Family‐focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co‐occurring risk factors: a randomized trial
| العنوان: | Family‐focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co‐occurring risk factors: a randomized trial |
|---|---|
| المؤلفون: | Elisabeth A. Frazier, Kerri L. Kim, Anthony Spirito, Richard T. Liu, Daniel P. Dickstein, Leah M. Adams, Jeffrey Hunt, Jennifer C. Wolff, Shirley Yen, Christianne Esposito-Smythers |
| المصدر: | J Child Psychol Psychiatry |
| بيانات النشر: | Wiley, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Poison control, Suicide, Attempted, Suicide prevention, Article, Suicidal Ideation, law.invention, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, Risk Factors, law, Outcome Assessment, Health Care, Developmental and Educational Psychology, medicine, Humans, 0501 psychology and cognitive sciences, Psychiatry, Suicidal ideation, Depression (differential diagnoses), Depressive Disorder, Major, Cognitive Behavioral Therapy, Suicide attempt, 05 social sciences, medicine.disease, Cognitive behavioral therapy, Psychiatry and Mental health, Pediatrics, Perinatology and Child Health, Major depressive disorder, Female, medicine.symptom, Psychology, Self-Injurious Behavior, 030217 neurology & neurosurgery, Follow-Up Studies, 050104 developmental & child psychology |
| الوصف: | Background Suicide is the second leading cause of death among adolescents. The purpose of this study was to test a family-focused outpatient cognitive behavioral treatment (F-CBT) protocol for depressed adolescents following psychiatric hospitalization for a suicide attempt or suicidal ideation, and who had a co-occurring risk factor (suicidal behavior prior to the index admission, nonsuicidal self-injury, and/or a substance use disorder), in a randomized Phase 2 efficacy trial. Method One hundred forty-seven adolescents (mean age = 14.91 years; 76.2% female, 85.5% White) and their families, recruited primarily from an inpatient psychiatric hospitalization program, were randomly assigned to F-CBT or enhanced treatment-as-usual (E-TAU). A suicide attempt was the primary outcome variable. Depression, suicidal ideation, and nonsuicidal self-injury are also reported here. Assessments were completed at pretreatment as well as 6, 12, and 18-months postrandomization (Trial Registration ClinicalTrials.gov Identifier: NCT01732601). Results In the sample as a whole, rates of attempts decreased from 20% at 6 months to 9% at 12 months to 7% at 18 months. There was no evidence of a significant difference between treatment arms in rates of suicide attempts, major depressive disorder, suicidal ideation, or nonsuicidal self-injury at any of the postrandomization assessment points. Conclusions Though F-CBT was associated with reductions in suicidality, depression, and nonsuicidal self-injury, E-TAU showed an equally strong effect. Greater frequency of F-CBT treatment sessions, particularly at the start of care, and alternative approaches to transitioning to care at 12 months, may be necessary when using F-CBT with this population. |
| تدمد: | 1469-7610 0021-9630 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79caab5d57d1e5c5d2aef673b6d0dcfa https://doi.org/10.1111/jcpp.13095 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....79caab5d57d1e5c5d2aef673b6d0dcfa |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14697610 00219630 |
|---|