Schizophrenia, Suicide
Conditions
Keywords
psychiatric hospitalization, suicide prevention, psychosis, psychosocial intervention
Brief summary
The current project is a pilot randomized controlled trial to test the Coping Long-term with Active Suicide Program for schizophrenia-spectrum disorders (CLASP-S) for patients following a psychiatric hospitalization. Participants will be assigned to enhanced treatment as usual (ETAU) alone vs CLASP-S plus ETAU. Participants complete assessments at baseline during their psychiatric hospitalization and at 3 months (mid-treatment) and 6 months (post-treatment) following discharge. The primary aim is to assess the feasibility and acceptability of CLASP-S. The secondary aim is to estimate the effects of CLASP-S on reducing suicidal thoughts and behaviors relative to ETAU.
Interventions
Routine community care plus assessment feedback reports to clinicians.
Adjunctive psychosocial intervention for suicide prevention involving in person, family, and phone sessions.
Sponsors
Study design
Eligibility
Inclusion criteria
* suicidal thoughts or behaviors prior to hospital admission * diagnosis of a schizophrenia-spectrum disorder * receiving pharmacotherapy * 18 years or older * speaks/reads English
Exclusion criteria
* psychosis due to substance use or medical condition * lack of phone access * discharge to long-term facility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction Questionnaire | 6 months | The Client Satisfaction Questionnaire is a self-report measure of patient satisfaction with treatment. The total score (sum of items) will be used and ranges from 8 to 32 with increased scores indicating greater satisfaction with treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Columbia Suicide Severity Rating Scale | 6 months | The Columbia Suicide Severity Rating Scale is an interviewer-rated measure of suicidal thoughts and behaviors. The total score (sum of items) will be used and ranges from 2 to 25 with higher scores indicating higher suicidal thoughts and behaviors. |
Countries
United States