Building Resilience and Attachment in Vulnerable Adolescents

NCT ID: NCT01925807

Last Updated: 2017-08-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 76 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-02-28
• Study Completion Date: 2017-05-31

Brief Summary

Suicide is the second leading cause of mortality for Canadian adolescents. Mental health complaints are one of the leading reasons for an emergency department visit at the Children's Hospital of Eastern Ontario and 60% of adolescents report suicidal ideation. The goal of the present investigation is to test the efficacy of a brief group intervention for adolescents with passive suicidal ideation and their caregivers that will focus on coping, familial support, and emotional regulation. The investigators hypothesize that a brief group intervention, delivered in the weeks following presentation for crisis services, will reduce suicidal ideation and improve coping and familial support.

Conditions

Suicidal Ideation

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Group Intervention

The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. For adolescents, the group sessions will focus on coping strategies and emotional regulation. For caregivers, the group sessions will be focused on attachment, family environment, and validation.

Group Type: EXPERIMENTAL

Group Intervention

Intervention Type: BEHAVIORAL

The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. For adolescents, the group sessions will focus on coping strategies and emotional regulation. For caregivers, the group sessions will be focused on attachment, family environment, and validation.

Interventions

Group Intervention

The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. For adolescents, the group sessions will focus on coping strategies and emotional regulation. For caregivers, the group sessions will be focused on attachment, family environment, and validation.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Mild to moderate suicidal ideation
• Recently presented for services in response to a psycho-social crisis (Emergency Department, MH Urgent Care)
• One or two caregiver(s) committed to attending the majority of sessions

Exclusion Criteria

• Presence of a suicidal plan and/or recent gesture/attempt
• Psychosis
• Schizophrenia
• Dual diagnosis
• Developmental disability or delay
• "Behavioural problem" as primary concern
• Major substance abuse
• Currently receiving mental health services (once every two weeks or more frequently)
• Inability to commit to majority of sessions (minimum 4 of 6 sessions)
• Children's aid society involvement
• Inability of at least one caregiver to commit to attending the majority of sessions

• Minimum Eligible Age: 13 Years
• Maximum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Mach Gaensslen Foundation

OTHER

Sponsor Role: collaborator

AFP Innovation Fund

OTHER

Sponsor Role: collaborator

Allison Kennedy

OTHER

Sponsor Role: lead

Responsible Party

Allison Kennedy

Psychologist

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Allison Kennedy, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Children's Hospital of Eastern Ontario

Locations

Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Countries

Canada

References

Diamond GS, Wintersteen MB, Brown GK, Diamond GM, Gallop R, Shelef K, Levy S. Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2010 Feb;49(2):122-31. doi: 10.1097/00004583-201002000-00006.

Reference Type: BACKGROUND

PMID: 20215934 (View on PubMed)

Rathus JH, Miller AL. Dialectical behavior therapy adapted for suicidal adolescents. Suicide Life Threat Behav. 2002 Summer;32(2):146-57. doi: 10.1521/suli.32.2.146.24399.

Reference Type: BACKGROUND

PMID: 12079031 (View on PubMed)

Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. J Youth Adolesc. 1987 Oct;16(5):427-54. doi: 10.1007/BF02202939.

Reference Type: BACKGROUND

PMID: 24277469 (View on PubMed)

Cloutier, P. F., Kennedy, A., & Glennie, E. (2008, June). Coping behaviors and intensity of non-suicidal self-harm in Canadian adolescents presenting to emergency mental health services. Poster presented at the third annual meeting of the International Society for the Study of Self-Injury (ISSS), Harvard University, Cambridge, MA.

Reference Type: BACKGROUND

Kovacs, M. (2010). Children's Depression Inventory Manual. Toronto, ON: Multi-Health Systems Inc.

Reference Type: BACKGROUND

March, J.S. (2013). Manual for the Multidimensional Anxiety Scale for Children - 2nd Edition (MASC-2). Toronto, ON: MHS Inc.

Reference Type: BACKGROUND

Moos, R. H., & Moos, B. S. (1981). Family environment scale manual

Reference Type: BACKGROUND

Reynolds, W. M. (1988). Suicidal Ideation Questionnaire Professional Manual (p. 47).

Reference Type: BACKGROUND

Griffine, D. W., & Garthholomew, K. (1994). The metaphysics of measurement: The case of adult attachment. (pp. 17-52).

Reference Type: BACKGROUND

Other Identifiers

CHAMO_SI_Group_001

Identifier Type: -

Identifier Source: org_study_id