Clinical trial NCT05867316: Supplementing Brief Psychotherapy With a Mobile App
Official title: Supplementing Brief Psychotherapy With a Mobile App
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicide and Self-harm
Emotion Regulation
Keywords: suicidal ideation
suicide attempts
Lead sponsor: Rutgers, The State University of New Jersey
Sponsor class: OTHER
Collaborators: name: Massachusetts General Hospital
name: National Institute of Mental Health (NIMH)
First posted: 2023-05-19
Enrollment: 40
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: Suicide is among the leading causes of death worldwide, and the risk of suicide is highest in the period immediately following discharge from inpatient psychiatric care.1Importantly, despite the enormously elevated risk during this period, nearly 50% of patients do not attend scheduled therapy after discharge. Even among those who do attend therapy, however, the skills learned in treatment may be difficult to use during the highly distressing time leading up to and during a suicide crisis. Most traditional treatments are not designed to be effective during a suicide crisis. In order to reduce the risk of suicidal thoughts and behaviors in general and specifically during the post-discharge period, interventions are needed that: (1) are easily adhered to and (2) are accessible and effective during a suicide crisis. As such, the purpose of this research study is to test an innovative, new intervention in order to develop an effective and accessible intervention for those at high risk for suicide


Eligibility criteria: Inclusion Criteria:

* Adult status (18+ years)
* Admission to eligible units in our partner hospital with a reason for admission having to do with suicide risk
* The ability to speak and write English fluently,
* Ownership of and consistent access to an internet-capable smartphone (e.g., an iPhone or Android phone)

Exclusion Criteria

- The presence of any factor that impairs an individual's ability to provide informed consent and comprehend and effectively participate in the study including: an inability to speak or write English fluently, the presence of gross cognitive impairment due to florid psychosis, intellectual disability, dementia, acute intoxication, or the presence of extremely agitated or violent behavior.

Primary outcomes:
measure: Suicidal thoughts
timeFrame: Overall changes in momentary self-reported intensity of suicidal urges (on a 11-point scale up to 4x/ day via ecological momentary assessment) from pre- to post-EMI use, across the study period, which is approximately four weeks post discharge
measure: Self-efficacy for managing negative emotion
timeFrame: Beginning of study and end-of-study, approximately four weeks post discharge
Secondary outcomes:
Other outcomes:
Locations:
city: Piscataway
country: United States
facility: Rutgers University Behavioral Healthcare
state: New Jersey
Study officials:
affiliation: Rutgers, The State University of New Jersey
name: Evan Kleiman
role: PRINCIPAL_INVESTIGATOR
References: