Family-focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co-occurring risk factors: a randomized trial / C. ESPOSITO-SMYTHERS in Journal of Child Psychology and Psychiatry, 60-10 (October 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1133-1141 Titre : Family-focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co-occurring risk factors: a randomized trial Type de document : Texte imprimé et/ou numérique Auteurs : C. ESPOSITO-SMYTHERS, Auteur ; J. C. WOLFF, Auteur ; R. T. LIU, Auteur ; J. I. HUNT, Auteur ; L. ADAMS, Auteur ; K. KIM, Auteur ; E. A. FRAZIER, Auteur ; S. YEN, Auteur ; Daniel P. DICKSTEIN, Auteur ; A. SPIRITO, Auteur Article en page(s) : p.1133-1141 Langues : Anglais (eng) Mots-clés : Suicide  adolescent  clinical trial  cognitive behavioral therapy Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.13095 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 [article] Family-focused cognitive behavioral treatment for depressed adolescents in suicidal crisis with co-occurring risk factors: a randomized trial [Texte imprimé et/ou numérique] / C. ESPOSITO-SMYTHERS, Auteur ; J. C. WOLFF, Auteur ; R. T. LIU, Auteur ; J. I. HUNT, Auteur ; L. ADAMS, Auteur ; K. KIM, Auteur ; E. A. FRAZIER, Auteur ; S. YEN, Auteur ; Daniel P. DICKSTEIN, Auteur ; A. SPIRITO, Auteur . - p.1133-1141. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1133-1141 Mots-clés : Suicide  adolescent  clinical trial  cognitive behavioral therapy Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1111/jcpp.13095 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406

Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients / C. A. KING in Journal of Child Psychology and Psychiatry, 60-10 (October 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1055-1064 Titre : Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients Type de document : Texte imprimé et/ou numérique Auteurs : C. A. KING, Auteur ; J. GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. M. DEAN, Auteur ; M. WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; A. SPIRITO, Auteur ; L. S. CHERNICK, Auteur ; E. M. MAHABEE-GITTENS, Auteur ; R. D. MISTRY, Auteur ; M. REA, Auteur ; A. KELLER, Auteur ; A. ROGERS, Auteur ; R. SHENOI, Auteur ; M. CWIK, Auteur ; D. R. BUSBY, Auteur ; T. C. CASPER, Auteur Article en page(s) : p.1055-1064 Langues : Anglais (eng) Mots-clés : Suicide risk  adolescence  emergency department  social connectedness  suicide attempt Index. décimale : PER Périodiques Résumé : BACKGROUND: The incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency department (ED) visit. METHODS: Adolescents, ages 12-17, seeking health care at 13 pediatric EDs (Pediatric Emergency Care Applied Research Network) and one Indian Health Service Hospital in the United States were consecutively recruited. Among 10,664 approached patients, 6,448 (60%) were enrolled and completed a suicide risk survey. A subset of participants (n = 2,897) was assigned to a 3-month telephone follow-up, and 2,104 participants completed this follow-up (73% retention). Our primary outcome was a suicide attempt between the ED visit and 3-month follow-up. RESULTS: One hundred four adolescents (4.9%) made a suicide attempt between enrollment and 3-month follow-up. A large number of baseline predictors of suicide attempt were identified in bivariate analyses. The final multivariable model for the full sample included the presence of suicidal ideation during the past week, lifetime severity of suicidal ideation, lifetime history of suicidal behavior, and school connectedness. For the subgroup of adolescents who did not report recent suicidal ideation at baseline, the final model included only lifetime severity of suicidal ideation and social connectedness. Among males, the final model included only lifetime severity of suicidal ideation and past week suicidal ideation. For females, the final model included past week suicidal ideation, lifetime severity of suicidal ideation, number of past-year nonsuicidal self-injury (NSSI) incidents, and social connectedness. CONCLUSIONS: Results indicate that the key risk factors for adolescent suicide attempts differ for subgroups of adolescents defined by sex and whether or not they report recent suicidal thoughts. Results also point to the importance of school and social connectedness as protective factors against suicide attempts. En ligne : http://dx.doi.org/10.1111/jcpp.13087 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406 [article] Predicting 3-month risk for adolescent suicide attempts among pediatric emergency department patients [Texte imprimé et/ou numérique] / C. A. KING, Auteur ; J. GRUPP-PHELAN, Auteur ; David A. BRENT, Auteur ; J. M. DEAN, Auteur ; M. WEBB, Auteur ; Jeffrey A. BRIDGE, Auteur ; A. SPIRITO, Auteur ; L. S. CHERNICK, Auteur ; E. M. MAHABEE-GITTENS, Auteur ; R. D. MISTRY, Auteur ; M. REA, Auteur ; A. KELLER, Auteur ; A. ROGERS, Auteur ; R. SHENOI, Auteur ; M. CWIK, Auteur ; D. R. BUSBY, Auteur ; T. C. CASPER, Auteur . - p.1055-1064. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1055-1064 Mots-clés : Suicide risk  adolescence  emergency department  social connectedness  suicide attempt Index. décimale : PER Périodiques Résumé : BACKGROUND: The incidence of adolescent suicide is rising in the United States, yet we have limited information regarding short-term prediction of suicide attempts. Our aim was to identify predictors of suicide attempts within 3-months of an emergency department (ED) visit. METHODS: Adolescents, ages 12-17, seeking health care at 13 pediatric EDs (Pediatric Emergency Care Applied Research Network) and one Indian Health Service Hospital in the United States were consecutively recruited. Among 10,664 approached patients, 6,448 (60%) were enrolled and completed a suicide risk survey. A subset of participants (n = 2,897) was assigned to a 3-month telephone follow-up, and 2,104 participants completed this follow-up (73% retention). Our primary outcome was a suicide attempt between the ED visit and 3-month follow-up. RESULTS: One hundred four adolescents (4.9%) made a suicide attempt between enrollment and 3-month follow-up. A large number of baseline predictors of suicide attempt were identified in bivariate analyses. The final multivariable model for the full sample included the presence of suicidal ideation during the past week, lifetime severity of suicidal ideation, lifetime history of suicidal behavior, and school connectedness. For the subgroup of adolescents who did not report recent suicidal ideation at baseline, the final model included only lifetime severity of suicidal ideation and social connectedness. Among males, the final model included only lifetime severity of suicidal ideation and past week suicidal ideation. For females, the final model included past week suicidal ideation, lifetime severity of suicidal ideation, number of past-year nonsuicidal self-injury (NSSI) incidents, and social connectedness. CONCLUSIONS: Results indicate that the key risk factors for adolescent suicide attempts differ for subgroups of adolescents defined by sex and whether or not they report recent suicidal thoughts. Results also point to the importance of school and social connectedness as protective factors against suicide attempts. En ligne : http://dx.doi.org/10.1111/jcpp.13087 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=406

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