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| Name | Class |
|---|---|
| Mach Gaensslen Foundation | OTHER |
| AFP Innovation Fund | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Intervention | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group Intervention | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Suicidal Ideation | Suicidal ideation will be measured using the Suicidal Ideation Questionnaire Junior (SIQ-JR; Reynolds, 1988). Repeated Measures ANOVA or ANCOVA will be used to compare differences in suicidal ideation within groups (pre-post changes). Further comparisons using clinical cut-off will be conducted via McNemar test for matched pairs. | 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Familial Support | Familial support will be measured using questionnaires for both caregivers and youth. Youth will respond to the Family Environment Scale (Koren, DeChillo, & Friesen, 1992) and the Inventory of Parent and Peer Attachment (Armsden & Greenberg, 1987). Caregivers will respond to the Family Environment Scale and and Relationship Scale Questionnaire (Griffine & Gartholomew, 1994). Repeated Measures ANOVA or ANCOVA will be used to compare differences within groups (pre-post changes). |
| Measure | Description | Time Frame |
|---|---|---|
| Coping Strategies | Youth coping strategies will be measured using the Youth Stress and Coping Questionnaire (Cloutier et al., 2008). Repeated Measures ANOVA or ANCOVA will be used to compare differences within groups (pre-post changes). | 6 weeks |
| Depression |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Allison Kennedy, Ph.D. | Children's Hospital of Eastern Ontario | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Eastern Ontario | Ottawa | Ontario | K1H8L1 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20215934 | Background | 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. | |
| 12079031 | Background | 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. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 25, 2022 | |
| Reset | Jun 29, 2023 | |
| Release | May 7, 2024 | |
| Reset | Sep 19, 2024 | |
| Release | May 2, 2026 | |
| Reset | May 27, 2026 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 25, 2022 | Jun 29, 2023 | |||
| May 7, 2024 |
| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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|
| 6 weeks |
Youth depression will be measured using the Children's Depression Inventory-2 Self report (CDI-2; Kovaks, 2010).
Repeated Measures ANOVA or ANCOVA will be used to compare differences within groups (pre-post changes).
| 6 weeks |
| Anxiety | Youth anxiety symptoms will be measured using the Multidimensional Anxiety Scale for Children (MASC-2; March, 1997). Repeated Measures ANOVA or ANCOVA will be used to compare differences within groups (pre-post changes). | 6 weeks |
| 24277469 | Background | 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. |
| Background | 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. |
| Background | Kovacs, M. (2010). Children's Depression Inventory Manual. Toronto, ON: Multi-Health Systems Inc. |
| Background | March, J.S. (2013). Manual for the Multidimensional Anxiety Scale for Children - 2nd Edition (MASC-2). Toronto, ON: MHS Inc. |
| Background | Moos, R. H., & Moos, B. S. (1981). Family environment scale manual |
| Background | Reynolds, W. M. (1988). Suicidal Ideation Questionnaire Professional Manual (p. 47). |
| Background | Griffine, D. W., & Garthholomew, K. (1994). The metaphysics of measurement: The case of adult attachment. (pp. 17-52). |
| Sep 19, 2024 |
| May 2, 2026 | May 27, 2026 |
| D020969 |
| Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |