Clinical trial NCT01925807: Building Resilience and Attachment in Vulnerable Adolescents
Official title: Brief Group Intervention for Adolescents With Mild to Moderate Suicidal Ideation and Their Caregivers: Preliminary Investigation for a Novel Treatment Approach
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicidal Ideation
Keywords: Adolescent
Suicidal Ideation
Emergency Department
Crisis
Attachment
Coping
Lead sponsor: Children's Hospital of Eastern Ontario
Sponsor class: OTHER
Collaborators: name: Mach Gaensslen Foundation
name: AFP Innovation Fund
First posted: 2013-08-20
Enrollment: 76
Sex: ALL
Minimum age (years): 13
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: Suicide is the second leading cause of mortality for Canadian adolescents. Mental health complaints are one of the leading reasons for an emergency department visit at the Children's Hospital of Eastern Ontario and 60% of adolescents report suicidal ideation. The goal of the present investigation is to test the efficacy of a brief group intervention for adolescents with passive suicidal ideation and their caregivers that will focus on coping, familial support, and emotional regulation. The investigators hypothesize that a brief group intervention, delivered in the weeks following presentation for crisis services, will reduce suicidal ideation and improve coping and familial support.


Eligibility criteria: Inclusion Criteria:

* Mild to moderate suicidal ideation
* Recently presented for services in response to a psycho-social crisis (Emergency Department, MH Urgent Care)
* One or two caregiver(s) committed to attending the majority of sessions

Exclusion Criteria:

* Presence of a suicidal plan and/or recent gesture/attempt
* Psychosis
* Schizophrenia
* Dual diagnosis
* Developmental disability or delay
* "Behavioural problem" as primary concern
* Major substance abuse
* Currently receiving mental health services (once every two weeks or more frequently)
* Inability to commit to majority of sessions (minimum 4 of 6 sessions)
* Children's aid society involvement
* Inability of at least one caregiver to commit to attending the majority of sessions

Primary outcomes:
measure: Suicidal Ideation
timeFrame: 6 weeks
Secondary outcomes:
measure: Familial Support
timeFrame: 6 weeks
Other outcomes:
measure: Coping Strategies
timeFrame: 6 weeks
measure: Depression
timeFrame: 6 weeks
measure: Anxiety
timeFrame: 6 weeks
Locations:
city: Ottawa
country: Canada
facility: Children's Hospital of Eastern Ontario
state: Ontario
Study officials:
affiliation: Children's Hospital of Eastern Ontario
name: Allison Kennedy, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Diamond GS, Wintersteen MB, Brown GK, Diamond GM, Gallop R, Shelef K, Levy S. Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2010 Feb;49(2):122-31. doi: 10.1097/00004583-201002000-00006.
citation: Rathus JH, Miller AL. Dialectical behavior therapy adapted for suicidal adolescents. Suicide Life Threat Behav. 2002 Summer;32(2):146-57. doi: 10.1521/suli.32.2.146.24399.
citation: Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc. 1987 Oct;16(5):427-54. doi: 10.1007/BF02202939.
citation: Cloutier, P. F., Kennedy, A., & Glennie, E. (2008, June). Coping behaviors and intensity of non-suicidal self-harm in Canadian adolescents presenting to emergency mental health services. Poster presented at the third annual meeting of the International Society for the Study of Self-Injury (ISSS), Harvard University, Cambridge, MA.
citation: Kovacs, M. (2010). Children's Depression Inventory Manual. Toronto, ON: Multi-Health Systems Inc.
citation: March, J.S. (2013). Manual for the Multidimensional Anxiety Scale for Children - 2nd Edition (MASC-2). Toronto, ON: MHS Inc.
citation: Moos, R. H., & Moos, B. S. (1981). Family environment scale manual
citation: Reynolds, W. M. (1988). Suicidal Ideation Questionnaire Professional Manual (p. 47).
citation: Griffine, D. W., & Garthholomew, K. (1994). The metaphysics of measurement: The case of adult attachment. (pp. 17-52).