Integrated Suicide & Trauma Therapy for Suicide Risk

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUnity Health Toronto

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

any psychiatric diagnosis as long as there are no impairments that limit consent or understanding of ISTT (e.g. active psychosis)

Ability to provide informed consent

Disqualifiers

The presence of cognitive impairment and/or active psychosis that would limit consent or understanding of ISTT

Unwilling or unable to provide informed consent

Trial design

Design model

Single group

Treatments tested in this trial

  • Integrated Suicide and Trauma Therapy

    Other intervention

    12-week trauma therapy for suicide risk

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Integrated Suicide and Trauma Therapy (BSTT)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in Beck Scale for Suicide Ideation (BSS) score

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.

Time frame
From baseline to 1 week post-therapy
2

Feasibility and acceptability of ISTT

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.

Time frame
From baseline to 1 week post-therapy

Secondary outcomes

1

Change in Generalized Anxiety Disorder 7-item scale (GAD-7) score

The GAD-7 is a brief 7-item self-report scale measuring anxiety symptoms. Total scores range from 0 to 21, with higher scores reflecting more severe anxiety.

Time frame
From baseline to 1-week post therapy
2

Change in Quick Inventory of Depressive Symptoms 16-item scale (QIDS) score

The QIDS is a 16-item validated depression scale. Total scores range from 0-27, with higher scores reflecting more severe depression.

Time frame
From baseline to 1 week post-therapy
3

Change in Difficulties in Emotion Regulation Scale 36-item scale (DERS) score

The DERS is a 36-item validated scale measuring six aspects of emotion regulation. The DERS is comprised of 6 subscales, where higher scores are reflective of greater difficulties in emotion regulation. The DERS is often analyzed by percentile.

Time frame
From baseline to 1 week post-therapy

Other outcomes

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