Brief New Treatment for Suicide Attempts

Suicide, Attempted Clinical Trial

Official title:

Suicidal Adults With Alcohol or Drug Use Problems: A New Hospital-based Treatment

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03300596
• Other study ID #: RSRB00069554
• Status: Completed
• Phase: N/A
• Start date: March 12, 2018
• Est. completion date: September 15, 2020

Study information

• Verified date: September 2020
• Source: University of Rochester
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Individuals with alcohol or drug use problems who are hospitalized for suicide attempt are at high risk for reattempt. This treatment development study adapts a promising outpatient intervention to prevent suicide reattempt in order to administer it during hospitalization to individuals with alcohol and drug use problems, and to test the adapted intervention in a pilot randomized controlled trial.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 34
• Est. completion date: September 15, 2020
• Est. primary completion date: September 15, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• suicide attempt within one week of hospitalization with acknowledgment of some intent to die using a standard item

• problematic alcohol or drug use as determined by score >8 on Alcohol Use Disorders Identification Test, AUDIT or >3 on the 10-item version of the Drug Abuse Screening Test, DAST-10

• admission to hospital

• residence within 40 miles of Strong Memorial Hospital

Exclusion Criteria:

• under age 18

• treated in ED, CPEP, or observation unit only

• unable to communicate with the researcher in English

• unable to comprehend the nature of the study

• participation untenable from a medical (e.g., intubated), psychiatric (e.g., florid psychosis), or behavioral (e.g., refusing to speak with staff) standpoint

• short hospital length of stay, ruling out administering three sessions of the therapy prior to discharge

Related Conditions & MeSH terms

• Alcohol; Use, Problem
• Drug Use
• Suicide
• Suicide, Attempted

Intervention

Behavioral:
• Brief intervention to prevent suicide attempt
A patient-centered, 3-session intervention that calls for videotaping the narrative story of a patient's suicide attempt, in his/her own words (session 1); reviewing segments of the tape to arrive at a shared understanding of the attempt and the sequence of events that led to it (session 2); and using this information, along with a homework task completed by the patient in-between sessions, in order to develop a collaborative, comprehensive written safety plan that addresses the patient's unique vulnerabilities (session 3).
• Enhanced treatment as usual
Safety procedures' control intervention. For these procedures we will share summary results of the research assessments regarding suicidal thoughts, suicidal behaviors, alcohol and drug use and related problems, and depressive symptoms with appropriate hospital clinical staff. We will also arrange to send this information, with participants' permission, to their ongoing therapist or treatment program and, if none exists, to the therapist or program to which they are being referred. In this regard, the research assessment protocol serves a dual function of helping with additional monitoring of high-risk patients in addition to providing data for the study.

Locations

Country	Name	City	State
United States	University of Rochester Medical Center	Rochester	New York

Sponsors (2)

Lead Sponsor	Collaborator
University of Rochester	National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	suicide reattempt	number who reattempt suicide	6 months