Using Integrated Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma
Overview
- Phase
- Not Applicable
- Intervention
- Integrated Suicide and Trauma Therapy
- Conditions
- Suicide
- Sponsor
- Unity Health Toronto
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change in Beck Scale for Suicide Ideation (BSS) score
- Status
- Recruiting
- Last Updated
- 3 months ago
Overview
Brief Summary
The investigators have developed a novel suicide intervention, Integrated Suicide and Trauma Therapy (ISTT). ISTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of ISTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.
Detailed Description
In the last 10 years, despite available treatments, suicide rates have not significantly decreased, and individuals who have experienced any type of childhood maltreatment are at increased odds for suicide attempt. Effective suicide prevention requires learning skills to cope with suicidality in addition to addressing the antecedent factors that contribute to suicide risk. In the context of those with childhood trauma and suicidality, addressing antecedent factors may require treatments that target symptoms associated with developmental trauma. Thus, the investigators have developed an integrated suicide intervention, Integrated Suicide and Trauma Therapy (ISTT). ISTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of BSTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Beck Scale for Suicidal Ideation \> 10
- •Presence of childhood trauma defined by a minimum moderate score on any of the Childhood Trauma Questionnaire subscales (emotional abuse, physical, abuse, sexual abuse, emotional neglect, and physical neglect
- •Presence of any psychiatric diagnosis
- •Ability to provide informed consent
- •Not receiving other psychotherapy concurrently
- •Ability to undergo psychotherapy in English
Exclusion Criteria
- •The presence of cognitive impairment that would limit consent or understanding of ISTT
- •The presence of active psychosis
- •Unwilling or unable to provide informed consent
Arms & Interventions
Integrated Suicide and Trauma Therapy (BSTT)
This novel suicide intervention integrates Brief Skills for Safer Learning (B-SfSL) with trauma therapy. ISTT incorporates the guiding principles of taking a non-pathologizing approach to treatment, emphasizing safety, attending to the therapeutic relationship, empowering clients, and incorporating solution-focused concepts.
Intervention: Integrated Suicide and Trauma Therapy
Outcomes
Primary Outcomes
Change in Beck Scale for Suicide Ideation (BSS) score
Time Frame: From baseline to 1 week post-therapy
Beck Scale for Suicide Ideation is a 21-item self-report scale that quantifies suicidal ideation. Items are scored 0 to 2 and yield a total score ranging from 0 to 38. Higher scores reflect greater severity of suicidal ideation.
Feasibility and acceptability of ISTT
Time Frame: From baseline to 1 week post-therapy
Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), Feasibility of Intervention Measure (FIM), in addition to a feedback survey and interview created in-house with questions designed to collect quantitative and qualitative feedback from participants with respect to the feasibility and acceptability of the BSTT intervention.
Secondary Outcomes
- Change in Generalized Anxiety Disorder 7-item scale (GAD-7) score(From baseline to 1-week post therapy)
- Change in Quick Inventory of Depressive Symptoms 16-item scale (QIDS) score(From baseline to 1 week post-therapy)
- Change in Difficulties in Emotion Regulation Scale 36-item scale (DERS) score(From baseline to 1 week post-therapy)