Coping Skills, Emotion Regulation, Suicide Ideation
Conditions
Keywords
Dialectical Behavior Therapy, Skills Training, Suicide ideation, Randomized
Brief summary
The goal of this clinical trial is to learn if Brief Dialectical Behavior Therapy Skills Training (DBT-BST) can prevent suicidality in adults. The main questions it aims to answer are: * Does DBT-BST provide coping strategies (e.g., emotion regulation) to participants with suicidal ideation? * Does DBT-BST lower participants' suicide ideation? Researchers will compare DBT-BST to relaxation to see if DBT-BST works to reduce suicidal ideation. Participants will: * Receive DBT-BST in a single 60-minute, in-person, individual session. * Be asked to use these skills as self-help and for crisis prevention.
Interventions
BEHAVIORALBrief Dialectical Behavior Therapy-Skills Training
The intervention is administered in a single session, lasting approximately 60 minutes and conducted in person. It is important to note that there are no ongoing sessions. In the intervention, participants are provided with 5 basic skills of Dialectical Behavior Therapy: 1) mindfulness, 2) mindfulness of current emotions, 3) opposite-to-emotion action, 4) distraction, and 5) changing body chemistry. These strategies are grouped under 3 categories: 1) Mindfulness, 2) Emotion regulation (mindfulness of current emotions, opposite-to-emotion action), 3) Tolerating distress (distraction, changing body chemistry). These skills are not designed to treat or solve the crisis. The main aim is to provide effective coping mechanisms that can be implemented quickly before the crisis escelates, to help overcome the intense emotional pain and keep the person alive.
BEHAVIORALRelaxation
The control group will be subjected to a relaxation exercise, with the objective of managing participant expectations, researcher attention/interest, and time spent, as well as providing a coping strategy for stress.
Sponsors
Muhammed Ali Boztepe
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* being 18 years of age or older * having suicidal ideation in the last 3 months * not having received any psychological treatment in the last 1 month * living in Aydın/Türkiye where the intervention will be implemented * giving consent for participation
Exclusion criteria
* not speaking Turkish * loss or trauma in the last 1 year * pharmacological treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in the Suicidality at 1 Month as Assessed by Suicide Probability Scale | From enrollment to the end of intervention at 1 week and follow-up at 1 month | 36 is equivalent to the lowest suicidality, and 144 indicates the highest suicidality. |
| Change from Baseline in the Suicidal Cognitions at 1 Month as Assessed by Suicide Cognitions Scale | From enrollment to the end of intervention at 1 week and follow-up at 1 month | 18 is equivalent to the lowest suicidal cognitions, and 90 indicates the highest suicidal cognitions. |
| Change from Baseline in the Hopelessness at 1 Month as Assessed by Beck Hopelessness Scale | From enrollment to the end of intervention at 1 week and follow-up at 1 month | Zero is equivalent to the lowest hopelessness, and 20 indicates the highest hopelessness. |
| Change from Baseline in the Emotion Regulation Skills at 1 Month as Assessed by Emotion Regulation Skills Questionnaire | From enrollment to the end of intervention at 1 week and follow-up at 1 month | Zero is equivalent to the lowest emotion regulation skills, and 108 indicates the highest skills. |
| Change from Baseline in the Difficulties in Emotion Regulation at 1 Month as Assessed by Difficulties in Emotion Regulation Scale-16 | From enrollment to the end of intervention at 1 week and follow-up at 1 month | 16 is equivalent to the lowest difficulties, and 80 indicates the highest difficulties in emotion regulation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in the Depression, Anxiety, and Stress at 1 Month as Assessed by Depression Anxiety Stress Scale-21 (DASS-21) | From enrollment to the end of intervention at 1 week and follow-up at 1 month | Higher points are equivalent to higher symptoms as assessed by the related subscale of DASS-21. Each subscale ranges from 0 to 28. |
Countries
Turkey (Türkiye)
Outcome results
None listed