A Feasibility Open Trial of App-Enhanced Brief CBT for Suicidal Inpatients

Not Applicable

Completed

Conditions: Suicidal and Self-injurious Behavior

Interventions: Behavioral: App-Enhanced Brief Cognitive-Behavioral Therapy

Registration Number: NCT05486091

Lead Sponsor: Hartford Hospital

Brief Summary: The purpose of this study is to evaluate the feasibility of integrating Brief Cognitive-Behavioral Therapy (BCBT) counseling with a software application (app) to prevent future suicidal thoughts and behaviors.

Detailed Description: Participants will provide written informed consent. Participants will complete up to 4 sessions of BCBT (depending on length of stay) incorporating the use of a SmartPhone app. This study treatment will be completed in addition to usual care in an open trial design. Assessments will be completed at intake, discharge, and 1-, 2-, and 3-month follow-up.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 4

Inclusion Criteria

History of suicide attempt (lifetime) AND active ideation (with or without plan or intent) on admission
Own and have access to their phone (iPhone or Android with capability to download apps) during their inpatient stay
Ability to understand the nature of the study and provide written informed consent
Willing and able to provide at least two verifiable contacts for emergency or tracking purposes
Expected length of stay long enough to complete the entire treatment protocol

Exclusion Criteria

Not fluent in English
Experiencing current mania or psychosis
Have lifetime history of schizophrenia spectrum disorder, intellectual disability, or organic brain illness
Inpatient treatment plan includes detox protocol or electroconvulsive therapy
Any other psychiatric or medical condition that in the investigator's opinion would preclude informed consent or participation in the trial

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
App-Enhanced Brief Cognitive-Behavioral Therapy	App-Enhanced Brief Cognitive-Behavioral Therapy	Up to 4 in-person sessions

Primary Outcome Measures

Name	Time	Method
Suicidal Ideation 2 Months	2 months after discharge	The Adult Suicidal Ideation Questionnaire (ASIQ) assesses the frequency of suicidal ideation. The ASIQ contains 25 items rated on a 0-6 scale. Items are added together for a total score ranging from 0 to 150. Higher scores indicate more frequent suicidal ideation. Means and standard deviations of the total score will be reported utilizing all available data.
Suicidal Ideation 3 Months	3 months after discharge	The Adult Suicidal Ideation Questionnaire (ASIQ) assesses the frequency of suicidal ideation. The ASIQ contains 25 items rated on a 0-6 scale. Items are added together for a total score ranging from 0 to 150. Higher scores indicate more frequent suicidal ideation. Means and standard deviations of the total score will be reported utilizing all available data.
App Usability at Discharge	Assessed at completion of inpatient treatment (average of 16 days from admission)	The System Usability Scale (SUS) contains 10 items assessing the usability of digital technology. Items are rated from 1 to 5, with higher numbers representing stronger agreement with usability statements. Scores can range from 0 to 100, with higher scores reflecting better outcomes, meaning increased usability of the technology. The mean and standard deviation for the SUS will be reported utilizing all available data.
Suicidal Ideation Baseline	Baseline (before receiving BCBT intervention)	The Adult Suicidal Ideation Questionnaire (ASIQ) assesses the frequency of suicidal ideation. The ASIQ contains 25 items rated on a 0-6 scale. Items are added together for a total score ranging from 0 to 150. Higher scores indicate more frequent suicidal ideation. Means and standard deviations of the total score will be reported utilizing all available data.
Frequency of Suicide Attempts	3 months post-discharge from inpatient unit	Frequency (percentage) of participants who made a suicide attempt over the entire follow-up period
Client Satisfaction at Discharge	Assessed at completion of inpatient treatment (average of 16 days from admission)	The Client Satisfaction Questionnaire (CSQ) contains 8 multiple choice items and assesses the acceptability and satisfaction of the study treatment. Items are rated from 1 to 4. Items are added together for a total score ranging from 8 to 32 with higher numbers representing greater satisfaction with the treatment. The mean and standard deviation for the CSQ total score will be reported utilizing all available data.
Suicidal Ideation at Discharge	Assessed at completion of inpatient treatment (average of 16 days from admission)	The Adult Suicidal Ideation Questionnaire (ASIQ) assesses the frequency of suicidal ideation. The ASIQ contains 25 items rated on a 0-6 scale. Items are added together for a total score ranging from 0 to 150. Higher scores indicate more frequent suicidal ideation. Means and standard deviations of the total score will be reported utilizing all available data.
Suicidal Ideation 1 Month	1 month after discharge	The Adult Suicidal Ideation Questionnaire (ASIQ) assesses the frequency of suicidal ideation. The ASIQ contains 25 items rated on a 0-6 scale. Items are added together for a total score ranging from 0 to 150. Higher scores indicate more frequent suicidal ideation. Means and standard deviations of the total score will be reported utilizing all available data.