[article]
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 |
in Journal of Child Psychology and Psychiatry > 60-10 (October 2019) . - p.1133-1141
[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 |
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