About this trial
People with psychotic disorders are excluded from most suicide-focused clinical trials despite incredibly high rates of completed suicide, and interventions that have been tested for this population have shown limited impact on suicide. Emotion dysregulation is a significant suicidogenic factor that is understudied in people with psychotic disorders. The investigators propose to implement and evaluate an intervention targeting emotion dysregulation in people with psychotic disorders while employing rigorous statistical modeling and measurement techniques including Ecological Momentary Assessment, which will support future advanced research on suicide and suicide prevention for this high-risk group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years old
Psychosis spectrum disorder as assessed by the Mini International Neuropsychiatric Interview (MINI) for Psychotic Disorder Studies
Heightened suicide risk as determined by a score of 8+ on the Suicide Behaviors Questionnaire-Revised (SBQ-R). This cutoff may be revised downwards (toward lower suicide risk) if recruitment appears difficult, but will not be revised upwards.
Enrollment and engagement in outpatient mental health services with at least one mental health service in the previous month
Disqualifiers
Chart diagnosis of intellectual disability (DSM5 317, 318), traumatic brain injury, or deafness.
Trial design
Parallel
Treatments tested in this trial
Dialectical Behavior Therapy Skills Training
BehavioralDialectical Behavior Therapy Skills Training (DBT-ST) is a group-based intervention focused on teaching skills for improving emotion regulation. The sessions will be offered in-person or via approved telehealth services.
Treatment groups
Trial outcomes
Primary outcomes
Suicidal Ideation
Beck Scale for Suicide Ideation. Minimum score: 0. Maximum score: 42. Higher scores are worse.
Emotion Dysregulation
Difficulties in Emotion Regulation Scale (DERS-36). Minimum score: 36. Maximum score: 180. Higher scores are worse.
Sponsors and contacts
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