The INSPiRe Programme: Developing an Intensive Suicide Prevention Therapy for Suicidal Prisoners

Study Overview
=================
Brief Summary
-----------------
This study aims to assess the acceptability and feasibility of a short-term, intensive Cognitive Behavioural Therapy (CBT) delivered to male prisoners who have thoughts of ending their lives.

Detailed Description
-----------------
10 hours of an adapted CBT therapy for suicide will be delivered across 2 weeks in 5 2 hour sessions to male prisoners. They will initially be assessed on several measures of mood, social support and suicidality. They will then undergo therapy. Following this they will be asked to re-completed the initial measures and a post-therapy interview to ascertain their thoughts on their experience of the therapy.

Official Title
-----------------
The INSPiRe Programme: A Feasibility and Acceptability Study of Intensive Suicide Prevention Therapy in Prison

Conditions
-----------------
Suicide

Intervention / Treatment
-----------------
* Other: INSPiRe Programme


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Aged over 21 years old. Has been managed under the Assessment, Care in Custody, and Teamwork (ACCT) system within the last 1 month (including current ACCT review). Sufficient English language proficiency, as judged by the researcher, in order to complete psychometric questionnaires (i.e. adequate reading comprehension) and engage in intensive CBT programme (i.e. adequate verbal communication). Adult is able to provide informed consent as established during baseline clinical interview (BPS, 2006; MCA, 2005). Currently residing in HM Prison (and expected to remain there for at least six weeks; determined through staff and prisoner report). Exclusion Criteria: A primary organic disorder (indicated by prison medical staff report or records). Any current risk behaviour which would compromise the safety of others, as identified by prison staff.

Ages Eligible for Study
-----------------
Minimum Age: 21 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>10 hours of intensive CBT for suicide will be delivered to male prisoners who are having thoughts of ending their lives. This will be delivered in 2 hours sessions, 5 times across 2 weeks. | Other: INSPiRe Programme<br>* Intensive CBT for suicide<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Client Satisfaction Questionnaire (CSQ-8) | A measure of participant satisfaction with therapy | 20 minutes | 
| Therapist Session Summary | Measuring levels of adherence and engagement | 5 minutes | 
| Discharge summary sheet | Capturing individuals' adherence to the programme or discharge from it | 15 minutes | 
| Therapist Rating Form | Giving an overall picture of each individual's engagement and progress during the study. | 20 minutes | 
| Post-intervention interview | Qualitative interview to explore the participant's experience of therapy | 1 hour | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Intensive, Cognitive Behavioral Therapy, Male prisoners