Trial Outcomes & Findings for ACT for Life: a Brief Intervention for Maximizing Recovery After Suicidal Crises (NCT NCT02751983)
NCT ID: NCT02751983
Last Updated: 2019-11-13
Results Overview
Self-report measure that will be used to assess participants' satisfaction with ACT for Life. Scale scores range from 8 to 32 with higher scores indicating greater satisfaction. For the purposes of the current study scores greater than or equal to 24 were considered acceptable. The number of participants scoring ≥ 24 is reported below.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
70 participants
Primary outcome timeframe
Post-treatment (0-7 days after treatment completion)
Results posted on
2019-11-13
Participant Flow
6 participants (1 Treatment as Usual (TAU), 5 TAU plus ACT (ACT)), were enrolled in a "pilot to the pilot" phase of the current study. Clinicians were trained based on the first 5 ACT participants and qualitative feedback was used to revise the ACT for Life manual prior to enrolling an additional 70 participants who were randomized to ACT or TAU.
Participant milestones
| Measure |
Treatment as Usual Plus ACT
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Baseline and Randomization
STARTED
|
35
|
35
|
|
Baseline and Randomization
COMPLETED
|
35
|
35
|
|
Baseline and Randomization
NOT COMPLETED
|
0
|
0
|
|
Treatment
STARTED
|
35
|
35
|
|
Treatment
COMPLETED
|
31
|
35
|
|
Treatment
NOT COMPLETED
|
4
|
0
|
|
Post-Treatment Assessment
STARTED
|
35
|
0
|
|
Post-Treatment Assessment
COMPLETED
|
30
|
0
|
|
Post-Treatment Assessment
NOT COMPLETED
|
5
|
0
|
|
One-Month Follow-Up Assessments
STARTED
|
35
|
35
|
|
One-Month Follow-Up Assessments
COMPLETED
|
21
|
23
|
|
One-Month Follow-Up Assessments
NOT COMPLETED
|
14
|
12
|
|
Three-Month Follow-Up Assessments
STARTED
|
35
|
35
|
|
Three-Month Follow-Up Assessments
COMPLETED
|
23
|
19
|
|
Three-Month Follow-Up Assessments
NOT COMPLETED
|
12
|
16
|
Reasons for withdrawal
| Measure |
Treatment as Usual Plus ACT
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Treatment
Stopped ACT, but Remained in study
|
2
|
0
|
|
Treatment
Discharged prior to beginning ACT
|
2
|
0
|
|
Post-Treatment Assessment
Lost to Follow-up
|
5
|
0
|
|
One-Month Follow-Up Assessments
Lost to Follow-up
|
14
|
12
|
|
Three-Month Follow-Up Assessments
Lost to Follow-up
|
12
|
16
|
Baseline Characteristics
ACT for Life: a Brief Intervention for Maximizing Recovery After Suicidal Crises
Baseline characteristics by cohort
| Measure |
Treatment as Usual Plus ACT
n=35 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=35 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
Total
n=70 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
34 Participants
n=5 Participants
|
31 Participants
n=7 Participants
|
65 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
1 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Age, Continuous
|
42 years
n=5 Participants
|
49 years
n=7 Participants
|
47 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
5 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
13 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
30 Participants
n=5 Participants
|
27 Participants
n=7 Participants
|
57 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · White
|
22 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
43 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Black
|
3 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Native American/Alaskan native
|
0 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Asian
|
1 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Pacific Islander
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Multiracial
|
5 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Race · Other
|
3 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
35 Participants
n=5 Participants
|
35 Participants
n=7 Participants
|
70 Participants
n=5 Participants
|
|
Sexual Orientation
Gay/Lesbian/Queer
|
1 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
|
Sexual Orientation
Bisexual
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Sexual Orientation
Heterosexual
|
32 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
62 Participants
n=5 Participants
|
|
Sexual Orientation
Other
|
1 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Post-treatment (0-7 days after treatment completion)Population: Post-treatment data were collected from participants who engaged in at least one ACT for Life session. 2 of the 35 ACT participants discharged from the hospital prior to receiving any treatment. 3 participants discharged prior to post-treatment assessment and were lost to follow-up.
Self-report measure that will be used to assess participants' satisfaction with ACT for Life. Scale scores range from 8 to 32 with higher scores indicating greater satisfaction. For the purposes of the current study scores greater than or equal to 24 were considered acceptable. The number of participants scoring ≥ 24 is reported below.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=30 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Client Satisfaction Questionnaire - 8
|
28 Participants
|
—
|
PRIMARY outcome
Timeframe: Post-treatment (0-7 days after treatment completion)Population: Post-treatment data were collected from participants who engaged in at least one ACT for Life session. 2 of the 35 ACT participants discharged from the hospital prior to receiving any treatment. 3 participants discharged prior to post-treatment assessment and were lost to follow-up.
Semi-structured interview assessing each participants' perspective of the impact of the intervention, helpful and unhelpful components, and comparison to other interventions. Will be used to assess acceptability and inform revisions to the treatment manual. Qualitative Thematic Analysis was conducted. There are no objective data to report from this interview. Please contact the PI for reference to a manuscript with the qualitative results.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=30 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Narrative Evaluation of Intervention Interview
|
30 participants analyzed
|
—
|
PRIMARY outcome
Timeframe: Post-treatment (0-7 days after treatment termination)Population: Data reflects those who terminated the intervention.
Self-report scale which assesses the impact of 19 common reasons why patients terminate therapy. Will be used to assess treatment acceptability. These participants reported reasons for termination of ACT, but this did not produce quantitative data.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=30 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Reasons for Termination (Client and Therapist Versions)
|
2 Participants
|
—
|
SECONDARY outcome
Timeframe: Pre-treatment, One-Month Follow-Up, Three-Month Follow-UpPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
The Outcome Questionnaire 45.2 is a 45-item self-report scale that assesses symptom distress, interpersonal relationships, and social role (functioning in the workplace, school, and home) for the past week. The OQ-45 total score ranges from 0-180 with higher scores indicating greater distress and impairment. Scores of 63 or more generally indicate symptoms of clinical significance and changes of 14 points or more are typically considered a "reliable change."
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=35 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=35 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Outcome Questionnaire 45.2 (OQ-45)
Pre-treatment
|
95.20 score on a scale
Interval 85.87 to 104.53
|
105.14 score on a scale
Interval 97.81 to 112.48
|
|
Outcome Questionnaire 45.2 (OQ-45)
One-month Follow-up
|
68.10 score on a scale
Interval 56.68 to 79.52
|
88.55 score on a scale
Interval 77.8 to 99.29
|
|
Outcome Questionnaire 45.2 (OQ-45)
Three-month Follow-up
|
72.05 score on a scale
Interval 57.9 to 86.2
|
89.11 score on a scale
Interval 79.05 to 99.16
|
SECONDARY outcome
Timeframe: Pre-treatment, and one- and three-month follow-upsPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
Self-report measure that assesses participants' life values as well as the perceived consistency with which they have been living according to their values. Will be examined as a candidate outcome measure for a future efficacy trial. The reported "composite score" accounts for both importance and consistency (mean of the products of importance and consistency scores within each domain) to quantify the extent to which one is contacting values in everyday life. Scores can range from 1 to 100 with higher scores indicating greater contact with values in everyday life, which is generally considered desirable and a sign of good functioning.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=34 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=33 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Valued Living Questionnaire (Used to Assess Change)
Pre-treatment
|
34.3 score on a scale
Interval 27.32 to 41.28
|
30.38 score on a scale
Interval 22.59 to 38.17
|
|
Valued Living Questionnaire (Used to Assess Change)
One-Month Follow-up
|
46.10 score on a scale
Interval 37.03 to 55.17
|
37.72 score on a scale
Interval 28.91 to 46.54
|
|
Valued Living Questionnaire (Used to Assess Change)
Three-Month Follow-up
|
41.94 score on a scale
Interval 33.58 to 50.31
|
38.03 score on a scale
Interval 27.22 to 48.84
|
SECONDARY outcome
Timeframe: Pre-treatment, and one- and three-month follow-upsPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
Self-report measure that assesses impairment within the last 30 days across a spectrum of psychosocial domains. Will be examined as a candidate outcome measure for a future efficacy trial. Response options range from 0 = never to 6 = always. The measure yields a mean score for the total scale. Higher scores indicate less functional impairment. The total scale score is reported.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=35 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=35 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
Inventory of Psychosocial Functioning (Used to Assess Change)
Pre-treatment
|
2.89 units on a scale
Interval 2.32 to 3.16
|
2.96 units on a scale
Interval 2.66 to 3.26
|
|
Inventory of Psychosocial Functioning (Used to Assess Change)
One-month Follow-up
|
2.02 units on a scale
Interval 1.46 to 2.57
|
2.39 units on a scale
Interval 2.07 to 2.71
|
|
Inventory of Psychosocial Functioning (Used to Assess Change)
Three-month Follow-up
|
2.01 units on a scale
Interval 1.49 to 2.54
|
2.69 units on a scale
Interval 2.35 to 3.03
|
SECONDARY outcome
Timeframe: Pre-treatment, and one- and three-month follow-upsPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
Self-report measure assessing multiple domains of health. The scale yields two subscales: Global Physical Health and Global Mental Health. Global Mental Health will be examined as a candidate outcome measure for a future efficacy trial. The Global Mental Health sum score can range from 4 to 20, with higher scores indicating greater mental health.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=34 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=34 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
PROMIS Global Short Form v1.1 (Used to Assess Change)
Pre-treatment
|
9.41 score on a scale
Interval 8.7 to 10.12
|
9.47 score on a scale
Interval 8.78 to 10.16
|
|
PROMIS Global Short Form v1.1 (Used to Assess Change)
One-month Follow-up
|
11.20 score on a scale
Interval 10.1 to 12.3
|
10.00 score on a scale
Interval 9.0 to 11.0
|
|
PROMIS Global Short Form v1.1 (Used to Assess Change)
Three-month Follow-up
|
10.75 score on a scale
Interval 9.66 to 11.84
|
10.53 score on a scale
Interval 9.52 to 11.53
|
SECONDARY outcome
Timeframe: Pre-treatment, and one- and three-month follow-upsPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
Self-report measure that assesses satisfaction with respondents' ability to perform various social activities. Will be examined as a candidate outcome measure for a future efficacy trial. Scale scores range from 8 to 40 with higher scores indicating greater satisfaction with ability to perform social activities.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=34 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=33 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
|
PROMIS Short Form v2.0- Satisfaction With Social Roles and Activities 8a (Used to Assess Change)
Pre-treatment
|
18.15 units on a scale
Interval 15.56 to 20.73
|
17.85 units on a scale
Interval 15.58 to 20.11
|
|
PROMIS Short Form v2.0- Satisfaction With Social Roles and Activities 8a (Used to Assess Change)
One-month Follow-up
|
22.90 units on a scale
Interval 19.34 to 26.46
|
20.48 units on a scale
Interval 17.6 to 23.36
|
|
PROMIS Short Form v2.0- Satisfaction With Social Roles and Activities 8a (Used to Assess Change)
Three-month Follow-up
|
23.10 units on a scale
Interval 19.03 to 27.17
|
20.63 units on a scale
Interval 17.31 to 23.94
|
SECONDARY outcome
Timeframe: Pre-treatment, and one- and three-month follow-upsPopulation: The number of participants analyzed in row two and three differ from row one because the results are from different time points and some participants were lost to follow up.
Clinician-administered interview that assesses suicidal ideation and behavior. Will be examined as a candidate outcome measure for a future efficacy trial. Suicidal ideation intensity scores can range from 0 to 25 with higher scores indicating a greater intensity of suicidal ideation. Suicidal ideation intensity scale scores are reported.
Outcome measures
| Measure |
Treatment as Usual Plus ACT
n=35 Participants
Participants in this condition will be enrolled in the ACT for Life intervention and still able to engage in treatment as usual.
ACT for Life: A novel protocol detailing the application of Acceptance and Commitment Therapy (ACT) to recovery from suicidal crises. Consists of three modules designed to be delivered in three to four 60-minute individual talk therapy sessions. Nearly all of the metaphors and experiential exercises are adaptations of core ACT techniques included in various empirically-supported applications of ACT to other health conditions. Additionally, the adjunctive intervention is designed to augment safety planning (a hierarchical list of strategies to recognize and cope with a suicidal crisis).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge.
|
Treatment as Usual
n=35 Participants
Participants in this condition will not be enrolled in ACT for Life, but will continue to participate in treatment as usual (e.g., inpatient and outpatient mental health care).
Treatment as usual: All participants will be able to engage in treatment as usual. Psychiatric inpatient care typically consists of behavioral mental health group and/or individual therapy and pharmacological treatment. Outpatient care is offered upon discharge. This typically consists of both group and individual therapy and medication management.
|
|---|---|---|
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Columbia Suicide-Severity Rating Scale (Used to Assess Change)
Pre-treatment
|
15.37 units on a scale
Interval 13.35 to 17.4
|
16.12 units on a scale
Interval 14.06 to 18.18
|
|
Columbia Suicide-Severity Rating Scale (Used to Assess Change)
One-month Follow-up
|
6.75 units on a scale
Interval 3.23 to 10.27
|
6.22 units on a scale
Interval 2.96 to 9.47
|
|
Columbia Suicide-Severity Rating Scale (Used to Assess Change)
Three-month Follow-up
|
3.52 units on a scale
Interval 0.89 to 6.16
|
8.11 units on a scale
Interval 4.18 to 12.03
|
Adverse Events
Treatment as Usual Plus ACT
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Treatment as Usual
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Sean Barnes
Rocky Mountain Mental Illness Research, Education, and Clinical Center
Phone: 720-723-6560
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place