Teachable Moment Brief Intervention for Suicide Attempt Survivors in an Inpatient Setting (TMBI-IP)

University of Tulsa

Status: Terminated

Conditions: Suicide, Attempted

Treatments: Behavioral: Teachable Moment Brief Intervention (TMBI)

Study type: Interventional

Funder types: Other

Identifiers

NCT03600532

TU1808

Details and patient eligibility

About

This study is looking at the helpfulness of a brief treatment targeting suicidality (Teachable Moment Brief Intervention [TMBI]) and experimental pain responses in an inpatient population as well as collecting comparison data from the community.

Full description

The proposed study will use an innovative one-session psychotherapeutic intervention called the Teachable Moment Brief Intervention (TMBI) for suicide attempters admitted to a psychiatric inpatient unit. A total of 60 patients will be recruited from the inpatient psychiatry unit at Laureate Psychiatric Clinic and Hospital and 30 healthy community members for the study. Informed consent will be obtained for all participants and administration of the baseline assessment battery will be completed prior to randomization for patients. Patients will then be randomized to either (a) an experimental group receiving TMBI or (b) a group receiving treatment as usual (TAU). The intervention will consist of no more than 90 minutes (expected mean is 45 minutes for the intervention based upon previous studies of the TMBI) of 1:1 interaction with a study clinician. All participants will complete a follow-up assessment immediately following TMBI, TAU, or a rest period. Further, patients receiving the experimental intervention will then be asked to complete a client satisfaction survey. The aim will be to assess whether TMBI affects psychological, experimental pain, and autonomic nervous system responses as compared to TAU and community controls.

Enrollment: 7 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

TMBI & TAU (data collection at Laureate Psychiatric Clinic and Hospital [LPCH])

Inclusion:

-admitted to LPCH subsequent to a suicide attempt

Exclusion:

• acute psychosis,
• inability to read English, or
• taking narcotic or opioid pain medication

CCG (data collection in the Psychophysiology Laboratory for Affective Neuroscience [PLAN] on the University of Tulsa campus)

Exclusion:

• acute psychosis,
• current suicide ideation,
• history of self-harm,
• inability to read English, or
• taking narcotic or opioid pain medication

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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7 participants in 3 patient groups

Teachable Moment Brief Intervention

Experimental group

Description:

The TMBI is informed by evidence based strategies to collaboratively identify 1) drivers of suicidal ideation, 2) functional aspects of the recent suicide attempt, 3) the patient's relationship with the concept of suicide, 4) what has been lost and gained as a result of the suicide attempt, 5) short term management suicide prevention management strategies, and 6) documentation of factors to address in a suicide-specific treatment plan.

Treatment:

Behavioral: Teachable Moment Brief Intervention (TMBI)

Treatment as Usual (TAU)

No Intervention group

Description:

Usual care at Laureate Psychiatric Clinic and Hospital Adult Stabilization Unit who have attempted suicide involves psychiatric evaluation/treatment and ongoing medical stabilization. Patients will engage in usual care or a rest period before completing the post-assessment.

Community Control Group (CCG)

No Intervention group

Description:

Patients will engage in a rest period before completing the post-assessment.