Establishing Efficacy of an Inpatient Intervention and Phone App to Reduce Suicidal Risk

Status:	Not yet recruiting
Conditions:	Psychiatric
Therapuetic Areas:	Psychiatry / Psychology
Healthy:	No
Age Range:	12 - 17
Updated:	3/23/2019
Start Date:	April 1, 2019
End Date:	September 2020
Contact:	Jessica M. Jones, MA
Email:	jessica.jones@utsouthwestern.edu
Phone:	214-456-3691

As Safe As Possible (ASAP): A Balanced, Two-by-Two Design To Test Conjoint and Unique Efficacy of an Inpatient Intervention and an Emotion Regulation/Safety Planning App in Preventing Suicide Attempts Post-Discharge

In this 2-site study, University of Texas Southwestern Medical Center (UTSW) and Western
Psychiatric Institute and Clinic (WPIC), the investigators will conduct a randomized clinical
trial (RCT) in 240 psychiatrically hospitalized suicidal adolescents, examining the single
and additive effects of two components of an inpatient unit intervention for suicidal
adolescents, As Safe As Possible (ASAP), which focuses on emotion regulation and safety
planning, and an emotion regulation/safety plan phone app (BRITE).

The investigators aim to randomize 240 adolescents psychiatrically hospitalized for suicidal
ideation with a plan or a suicide attempt to one of four treatment arms: (1) ASAP + BRITE +
TAU (treatment as usual); (2) BRITE + TAU (treatment as usual); (3) ASAP + TAU (treatment as
usual); and (4) TAU (treatment as usual) alone. The investigators will assess suicidal
ideation and behavior at 4, 12, and 24 weeks post-intake, in order to:

1. Assess the relative efficacy of ASAP, BRITE and the combination on suicidal ideation,
non-suicidal self-injury (NSSI), and suicide attempts, and re-hospitalizations.

2. Examine mediators and moderators of treatment outcome.

3. Examine the costs and cost efficacy of ASAP and BRITE and the combination.

Inclusion Criteria:

- Youth admitted to the inpatient unit at either site for a recent suicide attempt or
significant suicidal ideation with a plan or intent.

- The youth and parent are able to complete assessments in English, and the youth is
able to complete therapy.

Exclusion Criteria:

- The youth currently exhibits psychosis.

- The youth currently exhibits mania.

- The youth is currently <85% of their ideal body weight.

- The youth is intellectually incapable of completing the study, e.g. has an
intelligence quotient (IQ) < 70.

We found this trial at

sites

University of Texas Southwestern Medical Center

1801 Inwood Rd
Dallas, Texas 75390

(214) 645-3300