Suicidal Behaviors, Suicidal Ideation, Suicide
Conditions
Keywords
Psychiatric Hospitalization
Brief summary
The investigators will develop a brief video-based intervention for suicide prevention, called LifePlans. LifePlans will be tested in a pilot randomized controlled trial (n = 40) to examine its feasibility and acceptability. Investigators will recruit patients admitted to a psychiatric hospital for suicidal thoughts and behaviors who will receive the intervention for 4 weeks post-discharge. Patients will be assessed at hospital baseline, 1 month post-discharge, and 6 months post-discharge.
Detailed description
In this project, we propose to develop a new intervention, called LifePlans. LifePlans will consist of brief videos that highlight patients' experiences. Episodes will cover these topics: 1) developing a personalized Life Plan to stay safe and restrict means, 2) clarifying valued life domains and related goals to improve hopefulness, 3) using informal problem solving to cope better with illness, 4) improving communication with family/friends to increase social support, and 5) adhering to primary treatments including pharmacotherapy and psychotherapy to promote illness management. LifePlans will be tested in a pilot randomized controlled trial (n = 40) to examine its feasibility and acceptability. Investigators will recruit patients admitted to a psychiatric hospital for suicidal thoughts and behaviors who will receive the intervention for 4 weeks post-discharge. Patients will be assessed at hospital baseline, 1 month post-discharge, and 6 months post-discharge.
Interventions
BEHAVIORALLifePlans
LifePlans is a video-based intervention, in which patients watch episodes starting during a psychiatric hospitalization and continuing through 1 month post-discharge. Other mental health treatment is unrestricted.
BEHAVIORALTreatment as Usual
Individuals will receive unrestricted routine mental health care in the community as appropriate for their condition.
Sponsors
Butler Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* current psychiatric hospitalization for suicidal thoughts and behaviors * 18 years or older * ability to speak and read English * access to means for viewing videos (computer, tablet, smartphone)
Exclusion criteria
* current psychotic symptoms * current cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Client Satisfaction Questionnaire (CSQ) | 1 Month | The Client Satisfaction Questionnaire is a self-report measure of patient satisfaction with treatment. The total score 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 (C-SSRS) | 1 Month | 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
Participant flow
Pre-assignment details
A total of 92 participants were approached for the study, and 40 were consented and enrolled in the study after it was determined that they met eligibility criteria.
Participants by arm
| Arm | Count |
|---|---|
| LifePlans LifePlans is a video series using real patients telling their stories of overcoming suicidal thoughts and behaviors to help others who are struggling with these issues. | 19 |
| Treatment as Usual Individuals will receive unrestricted routine care only. | 21 |
| Total | 40 |
Baseline characteristics
| Characteristic | Treatment as Usual | Total | LifePlans |
|---|---|---|---|
| Age, Continuous | 40.0 years STANDARD_DEVIATION 15.9 | 36.7 years STANDARD_DEVIATION 14.7 | 33.0 years STANDARD_DEVIATION 12.8 |
| Columbia Suicide Severity Rating Scale (C-SSRS) | 13.6 score on scale STANDARD_DEVIATION 2.7 | 14.0 score on scale STANDARD_DEVIATION 2.7 | 14.5 score on scale STANDARD_DEVIATION 2.6 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants | 4 Participants | 2 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 19 Participants | 36 Participants | 17 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 16 Participants | 34 Participants | 18 Participants |
| Region of Enrollment United States | 21 Participants | 40 Participants | 19 Participants |
| Sex: Female, Male Female | 8 Participants | 14 Participants | 6 Participants |
| Sex: Female, Male Male | 13 Participants | 26 Participants | 13 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 10 | 0 / 14 |
| other Total, other adverse events | 0 / 10 | 0 / 14 |
| serious Total, serious adverse events | 1 / 10 | 0 / 14 |
Outcome results
Primary
Client Satisfaction Questionnaire (CSQ)
The Client Satisfaction Questionnaire is a self-report measure of patient satisfaction with treatment. The total score will be used and ranges from 8 to 32 with increased scores indicating greater satisfaction with treatment.
Time frame: 1 Month
Population: Difference due to missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| LifePlans | Client Satisfaction Questionnaire (CSQ) | 25.6 score on scale | Standard Deviation 3.1 |
| Treatment as Usual | Client Satisfaction Questionnaire (CSQ) | 24.6 score on scale | Standard Deviation 14 |
Secondary
Columbia Suicide Severity Rating Scale (C-SSRS)
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.
Time frame: 1 Month
Population: Difference due to missing data.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| LifePlans | Columbia Suicide Severity Rating Scale (C-SSRS) | 7.6 score on scale | Standard Deviation 6.9 |
| Treatment as Usual | Columbia Suicide Severity Rating Scale (C-SSRS) | 6.1 score on scale | Standard Deviation 5.1 |