, agitation, and psychosis will be determined through the referral
phone call between discussions with research team members and the Adult Psychiatry
Consultation Service Physician providing care to the patient, as well as the
interventionist's own clinical assessment of the patient at the outset of the brief
intervention.
We found this trial at
1
site
1211 Medical Center Dr
Nashville, Tennessee 37232
Nashville, Tennessee 37232
(615) 322-5000
Phone: 615-875-5838
Vanderbilt Univ Med Ctr Vanderbilt University Medical Center (VUMC) is a comprehensive healthcare facility dedicated...
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