Depression Clinical Trial
Official title:
Concurrent Treatment for Parents and Adolescents Who Attempt Suicide
This study will develop an integrated treatment for adolescents who are depressed and suicidal and their parents who are depressed and have a history of suicidality.
Depression, like many psychiatric disorders, has a genetic component that makes it more
likely that members of the same family will have the disorder. Depression in parents,
particularly mothers, may put the children at greater risk for depression. When an
adolescent whose parent is depressed develops depression himself or herself, treating both
the parent and the adolescent may be more effective than treating only the adolescent. This
study will test a depression treatment that targets depressed suicidal adolescents with a
parent or primary caretaker who is also depressed and has a history of suicidality.
Participation in this study will last 6 months. Participants will be randomly assigned to
receive either concurrent parent and adolescent treatment or adolescent only treatment. For
those assigned to concurrent treatment, both the adolescent participants and one of their
parents will receive individual cognitive behavioral therapy (CBT) counseling sessions and
joint family counseling sessions. In the adolescent only treatment condition, adolescent
participants will receive individual CBT sessions, but parents will not, and both will
receive joint family sessions. Counseling sessions will last 1 hour and occur weekly for 3
months, and then every other week for 3 months. CBT identifies and attempts to change
problematic thought patterns. All participants will receive medication consultation if
necessary.
Participants will complete assessments at baseline, post-treatment, and 6 months after
completing treatment. These assessments will include questionnaires and interviews about
depression, suicidal thoughts, mood regulation, behavioral problems, and family. At
post-treatment and the 6-month follow-up, participants will also be asked to give feedback
about the counseling, medication consultation, and their satisfaction.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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