Development of a Positive Psychology Intervention to Reduce Suicide Risk (HOPE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01398891
Recruitment Status : Completed
First Posted : July 21, 2011
Last Update Posted : March 5, 2013
Information provided by (Responsible Party):
Jeff C. Huffman, MD, Massachusetts General Hospital

Brief Summary:

This pilot study will recruit patients admitted to the inpatient psychiatric unit at MGH for suicidal ideation or a suicide attempt. Inclusion criteria will be broad to increase enrollment rates and obtain information for patients with a wide range of diagnoses and illness severity. Enrolled subjects will complete randomly-selected positive psychology exercises daily (on weekdays) until discharge and will rate the exercises in multiple domains. Subjects' participation will be complete at the end of their admission or when all exercises have been completed, whichever comes first.

Overall, our goal is to assess the acceptability and utility of eight possible positive psychology interventions related to gratitude, optimism, kindness, mindfulness, recollection, and forgiveness in suicidal inpatients.

This is a single-arm study, completed with patients who have been admitted to the hospital for suicidal ideation or a suicide attempt. It is aimed at developing a positive psychology treatment aimed at suicidal patients. The study consists of serial completion of different positive psychology exercises, once daily, during admission, to get subjects' input on their feasibility and impact. This will allow us to work collaboratively to identify the specific exercises that best fit this population. Subjects' participation ends when they are discharged from the hospital. The investigators plan to enroll 30 subjects at MGH (and total) in this study.

Condition or disease Intervention/treatment Phase
Suicidal Ideation Suicide Attempt Other: Positive Psychology Exercises Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Development of a Positive Psychology Intervention to Reduce Suicide Risk
Study Start Date : May 2011
Actual Primary Completion Date : March 2013
Actual Study Completion Date : March 2013

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: Positive Psychology Exercises Other: Positive Psychology Exercises
At each session, the interventionalist will prepare the subject to complete a randomly-selected positive psychology exercise, lasting approximately 20 minutes, within the next 24 hours. He or she will describe the rationale for the exercise and the details of the exercise, and will answer any questions. A sheet with written instructions (matching the verbal instructions) for the exercise will be provided, with space for recording the exercise and an area to provide ratings on the exercise. On the following day, the interventionalist will review the prior day's exercise (and record whether it was completed). The exercises will be completed daily on weekdays for a maximum of 8 days.

Primary Outcome Measures :
  1. Completion of exercises [ Time Frame: Every 24 hours until all exercises administered or discharge occurs ]
    Exercises assigned each day and assessed for completion the next day (a total of eight exercises)

Secondary Outcome Measures :
  1. Optimism [ Time Frame: Baseline and on the date of discharge (average length of admission= 2 weeks) ]
    Life Orientation Test-Revised

  2. Feasibility and utility of exercises [ Time Frame: Assessed within 24 hours of exercise completion ]
    Self-report using Likert scale

  3. Hopelessness [ Time Frame: Baseline and on the date of discharge (average length of admission=2 weeks) ]
    Beck Hopelessness Scale

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Adult (age 18 and older) admitted to inpatient psychiatric unit at Massachusetts General Hospital
  • Suicidal ideation at time of admission OR
  • Admission occurring in context of suicide attempt
  • Ability to read and write in English

Exclusion Criteria:

  • Psychotic symptoms
  • Cognitive disorder

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01398891

United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Principal Investigator: Jeff C Huffman, MD Massachusetts General Hospital

Responsible Party: Jeff C. Huffman, MD, Medical Director, Blake 11, Massachusetts General Hospital Identifier: NCT01398891     History of Changes
Other Study ID Numbers: 2010P002826
First Posted: July 21, 2011    Key Record Dates
Last Update Posted: March 5, 2013
Last Verified: March 2013

Additional relevant MeSH terms:
Suicidal Ideation
Suicide, Attempted
Self-Injurious Behavior
Behavioral Symptoms