Therapeutic Evaluative Conditioning to Reduce Adolescents' Self-injurious Thoughts and Behaviors During and After Psychiatric Inpatient Hospitalization
Franciscan Hospital For Children, INC.
155 participants
Mar 31, 2023
INTERVENTIONAL
Conditions
Summary
Suicide is the 2nd leading cause of death among adolescents, with the highest risk period for suicide being the month following psychiatric inpatient hospitalization. The investigators propose testing a brief, scalable intervention using evaluative conditioning aimed at reducing suicidal thoughts and behaviors among adolescents during and after inpatient hospitalization. Scalable interventions, such as the one proposed that reduce suicide risk during this markedly high-risk period, could result in large-scale decreases in suicide death.
Eligibility
Inclusion Criteria6
- Be a patient on McLean-Franciscan Child and Adolescent Inpatient Program (MF-CAIP) of Franciscan Children's (FC)
- Be 12-19 years-old
- Own a smartphone
- Have a parent/guardian that can provide permission
- Child can assent
- Presentation to the hospital with non-suicidal self-injury (NSSI), suicidal ideation or a suicide attempt.
Exclusion Criteria4
- Any factor that impairs an individual's ability to comprehend and effectively participate in the study, including
- an inability to speak or write English fluently
- the presence of gross cognitive impairment due to florid psychosis, intellectual disability, dementia, acute intoxication, etc., or the presence of extremely agitated or violent behavior
- a potential discharge location anticipated to be a residential program in which the average length of stay is more than 14 days
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Interventions
Participants are told which pictures are "matched pairs." They find the "matched pairs" among 4 or 8 pictures. By associating pictures and words associated with SITB (e.g., pictures of cut skin, pictures of people engaging in potentially suicidal behaviors, and the word "death") with naturally aversive images (e.g., snakes and spiders), it increases the aversion to SITB. The second goal is to increase liking toward the self by pairing self-relevant stimuli (e.g., the participant's name or other self-relevant details, as well as words like "I" and "me").
Match neutral pictures to account for doing an intervention.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT05796531