Clinical trial NCT05613972: Brief Suicide & Trauma Therapy for Suicide Risk
Official title: Using Brief Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Suicide
Trauma
Psychotherapy
Major Depressive Disorder
Keywords: trauma therapy
suicide risk
Lead sponsor: Unity Health Toronto
Sponsor class: OTHER
First posted: 2022-11-14
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The investigators have developed an integrated suicide intervention, Brief Suicide and Trauma Therapy (BSTT). BSTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of BSTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.

Detailed description: In the last 10 years, despite available treatments, suicide rates have not significantly decreased, and individuals who have experienced any type of childhood maltreatment are at increased odds for suicide attempt. Effective suicide prevention requires learning skills to cope with suicidality in addition to addressing the antecedent factors that contribute to suicide risk. In the context of those with childhood trauma and suicidality, addressing antecedent factors may require treatments that target symptoms associated with developmental trauma. Thus, the investigators have developed an integrated suicide intervention, Brief Suicide and Trauma Therapy (BSTT). BSTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of BSTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.

Eligibility criteria: Inclusion Criteria:

* Beck Scale for Suicidal Ideation \> 10
* Presence of childhood trauma defined by a minimum moderate score on any of the Childhood Trauma Questionnaire subscales (emotional abuse, physical, abuse, sexual abuse, emotional neglect, and physical neglect
* Presence of any psychiatric diagnosis
* Ability to provide informed consent
* Not receiving other psychotherapy concurrently
* Ability to undergo psychotherapy in English

Exclusion Criteria:

* The presence of cognitive impairment that would limit consent or understanding of BSTT
* The presence of active psychosis
* Unwilling or unable to provide informed consent

Primary outcomes:
measure: Change in suicidal ideation using Beck Scale for Suicide Ideation
timeFrame: From baseline to 3 months post-intervention
Secondary outcomes:
measure: Change in anxiety symptoms using the Generalized Anxiety Disorder 7-item scale (GAD-7)
timeFrame: From baseline to 3 months post-intervention
measure: Feasibility of BSTT
timeFrame: From baseline to 12-weeks. Also re-assessed at 3 months post-intervention
measure: Change in depression symptoms using the Quick Inventory of Depressive Symptoms 16-item scale (QIDS
timeFrame: From baseline to 3 months post-intervention
measure: Change in attachment security using the Experience in Close Relationships 12-item scale (ECR)
timeFrame: From baseline to 3 months post-intervention
measure: Change in emotion regulation using the Difficulties in Emotion Regulation Scale 36-item scale (DERS)
timeFrame: From baseline to 3 months post-intervention
measure: Change in coping strategies using the Brief-Coping Orientation to Problems Experienced (Brief-COPE)
timeFrame: From baseline to 3 months post-intervention
Other outcomes:
Locations:
city: Toronto
country: Canada
facility: St. Michael's Hospital
state: Ontario
Study officials:
affiliation: Unity Health Toronto
name: Sakina Rizvi, PhD,MACP,RP
role: PRINCIPAL_INVESTIGATOR
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