Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt
The aim of the study is to refine, elaborate, and pilot a brief intervention for adult patients following a suicide attempt provided during hospitalization in an acute medical setting. 40 participants will be randomized to receive the brief intervention + care as usual or only care as usual. It is hypothesized that the intervention will be acceptable and feasible to both patients and intervention clinicians.
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Improving Care Provided to Patients Treated in a Level 1 Trauma Center Post-suicide Attempt|
- Patient Satisfaction Questionnaire [ Time Frame: (baseline) Assessment taking place immediately after completion of intervention ] [ Designated as safety issue: No ]The Patient Satisfaction Questionnaire will be used to determine the acceptability of the intervention by the patient.
- Scale for Suicide Ideation [ Time Frame: One month follow-up assessment ] [ Designated as safety issue: Yes ]The Scale for Suicide Ideation will be used to determine the severity of current suicidality in all participants at the one-month follow-up as compared to the baseline assessment.
|Study Start Date:||May 2011|
|Study Completion Date:||April 2012|
|Primary Completion Date:||April 2012 (Final data collection date for primary outcome measure)|
Experimental: Brief Intervention
The brief intervention consists of stepped care protocol, including building rapport, functional analysis of suicidal behavior, and crisis planning
Behavioral: Brief Intervention for Suicidality
Focuses on behavioral elements of care, including building rapport, functional analysis, and crisis planning
No Intervention: care as usual
Patients randomized to the care as usual arm will not receive the brief intervention.
The aim of the study is to refine, elaborate, and pilot a brief intervention for adult patients following a suicide attempt provided during hospitalization in an acute medical setting, and will be addressed with a sample of cases (N = 40) from Harborview. The participants will be randomized into one of two groups: those that receive the intervention and those that do not. All participants will complete a battery of assessments The intervention is based on the theory of teachable moments, wherein timing in proximity to injury and appropriate treatment setting provide a unique opportunity to create patient behavioral change. The brief intervention consists of engaging the patient in conversation regarding suicidal ambivalence (desire to live vs. desire to die), collaborative discovery of primary and secondary drivers of suicidality, and safety planning. A guide to delivering the intervention has been completed and may undergo changes throughout the study. Adherence measures will be developed in order to assess the degree to which the clinician accurately provided the brief intervention without including additional therapeutic elements or leaving out elements required in the intervention guide. Best methods for integrating the brief intervention into services provided on medical and surgical units will be determined, as well.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01355848
|United States, Washington|
|Harborview Medical Center|
|Seattle, Washington, United States, 98104|
|Principal Investigator:||Stephen O'Connor, PhD||University of Washington|