Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt

Study Overview
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Brief Summary
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The aim of the study is to refine, elaborate, and pilot a brief intervention for adult patients following a suicide attempt provided during hospitalization in an acute medical setting. 40 participants will be randomized to receive the brief intervention + care as usual or only care as usual. It is hypothesized that the intervention will be acceptable and feasible to both patients and intervention clinicians.

Detailed Description
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The aim of the study is to refine, elaborate, and pilot a brief intervention for adult patients following a suicide attempt provided during hospitalization in an acute medical setting, and will be addressed with a sample of cases (N = 40) from Harborview. The participants will be randomized into one of two groups: those that receive the intervention and those that do not. All participants will complete a battery of assessments The intervention is based on the theory of teachable moments, wherein timing in proximity to injury and appropriate treatment setting provide a unique opportunity to create patient behavioral change. The brief intervention consists of engaging the patient in conversation regarding suicidal ambivalence (desire to live vs. desire to die), collaborative discovery of primary and secondary drivers of suicidality, and safety planning. A guide to delivering the intervention has been completed and may undergo changes throughout the study. Adherence measures will be developed in order to assess the degree to which the clinician accurately provided the brief intervention without including additional therapeutic elements or leaving out elements required in the intervention guide. Best methods for integrating the brief intervention into services provided on medical and surgical units will be determined, as well.

Official Title
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Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt

Conditions
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Suicidal Ideas

Intervention / Treatment
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* Behavioral: Brief Intervention for Suicidality


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: at least 15 years of age Inpatient on medical/surgical unit Admitted following a suicide attempt Sufficient English to benefit from psychotherapy in English Consents to be a research participant Exclusion Criteria: Lack of sufficient English to participate in psychotherapy in English Prisoner/inmate at time of admission Too cognitively impaired, delirious, or psychotic to respond to psychotherapeutic intervention before end of stay on medical/surgical unit. Determination of cognitive impairment, delirium, agitation, and psychosis will be determined through the referral phone call between the PI and the referring care provider, as well as the PI's own clinical assessment of the patient at the outset of the brief intervention.

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Brief Intervention<br>The brief intervention consists of stepped care protocol, including building rapport, functional analysis of suicidal behavior, and crisis planning | Behavioral: Brief Intervention for Suicidality<br>* Focuses on behavioral elements of care, including building rapport, functional analysis, and crisis planning<br>|
| No Intervention: care as usual<br>Patients randomized to the care as usual arm will not receive the brief intervention. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction Questionnaire | The Patient Satisfaction Questionnaire will be used to determine the acceptability of the intervention by the patient. | (baseline) Assessment taking place immediately after completion of intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scale for Suicide Ideation | The Scale for Suicide Ideation will be used to determine the severity of current suicidality in all participants at the one-month follow-up as compared to the baseline assessment. | One month follow-up assessment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Suicide, Brief Intervention, Youth, Acute Medical Setting, Readiness to Change, Suicidality