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Mindfulness-Based Cognitive Therapy + Safety Planning For Suicidal Behavior

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ClinicalTrials.gov Identifier: NCT01826240
Recruitment Status : Completed
First Posted : April 8, 2013
Last Update Posted : December 4, 2015
Sponsor:
Collaborator:
American Foundation for Suicide Prevention
Information provided by (Responsible Party):
New York State Psychiatric Institute

Brief Summary:
The purpose of this study is to combine and adapt Mindfulness-Based Cognitive Therapy (MBCT) + Safety Planning Intervention (SPI) for individuals with suicidal behavior and to determine its feasibility, acceptability, safety and preliminary effectiveness. An exploratory aim is to collect data on the cognitive changes underlying treatment gains.

Condition or disease Intervention/treatment Phase
Monopolar Depression, Single Episode or Unspecified Suicidal and Self-injurious Behaviour Behavioral: MBCT+SPI Phase 1

Detailed Description:
  • The study is a nine-week clinical trial combining Safety Planning Intervention plus Mindfulness-Based Cognitive Therapy for patients with a recent history of suicidal thoughts or behavior and current or past depressive symptoms.
  • These treatments work for depression and some preliminary data suggest they may work to prevent suicidal behavior.
  • Participation includes:

    • Nine weeks of free treatment
    • Clinical assessments
    • An opportunity to offer your views on treatment and suggestions for improving the treatment in focus groups

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Mindfulness-Based Cognitive Therapy + Safety Planning For Suicidal Behavior: A Treatment Development Study
Study Start Date : March 2013
Actual Primary Completion Date : February 2015
Actual Study Completion Date : February 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: MBCT+SPI
Note: There is only one condition in this study. Mindfulness-Based Cognitive Therapy (MBCT) is combined with Safety Planning Intervention (SPI). All individuals who choose to participate will receive MBCT+SPI.
Behavioral: MBCT+SPI
Safety Planning Intervention (SPI), a very brief intervention focused on identifying personalized coping strategies to manage acute suicidality, is combined with Mindfulness-Based Cognitive Therapy (MBCT), a group intervention comprised of mindfulness training and cognitive therapy techniques. Treatment lasts 9 weeks.
Other Names:
  • Mindfulness-Based Cognitive Therapy
  • Safety Planning Intervention




Primary Outcome Measures :
  1. Retention [ Time Frame: participants will be followed for the duration of treatment, an expected average of 9 weeks ]
    Feasibility

  2. Consumer Satisfaction Questionnaire [ Time Frame: post-treatment (at 9 weeks) ]
    Acceptability

  3. Change in scores on Scale for Suicide Ideation [ Time Frame: participants will be followed for the duration of treatment, an expected average of 9 weeks ]
    Safety


Secondary Outcome Measures :
  1. Change in scores on Beck Depression Inventory (BDI-II) [ Time Frame: baseline and post-treatment (at 9 weeks) ]
    Effectiveness


Other Outcome Measures:
  1. Change in cognitive processes underlying treatment gains [ Time Frame: baseline and post-treatment (at 9 weeks) ]
    neuropsychological tasks assessing attention and other cognitive processes



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18-65
  • History of depression
  • Suicidal behavior or thoughts (i.e., current suicidal thoughts at screening and history of at least one suicide attempt or suicide-related behavior (aborted or interrupted suicide attempt) or suicidal ideation with plan or method in the past 6 months)
  • In active treatment (e.g., receiving psychiatric medications)

Exclusion Criteria:

  • Current mania, psychosis, Obsessive-Compulsive Disorder, Traumatic Brain Damage, Organic or Acute Brain Syndrome, Mental Retardation or pervasive developmental disorder
  • Requires priority treatment for an acute illness or debilitating problem such as severe primary substance dependence or anorexia nervosa
  • Inability to complete psychiatric interview or group treatment due to lack of cooperation or lack of comprehension.

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 ClinicalTrials.gov identifier (NCT number): NCT01826240


Locations
United States, New York
Columbia University/New York State Psychiatric Institute
New York, New York, United States, 10032
Sponsors and Collaborators
New York State Psychiatric Institute
American Foundation for Suicide Prevention
Investigators
Principal Investigator: Megan Chesin, Ph.D. Columbia University

Responsible Party: New York State Psychiatric Institute
ClinicalTrials.gov Identifier: NCT01826240     History of Changes
Other Study ID Numbers: 6592
PDF-0-076-11 ( Other Grant/Funding Number: American Foundation for Suicide Prevention )
First Posted: April 8, 2013    Key Record Dates
Last Update Posted: December 4, 2015
Last Verified: April 2013

Additional relevant MeSH terms:
Self-Injurious Behavior
Behavioral Symptoms