About this trial
The primary goal of this clinical trial is to test if music-based intervention (STAMM-S) works for individuals with suicidal thoughts or behaviors. The main questions it aims to answer are:
* Can implementing specific music to listen to for 20 minutes a day for 25 days improve suicidality? * Can implementing education around the psychology of the medicine of music improve mental health outcomes?
Participants will:
* Listen to music given to them by the study team for 20 minutes a day for 25 days * Receive musical psychoeducation on how to improve mood using music
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 14-35 years
Suicidal ideation (C-SSRS categories 1-3 within the past month)
normal sensitivity to music reward on the Barcelona Music Reward Questionnaire. Score >65
Disqualifiers
imminent or acute suicide risk (C-SSRS categories 4-5).
Co-morbid substance use disorder.
Co-morbid psychotic disorder.
current participation in another trial
Trial design
Single group
Treatments tested in this trial
STAMM-S
BehavioralParticipants will undergo the STAMM-S treatment, which involves music generated using machine learning to move to a more positive affect. They will also receive education on how to best use the music assigned to improve their mood.
Treatment groups
Trial outcomes
Primary outcomes
Change in Suicidality via Beck Scale for Suicidal Ideation (BSS/BSSI) Score
A 19-item scale with each item scoring from 0-2 rating an individual's suicidal thoughts, intent, and ideation. The total score ranges from 0 to 38. A higher score indicates more intense suicidal ideation and a low score indicates less intense suicidal ideation.
Change in Generalized Anxiety Disorder Status via Generalized Anxiety Disorder-7 (GAD-7) Score
A 7-item measure scaled 0-3 per item that measures symptoms of Generalized Anxiety Disorder. 0 would be no sign of anxiety and 3 would indicate high level of anxiety over the last two weeks.
Change in Depression Status via Patient Health Questionnaire-9 (PHQ-9) Score
A 9-item questionnaire that measures symptoms of depression on a 0-3 scale over the last two weeks. 0 would indicate "not at all", 1 would indicate "several days", 2 would indicate "most of the days", and a 3 would indicate "nearly every day".
Secondary outcomes
Change in Music Listening Purpose via Healthy-Unhealthy Music Scale (HUMS) - Healthy Score
Participants respond to a 5-question survey. The scale ranges from 5 to 25. For the healthy scale, a higher rating means a healthier use of music.
Change in Music Listening Purpose via Healthy-Unhealthy Music Scale (HUMS) - Unhealthy Score
Participants respond to an 8-question survey. The scale ranges 8 to 40. A higher rating for the unhealthy scale indicates a more maladaptive use of music.
Acceptability Scale Score
A 7-question questionnaire on a scale of 0-7 covering the 7 core components on intervention acceptability, where a 0 would indicate total unacceptability and 7 would equal total acceptability. Single participant rating of 4 or greater will be interpreted as satisfactory acceptability.
Sponsors and contacts
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