Community-Based Cognitive Therapy for Suicide Attempters

Study Overview
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Brief Summary
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This study will determine the effectiveness of cognitive behavioral therapy (CBT) in preventing future suicide attempts in repeat suicide attempters.

Detailed Description
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Rates of mental health and substance use disorders are high among economically disadvantaged, ethnic minority populations. Studies have shown that CBT designed for this high-risk population is successful at reducing suicide attempts in people with suicidal thoughts or attempts. This study will implement a CBT intervention into the community and will focus on increasing compliance with psychiatric, substance abuse, and medical treatment. Participants in this study will be randomly assigned to receive either CBT plus standard care or standard care alone. Participants who receive CBT will have ten weekly sessions of treatment. Suicidal thoughts or attempts, hopelessness, depression, health care utilization, and overall psychological and social adaptation will be assessed. Assessments will be made 1, 3, 6, 12, 18, and 24 months after study completion.

Official Title
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Community-Based Cognitive Therapy for Suicide Attempters

Conditions
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Suicide, Attempted

Intervention / Treatment
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* Behavioral: CBT
* Behavioral: Standard care alone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Suicide attempt within 48 hours prior to being evaluated at the hospital English speaking Able to provide 2 verifiable contacts Exclusion Criteria: Acute, unstable, or severe Axis III disorder or a severe Axis I disorder that may prevent safe participation in outpatient psychotherapy

Ages Eligible for Study
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Minimum Age: 16 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cognitive behavioral therapy (CBT) + standard care<br>Participants will receive ten weekly sessions of treatment plus standard care for suicide prevention. | Behavioral: CBT<br>* Participants will receive ten weekly sessions of treatment. Suicidal thoughts or attempts, hopelessness, depression, health care utilization, and overall psychological and social adaptation will be assessed.<br>Behavioral: Standard care alone<br>* Participants will receive standard care for suicide prevention.<br>|
| Active Comparator: Standard care alone<br>Participants will receive standard care for suicide prevention. | Behavioral: Standard care alone<br>* Participants will receive standard care for suicide prevention.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Repeat suicide attempts |  | Measured during treatment and 1, 3, 6, 12, 18, and 24 months after study completion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Minority Groups