Psychosis, Suicide
Conditions
Brief summary
People with psychotic disorders are excluded from most suicide-focused clinical trials despite incredibly high rates of completed suicide, and interventions that have been tested for this population have shown limited impact on suicide. Emotion dysregulation is a significant suicidogenic factor that is understudied in people with psychotic disorders. The investigators propose to implement and evaluate an intervention targeting emotion dysregulation in people with psychotic disorders while employing rigorous statistical modeling and measurement techniques including Ecological Momentary Assessment, which will support future advanced research on suicide and suicide prevention for this high-risk group.
Interventions
Dialectical Behavior Therapy Skills Training (DBT-ST) is a group-based intervention focused on teaching skills for improving emotion regulation. The sessions will be offered in-person or via approved telehealth services.
Sponsors
University of Maryland, Baltimore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least 18 years old * Psychosis spectrum disorder as assessed by the Mini International Neuropsychiatric Interview (MINI) for Psychotic Disorder Studies * Heightened suicide risk as determined by a score of 8+ on the Suicide Behaviors Questionnaire-Revised (SBQ-R). This cutoff may be revised downwards (toward lower suicide risk) if recruitment appears difficult, but will not be revised upwards. * Enrollment and engagement in outpatient mental health services with at least one mental health service in the previous month * 6+ grade equivalent reading level as assessed by the Wide Range Achievement Test 4 (WRAT-4)
Exclusion criteria
* Chart diagnosis of intellectual disability (DSM5 317, 318), traumatic brain injury, or deafness.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal Ideation | Four months | Beck Scale for Suicide Ideation. Minimum score: 0. Maximum score: 42. Higher scores are worse. |
| Emotion Dysregulation | Four months | Difficulties in Emotion Regulation Scale (DERS-36). Minimum score: 36. Maximum score: 180. Higher scores are worse. |
Countries
United States
Contacts
Primary ContactPeter L Phalen, PsyD'
Backup ContactWendy Potts
Outcome results
None listed