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Attachment Based Family Therapy for Suicidal Adolescents

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ClinicalTrials.gov Identifier: NCT01537419
Recruitment Status : Completed
First Posted : February 23, 2012
Results First Posted : February 6, 2018
Last Update Posted : February 6, 2018
Sponsor:
Collaborator:
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Drexel University

Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single (Outcomes Assessor);   Primary Purpose: Treatment
Conditions: Suicide
Depression
Family Relationships
Interventions: Behavioral: Attachment-Based Family Therapy
Behavioral: Family-Enhanced Non-directive Supportive Therapy

  Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
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Reporting Groups
  Description
Family-Enhanced Non-directive Supportive Therapy Family-Enhanced Non-directive Supportive Therapy (FE-NST) is a 16 week therapy designed to control for the non-specific effects of psychotherapy with suicidal youth. FE-NST aims toward relief or reduction of symptoms without expectation of change in the basic personality structure. We have added a parent component to: a) control for parent involvement and b) improve the generalizability and safety of the FE-NST treatment. This enhancement consists of 5 potential parent sessions beginning with a family safety plan in the initial treatment session that will be monitored regularly throughout the treatment. The remaining 4 parent psycho-education sessions offer parents knowledge, skills and support to improve management of the suicidal teen.
Attachment-Based Family Therapy

Although ABFT therapists implement behavior focused and psychoeducational interventions, the model is primarily a process oriented, emotion focused treatment guided by a semi-structured treatment protocol. ABFT aims to improve the family's capacity for problem solving, affect regulation, and organization. This strengthens family cohesion which can buffer against depression, suicidal thinking, and risk behaviors.

Attachment-Based Family Therapy: Although ABFT therapists implement behavior focused and psychoeducational interventions, the model is primarily a process oriented, emotion focused treatment guided by a semi-structured treatment protocol. ABFT aims to improve the family's capacity for problem solving, affect regulation, and organization. This strengthens family cohesion which can buffer against depression, suicidal thinking, and risk behaviors.


Participant Flow:   Overall Study
    Family-Enhanced Non-directive Supportive Therapy   Attachment-Based Family Therapy
STARTED   63   66 
COMPLETED   52   54 
NOT COMPLETED   11   12 



  Baseline Characteristics

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
  Description
Family-Enhanced Non-directive Supportive Therapy Family-Enhanced Non-directive Supportive Therapy (FE-NST) is a 16 week therapy designed to control for the non-specific effects of psychotherapy with suicidal youth. FE-NST aims toward relief or reduction of symptoms without expectation of change in the basic personality structure. We have added a parent component to: a) control for parent involvement and b) improve the generalizability and safety of the FE-NST treatment. This enhancement consists of 5 potential parent sessions beginning with a family safety plan in the initial treatment session that will be monitored regularly throughout the treatment. The remaining 4 parent psycho-education sessions offer parents knowledge, skills and support to improve management of the suicidal teen.
Attachment-Based Family Therapy

Although ABFT therapists implement behavior focused and psychoeducational interventions, the model is primarily a process oriented, emotion focused treatment guided by a semi-structured treatment protocol. ABFT aims to improve the family's capacity for problem solving, affect regulation, and organization. This strengthens family cohesion which can buffer against depression, suicidal thinking, and risk behaviors.

Attachment-Based Family Therapy: Although ABFT therapists implement behavior focused and psychoeducational interventions, the model is primarily a process oriented, emotion focused treatment guided by a semi-structured treatment protocol. ABFT aims to improve the family's capacity for problem solving, affect regulation, and organization. This strengthens family cohesion which can buffer against depression, suicidal thinking, and risk behaviors.

Total Total of all reporting groups

Baseline Measures
   Family-Enhanced Non-directive Supportive Therapy   Attachment-Based Family Therapy   Total 
Overall Participants Analyzed 
[Units: Participants]
 63   66   129 
Age, Customized 
[Units: Participants]
Count of Participants
     
<=15 Years Old   40   36   76 
>15 Years Old   23   30   53 
Sex: Female, Male 
[Units: Participants]
Count of Participants
     
Female      52  82.5%      55  83.3%      107  82.9% 
Male      11  17.5%      11  16.7%      22  17.1% 
Ethnicity (NIH/OMB) 
[Units: Participants]
Count of Participants
     
Hispanic or Latino      9  14.3%      11  16.7%      20  15.5% 
Not Hispanic or Latino      54  85.7%      55  83.3%      109  84.5% 
Unknown or Not Reported      0   0.0%      0   0.0%      0   0.0% 
Race (NIH/OMB) 
[Units: Participants]
Count of Participants
     
American Indian or Alaska Native      2   3.2%      0   0.0%      2   1.6% 
Asian      1   1.6%      2   3.0%      3   2.3% 
Native Hawaiian or Other Pacific Islander      1   1.6%      0   0.0%      1   0.8% 
Black or African American      33  52.4%      31  47.0%      64  49.6% 
White      16  25.4%      21  31.8%      37  28.7% 
More than one race      4   6.3%      6   9.1%      10   7.8% 
Unknown or Not Reported      6   9.5%      6   9.1%      12   9.3% 
Sexual Orientation 
[Units: Participants]
Count of Participants
     
Heterosexual      50  79.4%      38  57.6%      88  68.2% 
Lesbian/Gay      2   3.2%      8  12.1%      10   7.8% 
Bisexual      9  14.3%      13  19.7%      22  17.1% 
Questioning      2   3.2%      7  10.6%      9   7.0% 
Socioeconomic Status 
[Units: Participants]
Count of Participants
     
Below Poverty Level      19  30.2%      21  31.8%      40  31.0% 
Above Poverty Level      44  69.8%      45  68.2%      89  69.0% 


  Outcome Measures

1.  Primary:   Change in the Intensity of Suicidal Ideation Between Intake and End of Treatment   [ Time Frame: 16 weeks (end of treatment) ]

2.  Primary:   Change in the Severity of Depression Symptoms Between Intake and End of Treatment   [ Time Frame: 16 weeks (end of treatment) ]

3.  Secondary:   Change in the Evidence of Family Conflict Between Parent and Youth After Intervention Between Intake and End of Treatment   [ Time Frame: 16 weeks (end of treatment) ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats

Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.


  More Information

Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Results Point of Contact:  
Name/Title: Guy Diamond, Ph.D.
Organization: Center for Family Intervention Science, Drexel University
phone: 215-571-3420
e-mail: gd342@drexel.edu


Publications:
Beck, A., Steer, R. & Brown, G. (1996) The Beck Depression Inventory-Second Edition. San Antonio, TX: Psychological Corporation.
Garber, J., Robinson, N.S., & Valentiner, D. (1997). The relation between parenting and adolescent depression: Self-worth as a mediator. Journal of Adolescent Research, 12, 12-33.
Reynolds, W., & Mazza, J. (1999). Assessment of suicidal ideation in inner-city children and young adolescents: Reliability and validity of the Suicidal Ideation Questionnaire-JR. School Psychology Review, 28, 17-30.


Responsible Party: Drexel University
ClinicalTrials.gov Identifier: NCT01537419     History of Changes
Other Study ID Numbers: 1304001985
R01MH091059-01A1 ( U.S. NIH Grant/Contract )
First Submitted: February 13, 2012
First Posted: February 23, 2012
Results First Submitted: December 4, 2017
Results First Posted: February 6, 2018
Last Update Posted: February 6, 2018