Clinical trial NCT03600532: Teachable Moment Brief Intervention for Suicide Attempt Survivors in an Inpatient Setting
Official title: Testing the Efficacy of the Teachable Moment Brief Intervention for Suicide Attempt Survivors in an Inpatient Setting: Effects on Psychosocial and Experimental Pain Outcomes
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Suicide, Attempted
Keywords: experimental pain
Lead sponsor: University of Tulsa
Sponsor class: OTHER
First posted: 2018-07-26
Enrollment: 7
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants will be assigned in even numbers to TMBI \& TAU or recruited as part of a CCG
Primary purpose: TREATMENT

Brief summary: This study is looking at the helpfulness of a brief treatment targeting suicidality (Teachable Moment Brief Intervention \[TMBI\]) and experimental pain responses in an inpatient population as well as collecting comparison data from the community.

Detailed description: The proposed study will use an innovative one-session psychotherapeutic intervention called the Teachable Moment Brief Intervention (TMBI) for suicide attempters admitted to a psychiatric inpatient unit. A total of 60 patients will be recruited from the inpatient psychiatry unit at Laureate Psychiatric Clinic and Hospital and 30 healthy community members for the study. Informed consent will be obtained for all participants and administration of the baseline assessment battery will be completed prior to randomization for patients. Patients will then be randomized to either (a) an experimental group receiving TMBI or (b) a group receiving treatment as usual (TAU). The intervention will consist of no more than 90 minutes (expected mean is 45 minutes for the intervention based upon previous studies of the TMBI) of 1:1 interaction with a study clinician. All participants will complete a follow-up assessment immediately following TMBI, TAU, or a rest period. Further, patients receiving the experimental intervention will then be asked to complete a client satisfaction survey. The aim will be to assess whether TMBI affects psychological, experimental pain, and autonomic nervous system responses as compared to TAU and community controls.

Eligibility criteria: TMBI \& TAU (data collection at Laureate Psychiatric Clinic and Hospital \[LPCH\])

Inclusion:

-admitted to LPCH subsequent to a suicide attempt

Exclusion:

* acute psychosis,
* inability to read English, or
* taking narcotic or opioid pain medication

CCG (data collection in the Psychophysiology Laboratory for Affective Neuroscience \[PLAN\] on the University of Tulsa campus)

Exclusion:

* acute psychosis,
* current suicide ideation,
* history of self-harm,
* inability to read English, or
* taking narcotic or opioid pain medication

Primary outcomes:
measure: Changes in Beck Scale for Suicide Ideation
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
Secondary outcomes:
measure: Changes in Stages of Change Questionnaire
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Reasons for Living Inventory
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Adult State Hope Scale
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Change in Positive and Negative Affect Schedule
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Ischemic Pain Outcomes
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Mechanical Pressure Pain Outcomes
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Temporal Summation of Pain
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Skin Conductance Level
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Blood Pressure
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
measure: Changes in Cardiovascular Measurements
timeFrame: Assessed immediately before the intervention or rest period (baseline) and immediately after the intervention or rest period (approximately 1 hour from baseline)
Other outcomes:
Locations:
city: Tulsa
country: United States
facility: University of Tulsa, Psychophysiology Laboratory for Affective Neuroscience (PLAN)
state: Oklahoma
city: Tulsa
country: United States
facility: Laureate Psychiatric Clinic and Hospital
state: Oklahoma
Study officials:
affiliation: University of Tulsa
name: Cassandra A Sturycz, MA
role: PRINCIPAL_INVESTIGATOR
References:
citation: Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.