Suicide Prevention Clinical Trial
— CRISPOfficial title:
A Novel Cognitive Reappraisal Intervention for Suicide Prevention
The goal of this trial is to refine and test a novel emotion-regulation based psychosocial intervention designed to reduce suicide risk in middle-aged and older adults (50-90 years old) who have been discharged after a suicide-related hospitalization (i.e. for suicidal ideation or suicide attempt).
Status | Recruiting |
Enrollment | 90 |
Est. completion date | August 2024 |
Est. primary completion date | August 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 50 Years to 90 Years |
Eligibility | Inclusion Criteria: - 50 years and older - Diagnosis (based on SCID-5 Clinical Trials Version to assess DSM-5 diagnoses): Any DSM-5 depression or anxiety diagnosis, including major depressive disorder, bipolar depression, depressive disorder Not Elsewhere Classified, anxiety disorder Not Elsewhere Classified, adjustment disorder with anxiety and depressed mood (but without any of the diagnoses shown under Exclusion Criteria) - Recent hospitalization for suicidal ideation or suicide attempt. At hospital admission, Columbia Suicide Severity Rating Scale greater or equal to 3, "Active Suicidal Ideation with any methods or a suicide attempt." - Patients with any degree of suicidal ideation at discharge (Columbia Suicide Severity Rating greater or equal to 0) will be included. - Patients who are on psychotropics and on after-care community psychotherapy will also be included. Exclusion Criteria: - History or current diagnosis of Psychotic Disorders; Current Diagnosis of Bipolar I or Bipolar II, with current episode hypomanic, manic or mixed; Diagnosis of Dementia. - Cognitive Impairment: Mini Mental State Exam (MMSE) < 24. - Acute or severe medical illness (i.e. delirium; decompensated cardiac, liver, or kidney failure; major surgery; stroke or myocardial infarction during the three months prior to entry. - Aphasia, sensory problems, and/or inability to speak English. |
Country | Name | City | State |
---|---|---|---|
United States | Weill Cornell Institute of Geriatric Psychiatry, Weill Cornell Medicine | White Plains | New York |
Lead Sponsor | Collaborator |
---|---|
Weill Medical College of Cornell University | Florida State University, National Institute of Mental Health (NIMH), Rutgers University, Stanford University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Change in Suicide Severity, as measured by the Columbia Suicide Severity Rating Scale (CSSR-S) | The CSSR-S assesses risk for suicide, specifically severity of thoughts, intensity of thoughts, behavior and lethality. Questions are scored in categories, 1-10, with lower numbers indicating less severity and higher numbers more severity. | Baseline, Weeks 1-24 | |
Primary | Emotion Regulation, as measured by the Electroencephalogram (EEG), Autobiographical Affective Regulation Task (AART), and a standard picture-based emotion regulation task. | A composite measure of the above tasks with the EEG will be analyzed to assess the patient's cognitive reappraisal ability. | Baseline, 6, 12, and 24 weeks |
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