Barbara Stanley1, Gregory Brown2, David A Brent2, Karen Wells2, Kim Poling2, John Curry2, Betsy D Kennard2, Ann Wagner2, Mary F Cwik2, Anat Brunstein Klomek2, Tina Goldstein2, Benedetto Vitiello2, Shannon Barnett2, Stephanie Daniel2, Jennifer Hughes2. 1. Drs. Stanley and Klomek are with Columbia University-New York State Psychiatric Institute; Dr. Brown is with the University of Pennsylvania; Drs. Brent and Goldstein and Ms. Poling are with the University of Pittsburgh and Western Psychiatric Institute & Clinic; Drs. Wells and Curry are with Duke University; Drs. Wagner and Vitiello are with the National Institute of Mental Health; Dr. Kennard and Ms. Hughes are with the University of Texas Southwestern Medical Center at Dallas; Drs. Cwik and Barnett are with Johns Hopkins University; and Dr. Daniel is with the University of North Carolina at Greensboro. Electronic address: bhs2@columbia.edu. 2. Drs. Stanley and Klomek are with Columbia University-New York State Psychiatric Institute; Dr. Brown is with the University of Pennsylvania; Drs. Brent and Goldstein and Ms. Poling are with the University of Pittsburgh and Western Psychiatric Institute & Clinic; Drs. Wells and Curry are with Duke University; Drs. Wagner and Vitiello are with the National Institute of Mental Health; Dr. Kennard and Ms. Hughes are with the University of Texas Southwestern Medical Center at Dallas; Drs. Cwik and Barnett are with Johns Hopkins University; and Dr. Daniel is with the University of North Carolina at Greensboro.
Abstract
OBJECTIVE: To describe the elements of a manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) and to report its feasibility in preventing the recurrence of suicidal behavior in adolescents who have recently attempted suicide. METHOD: The CBT-SP was developed using a risk reduction and relapse prevention approach and theoretically grounded in principles of cognitive-behavioral therapy, dialectical behavioral therapy, and targeted therapies for suicidal youths with depression. The CBT-SP consists of acute and continuation phases, each lasting about 12 sessions, and includes a chain analysis of the suicidal event, safety plan development, skill building, psychoeducation, family intervention, and relapse prevention. RESULTS: The CBT-SP was administered to 110 recent suicide attempters with depression aged 13 to 19 years (mean 15.8 years, SD 1.6) across five academic sites. Twelve or more sessions were completed by 72.4% of the sample. CONCLUSIONS: A specific intervention for adolescents at high risk for repeated suicide attempts has been developed and manual based, and further testing of its efficacy seems feasible.
RCT Entities:
OBJECTIVE: To describe the elements of a manual-based cognitive-behavioral therapy for suicide prevention (CBT-SP) and to report its feasibility in preventing the recurrence of suicidal behavior in adolescents who have recently attempted suicide. METHOD: The CBT-SP was developed using a risk reduction and relapse prevention approach and theoretically grounded in principles of cognitive-behavioral therapy, dialectical behavioral therapy, and targeted therapies for suicidal youths with depression. The CBT-SP consists of acute and continuation phases, each lasting about 12 sessions, and includes a chain analysis of the suicidal event, safety plan development, skill building, psychoeducation, family intervention, and relapse prevention. RESULTS: The CBT-SP was administered to 110 recent suicide attempters with depression aged 13 to 19 years (mean 15.8 years, SD 1.6) across five academic sites. Twelve or more sessions were completed by 72.4% of the sample. CONCLUSIONS: A specific intervention for adolescents at high risk for repeated suicide attempts has been developed and manual based, and further testing of its efficacy seems feasible.
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