Suicide prevention Cognitive behavioral therapy Specialized mental health care
Conditions
Interventions
12 sessions of CT-SP delivered face-to-face by a trained psychologist.
Sponsors
GGZ inGeest Specialized Mental Health Care, Department of Research and Innovation, Oldenaller 1, 1081 HJ, Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: - Age 18 and above - Patient newly referred to or in care in a participating sGGZ mental health care center - Patient scores 2 or higher on the severity subscale of the C-SSRS in the past month - Patient additionally scores 3 or higher on at least one of the first three items of the intensity subscale of the C-SSRS in the past month and/or made a suicide attempt in his/her lifetime as rated by the suicidal behavior subscale of the C-SSRS. - Speaking the Dutch language - Patient is inclined to participate in a randomization process - Patient is inclined to give written informed consent
Exclusion criteria
Exclusion criteria: - Active (manic-)psychotic episode or cognitive impairment due to chronic (psychotic) disorganization, dementia, or mental retardation - Insufficient mastery of the Dutch language - Has previously had cognitive behavioral therapy for suicide prevention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is defined as the reduction of suicide ideation and suicidal behavior in terms of severity and intensity as measured by the Columbia-Suicide Severity Rating Scale (C-SSRS). Assessments of severity and intensity of suicidal ideation and behavior will be made at baseline, after 6 and 12 weeks after baseline, and 9 months after the baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| To refine the grid of suicidal ideation and behavior, several other explicit and implicit measures of suicidal behavior will be used as secondary study parameters (e.g. Beck's Scale for Suicide Ideation and the Suicide-Related Coping Skills). Furthermore, levels of depression and anxiety will respectively be mapped, as well as quality of life, and severity of the mental illness of the patient. Lastly to enhance our understanding of the underlying factors that bring about suicidal behavior, three theories of how suicidal behavior might arise will be investigated by the use of questionnaires: - The Interpersonal Theory of Suicide will be investigated using the Interpersonal Needs Questionnaire (INQ) and the Acquired Capability for Suicide Scale - Fearlessness About Death (ACSS-FAD) - Suicidal Crisis Syndrome will be investigated using the Suicide Crisis Inventory (SCI) - An amplified sense of self-agency nurtures a positive attributional style to self and self-control, which may buffer against effects of hopelessness. This possible underlying mechanism will be investigated using the Pearlin Mastery Scale (PMS) Furthermore, psychometric properties of the Dutch translations of the INQ, ACSS-FAD, and SCI will be assessed. | — |
Contacts
Public ContactJ. (Jasper) Wiebenga
GGZinGeest Specialized Mental Health care, Department of Research and Innovation
Outcome results
None listed