Suicidal Thoughts and Behaviors
Conditions
Keywords
Suicidality, Music-based intervention, Music
Brief summary
The primary goal of this clinical trial is to test if music-based intervention (STAMM-S) works for individuals with suicidal thoughts or behaviors. The main questions it aims to answer are: * Can implementing specific music to listen to for 20 minutes a day for 25 days improve suicidality? * Can implementing education around the psychology of the medicine of music improve mental health outcomes? Participants will: * Listen to music given to them by the study team for 20 minutes a day for 25 days * Receive musical psychoeducation on how to improve mood using music
Interventions
BEHAVIORALSTAMM-S
Participants will undergo the STAMM-S treatment, which involves music generated using machine learning to move to a more positive affect. They will also receive education on how to best use the music assigned to improve their mood.
Sponsors
Stanford University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
1. Age 14-35 years 2. Suicidal ideation (C-SSRS categories 1-3 within the past month) 3. normal sensitivity to music reward on the Barcelona Music Reward Questionnaire. Score \>65
Exclusion criteria
1. imminent or acute suicide risk (C-SSRS categories 4-5). 2. Co-morbid substance use disorder. 3. Co-morbid psychotic disorder. 4. current participation in another trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Suicidality via Beck Scale for Suicidal Ideation (BSS/BSSI) Score | Baseline, week 1, week 2, week 3, and post-trial interview (up to 25 days). | A 19-item scale with each item scoring from 0-2 rating an individual's suicidal thoughts, intent, and ideation. The total score ranges from 0 to 38. A higher score indicates more intense suicidal ideation and a low score indicates less intense suicidal ideation. |
| Change in Generalized Anxiety Disorder Status via Generalized Anxiety Disorder-7 (GAD-7) Score | Baseline, week 1, week 2, week 3, and post-trial interview (up to 25 days). | A 7-item measure scaled 0-3 per item that measures symptoms of Generalized Anxiety Disorder. 0 would be no sign of anxiety and 3 would indicate high level of anxiety over the last two weeks. |
| Change in Depression Status via Patient Health Questionnaire-9 (PHQ-9) Score | Baseline, week 1, week 2, week 3, and post-trial interview (up to 25 days). | A 9-item questionnaire that measures symptoms of depression on a 0-3 scale over the last two weeks. 0 would indicate "not at all", 1 would indicate "several days", 2 would indicate "most of the days", and a 3 would indicate "nearly every day". |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Music Listening Purpose via Healthy-Unhealthy Music Scale (HUMS) - Healthy Score | Baseline, end of study (up to 25 days). | Participants respond to a 5-question survey. The scale ranges from 5 to 25. For the healthy scale, a higher rating means a healthier use of music. |
| Change in Music Listening Purpose via Healthy-Unhealthy Music Scale (HUMS) - Unhealthy Score | Baseline, end of study (up to 25 days). | Participants respond to an 8-question survey. The scale ranges 8 to 40. A higher rating for the unhealthy scale indicates a more maladaptive use of music. |
| Acceptability Scale Score | At the end of the intervention (25 days after enrollment). | A 7-question questionnaire on a scale of 0-7 covering the 7 core components on intervention acceptability, where a 0 would indicate total unacceptability and 7 would equal total acceptability. Single participant rating of 4 or greater will be interpreted as satisfactory acceptability. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDaniel L. Bowling, PhD
Stanford University
Outcome results
None listed