Implementing an IPTS Treatment Approach to Improve Outcomes in Suicidal Youth
| Status: | Recruiting |
|---|---|
| Conditions: | Depression |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 12 - 18 |
| Updated: | 5/19/2018 |
| Start Date: | November 14, 2017 |
| End Date: | April 1, 2019 |
| Contact: | Sunita M. Stewart, PhD |
| Email: | sunita.stewart@utsouthwestern.edu |
| Phone: | 214-456-5927 |
Implementing an Interpersonal Theory of Suicide Treatment Approach to Improve Outcomes in Suicidal Youth
The purpose of this project is to evaluate a set of interventions derived from a theory of
suicide that supplements a clinical program and compare their effects on outcomes to the
outcomes of the unsupplemented program. This study proposes to evaluate the effect of these
interventions on reducing specific negative cognitions associated with depression and suicide
ideation in an intensive outpatient program for suicidal youth (Suicide Prevention and
Resilience at Children's, SPARC).
suicide that supplements a clinical program and compare their effects on outcomes to the
outcomes of the unsupplemented program. This study proposes to evaluate the effect of these
interventions on reducing specific negative cognitions associated with depression and suicide
ideation in an intensive outpatient program for suicidal youth (Suicide Prevention and
Resilience at Children's, SPARC).
The trial will be conducted in a program where half of the clients are enrolled into either
the original program (SPARC A which has a general focus on negative cognitions) or SPARC B
(which will overlap significantly with SPARC A but targets in some sessions specific negative
cognitions of perceived burdensomeness). The program is already structured so that each
patient consistently attends either a morning or an afternoon track, with different
therapists running each track. This allows for separate programs in each track. Clinically
justifiable innovations are routinely introduced into the program usually in a stepwise
fashion in one or another part by one set of therapists at a time. The investigators propose
to take advantage of this partial introduction by assessing relative impact of SPARC A and
SPARC B on depressive symptoms and suicide ideation. The investigators have no data to
indicate that one program will be better than the other. The investigation will, however,
allow the investigators to assess whether this innovation in fact is effective. Patients will
not be randomized at the individual level, but rather their time slot (usually decided based
on opening within the program) will place them into either SPARC A or SPARC B. The two
programs are of identical length with numerous features in common, differing only in the
specificity of the exercises and examples and their relevance to perceived burdensomeness.
Routine assessments at entry and discharge from the program will not change based on study
enrollment. However, suicide ideation, depressive symptoms, and negative cognitions
(perceived burdensomeness and thwarted belongingness) will be more formally assessed at the
one-month follow-up meeting or phone call which will add approximately 10 minutes to the
contact.
the original program (SPARC A which has a general focus on negative cognitions) or SPARC B
(which will overlap significantly with SPARC A but targets in some sessions specific negative
cognitions of perceived burdensomeness). The program is already structured so that each
patient consistently attends either a morning or an afternoon track, with different
therapists running each track. This allows for separate programs in each track. Clinically
justifiable innovations are routinely introduced into the program usually in a stepwise
fashion in one or another part by one set of therapists at a time. The investigators propose
to take advantage of this partial introduction by assessing relative impact of SPARC A and
SPARC B on depressive symptoms and suicide ideation. The investigators have no data to
indicate that one program will be better than the other. The investigation will, however,
allow the investigators to assess whether this innovation in fact is effective. Patients will
not be randomized at the individual level, but rather their time slot (usually decided based
on opening within the program) will place them into either SPARC A or SPARC B. The two
programs are of identical length with numerous features in common, differing only in the
specificity of the exercises and examples and their relevance to perceived burdensomeness.
Routine assessments at entry and discharge from the program will not change based on study
enrollment. However, suicide ideation, depressive symptoms, and negative cognitions
(perceived burdensomeness and thwarted belongingness) will be more formally assessed at the
one-month follow-up meeting or phone call which will add approximately 10 minutes to the
contact.
Inclusion Criteria:
- adolescents, ages 12 - 17
- Enrolled in the SPARC program at Children's Medical Center of Dallas
Exclusion Criteria:
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