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| Name | Class |
|---|---|
| American Foundation for Suicide Prevention | OTHER |
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The goal of this randomized-controlled trial is to determine whether adding brief cognitive-behavioral therapy for suicide prevention (BCBT) to inpatient treatment improves suicide-related outcomes after the person leaves the hospital. The study will also determine whether being diagnosed with a substance use disorder impacts these outcomes. Participants will either receive treatment as usual or treatment as usual plus up to four sessions of BCBT during their inpatient stay. They will complete monthly follow-up assessments for six months after leaving the hospital.
Although inpatient treatment provides immediate stabilization and crisis management for suicidal patients, the risk of suicide post-discharge is substantial, with approximately one third of all suicides by individuals with mental disorders occurring in the 90 days following hospitalization. These data highlight the importance of establishing an empirically-supported inpatient treatment for suicide prevention. Cognitive behavioral therapy (CBT) is a strong candidate, given that CBT reduces risk in suicidal outpatients. In addition, an open trial was completed that 1) adapted the strongest outpatient CBT protocol for an inpatient setting, 2) demonstrated high levels of feasibility and acceptability, and 3) obtained preliminary estimates of efficacy. The objective here is to conduct a largescale randomized controlled trial (RCT) comparing brief cognitive-behavioral therapy for suicide prevention (BCBT) (n = 100) to treatment as usual (TAU, n = 100) to firmly establish efficacy and collect pilot data on treatment implementation metrics. This study aims to determine the efficacy of inpatient BCBT on suicidal behavior, suicidal ideation/intent, and readmission post-treatment and over a 6-month follow-up period. The central hypothesis, based on strong outpatient data, is that inpatient BCBT will reduce suicidal behavior, suicidal ideation/intent, and inpatient readmission over 6 months post-discharge, compared to TAU. Participants will be recruited after inpatient admission following a suicide attempt or with suicidal ideation and plan with suicide attempt within the previous two years. Participants assigned to the BCBT condition will receive four BCBT sessions in addition to treatment as usual. Assessments will occur at intake, discharge, and monthly for six months post-discharge. The proposed study will inform best practices treatment for hospitalized suicidal patients by establishing for the first time, and ultimately disseminating, an empirically-validated inpatient treatment for suicide prevention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Presence of SUD with BCBT | Experimental | Patients diagnosed with SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of CBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. |
|
| Presence of SUD with TAU | No Intervention | Patients diagnosed with SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. | |
| Absence of SUD with BCBT | Experimental | Patients without SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of BCBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. |
|
| Absence of SUD with TAU | No Intervention | Patients without SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive Behavioral Therapy | Behavioral | Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| Measure | Description | Time Frame |
|---|---|---|
| Columbia Suicide Severity Rating Scale Number of Participants Reporting Presence of Suicidal Behaviors | Suicidal behavior will be assessed using the Columbia Suicide Severity Rating Scale (C-SSRS), a widely used suicide assessment measure. Several suicidal behaviors are assessed on the C-SSRS including the presence or absence of each of the following: suicide attempt, interrupted attempt, aborted attempt, and preparatory acts or behaviors. Scores reflect the number of participants with the presence of the suicide behavior. | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
| Columbia Suicide Severity Rating Scale Number of Suicidal Behaviors | Suicidal behavior will be assessed using the Columbia Suicide Severity Rating Scale (C-SSRS), a widely used suicide assessment measure. Several suicidal behaviors are assessed on the C-SSRS including the presence or absence of each of the following: suicide attempt, interrupted attempt, aborted attempt, and preparatory acts or behaviors. Scores on this scale reflect the median number of each behavior. | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
| The Number of Participants Reporting Columbia Suicide Severity Rating Scale Suicidal Ideation Categories as Most Severe | The number of participants endorsing each category as the highest (most severe) suicidal ideation category on the Columbia Suicide Severity Rating Scale (C-SSRS) ranging from 1-5, with 5 being the most severe type of suicidal ideation. | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
| Columbia Suicide Severity Rating Scale Suicidal Ideation Intensity Scale Total Score | The Columbia Suicide Severity Rating Scale (C-SSRS) intensity subscale is the sum of 5 questions (frequency, duration, controllability, deterrents, and reasons for ideation) rated from 1-5, with 5 representing more severe intensity. Zero is entered if no suicidal ideation is reported. Total scores range from 0 to 25 with higher scores indicating more intense suicidal ideation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David F Tolin, Ph.D. | Institute of Living/Hartford Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Living/Hartford Hospital | Hartford | Connecticut | 06106 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39259550 | Derived | Diefenbach GJ, Lord KA, Stubbing J, Rudd MD, Levy HC, Worden B, Sain KS, Bimstein JG, Rice TB, Everhardt K, Gueorguieva R, Tolin DF. Brief Cognitive Behavioral Therapy for Suicidal Inpatients: A Randomized Clinical Trial. JAMA Psychiatry. 2024 Dec 1;81(12):1177-1186. doi: 10.1001/jamapsychiatry.2024.2349. | |
| 38683542 | Derived |
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| ID | Title | Description |
|---|---|---|
| FG000 | Presence of SUD With BCBT | Patients diagnosed with SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of CBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. Cognitive Behavioral Therapy: Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| FG001 | Presence of SUD With TAU | Patients diagnosed with SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| FG002 | Absence of SUD With BCBT | Patients without SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of BCBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. Cognitive Behavioral Therapy: Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| FG003 | Absence of SUD With TAU | Patients without SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Presence of SUD With BCBT | Patients diagnosed with SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of CBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. Cognitive Behavioral Therapy: Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Columbia Suicide Severity Rating Scale Number of Participants Reporting Presence of Suicidal Behaviors | Suicidal behavior will be assessed using the Columbia Suicide Severity Rating Scale (C-SSRS), a widely used suicide assessment measure. Several suicidal behaviors are assessed on the C-SSRS including the presence or absence of each of the following: suicide attempt, interrupted attempt, aborted attempt, and preparatory acts or behaviors. Scores reflect the number of participants with the presence of the suicide behavior. | Data were missing due to attrition. | Posted | Count of Participants | Participants | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
|
Adverse events were assessed from the moment participants provided informed consent to the end of the 6-month follow-up period (approximately 7 months, dependent on length of inpatient stay).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Presence of SUD With BCBT | Patients diagnosed with SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of CBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Psychiatric Inpatient Hospitalization | Psychiatric disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Change in Physical Health/Physical Injury | General disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| David Tolin | Hartford Hospital | 860-545-7685 | david.tolin@hhchealth.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 1, 2022 | Mar 25, 2025 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | May 11, 2022 | Jul 17, 2024 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D013406 | Suicide, Attempted |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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Participants will be randomly assigned (using a computer-generated randomization schedule) to either BCBT or TAU using stratified block randomization on Substance Use Disorder (SUD). We expect, based on pilot data analyses, that approximately two-thirds of patients in each group will be diagnosed with SUD.
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| Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
| Number of Participants With Readmissions | Readmission is determined using the participant's electronic medical record along with a self-report measure. | Assessed on a monthly basis for 6 months follow-up. |
| Stubbing J, Tolin DF, Sain KS, Everhardt K, Rudd MD, Diefenbach GJ. Borderline Personality Traits Do Not Moderate the Relationship Between Depression, Beliefs, and Suicidal Thoughts and Behaviors. Arch Suicide Res. 2025 Jan-Mar;29(1):223-237. doi: 10.1080/13811118.2024.2345168. Epub 2024 Apr 29. |
| 37987548 | Derived | Diefenbach GJ, Stubbing J, Rice TB, Lord KA, Rudd MD, Tolin DF. Uncovering the role of substance use in suicide attempts using a mixed-methods approach. Suicide Life Threat Behav. 2024 Feb;54(1):70-82. doi: 10.1111/sltb.13019. Epub 2023 Nov 21. |
| 33884617 | Derived | Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2. |
| Death |
|
| Withdrawal by Subject |
|
| Administrative Withdrawal |
|
| BG001 | Presence of SUD With TAU | Patients diagnosed with SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| BG002 | Absence of SUD With BCBT | Patients without SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of BCBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. Cognitive Behavioral Therapy: Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| BG003 | Absence of SUD With TAU | Patients without SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex/Gender, Customized | There was missing gender identity data for two participants. | Count of Participants | Participants |
|
| Sex: Female, Male | Sex assigned at birth. | There was missing sex assigned at birth data for one participant. | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Region of Enrollment | Count of Participants | Participants |
|
| Columbia Suicide Severity Rating Scale Lifetime Actual Suicide Attempts | Median | Standard Deviation | Number of Attempts |
|
| Columbia Suicide Severity Rating Scale Lifetime Interrupted Suicide Attempts | Median | Standard Deviation | Number of Attempts |
|
| Columbia Suicide Severity Rating Scale Lifetime Aborted Suicide Attempts | Median | Standard Deviation | Number of Attempts |
|
| Columbia Suicide Severity Rating Scale Lifetime Preparatory Events | Median | Standard Deviation | Number of Preparatory Events |
|
| Columbia Suicide Severity Rating Scale Past Month Most Severe Ideation | Most severe suicidal ideation in the past month indicated by the respondent. | Count of Participants | Participants |
|
| Columbia Suicide Severity Rating Scale Past Month Suicidal Ideation Intensity | Scores on the Columbia Suicide Severity Rating Scale range from 0 to 25 with higher scores representing more severe suicidal ideation | Mean | Standard Deviation | units on a scale |
|
| Columbia Suicide Severity Rating Scale Lifetime Actual Suicide Attempts | Number of participants endorsing lifetime actual suicide attempts on Columbia Suicide Severity Rating Scale | Count of Participants | Participants |
|
| Columbia Suicide Severity Rating Scale Lifetime Interrupted Suicide Attempts | Count of Participants | Participants |
|
| Columbia Suicide Severity Rating Scale Lifetime Aborted Suicide Attempts | Count of Participants | Participants |
|
| Columbia Suicide Severity Rating Scale Lifetime Preparatory Events | Count of Participants | Participants |
|
| OG001 | Presence of SUD With TAU | Patients diagnosed with SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
| OG002 | Absence of SUD With BCBT | Patients without SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of BCBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. Cognitive Behavioral Therapy: Up to 4 sessions of BCBT (depending on length of stay) will be provided. The first session lasts 1.5 hours and subsequent sessions are 1 hour. |
| OG003 | Absence of SUD With TAU | Patients without SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. |
|
|
| Primary | Columbia Suicide Severity Rating Scale Number of Suicidal Behaviors | Suicidal behavior will be assessed using the Columbia Suicide Severity Rating Scale (C-SSRS), a widely used suicide assessment measure. Several suicidal behaviors are assessed on the C-SSRS including the presence or absence of each of the following: suicide attempt, interrupted attempt, aborted attempt, and preparatory acts or behaviors. Scores on this scale reflect the median number of each behavior. | Data were missing due to attrition. | Posted | Median | Standard Deviation | Number of Events | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
|
|
|
| Primary | The Number of Participants Reporting Columbia Suicide Severity Rating Scale Suicidal Ideation Categories as Most Severe | The number of participants endorsing each category as the highest (most severe) suicidal ideation category on the Columbia Suicide Severity Rating Scale (C-SSRS) ranging from 1-5, with 5 being the most severe type of suicidal ideation. | Data were missing due to attrition. | Posted | Count of Participants | Participants | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
|
|
|
| Primary | Columbia Suicide Severity Rating Scale Suicidal Ideation Intensity Scale Total Score | The Columbia Suicide Severity Rating Scale (C-SSRS) intensity subscale is the sum of 5 questions (frequency, duration, controllability, deterrents, and reasons for ideation) rated from 1-5, with 5 representing more severe intensity. Zero is entered if no suicidal ideation is reported. Total scores range from 0 to 25 with higher scores indicating more intense suicidal ideation. | Data were missing due to attrition. | Posted | Mean | Standard Deviation | score on a scale | Assessed at completion of inpatient treatment (average of 12 days), and on a monthly basis for 6 months follow-up. |
|
|
|
| Primary | Number of Participants With Readmissions | Readmission is determined using the participant's electronic medical record along with a self-report measure. | Missing data are due to participants dropping out of the study during the follow-up period. | Posted | Count of Participants | Participants | Assessed on a monthly basis for 6 months follow-up. |
|
|
|
| 1 |
| 62 |
| 23 |
| 62 |
| 47 |
| 62 |
| EG001 | Presence of SUD With TAU | Patients diagnosed with SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. | 1 | 65 | 26 | 65 | 50 | 65 |
| EG002 | Absence of SUD With BCBT | Patients without SUD who are randomly assigned to receive BCBT will participate in all aspects of their prescribed treatment plan (i.e., TAU) and will receive up to 4 sessions of BCBT (depending on length of stay), lasting 1.5 hours for the first session and 1 hour for the remaining sessions. | 0 | 41 | 8 | 41 | 26 | 41 |
| EG003 | Absence of SUD With TAU | Patients without SUD who are randomly assigned to receive TAU will participate in all aspects of the prescribed treatment plan given by the inpatient unit. | 0 | 45 | 16 | 45 | 31 | 45 |
| Change in Mental Health | Psychiatric disorders | Systematic Assessment |
|
| Change in Physical Health/Physical Injury | General disorders | Systematic Assessment |
|
| Suicide Attempt | Psychiatric disorders | Systematic Assessment |
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| Emergency Department Visit | General disorders | Systematic Assessment |
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| Medical Hospitalization | General disorders | Systematic Assessment |
|
| Homelessness | Social circumstances | Systematic Assessment |
|
| Reliable Change in Depression, Stress or Anxiety | Psychiatric disorders | Systematic Assessment |
|
| Change in Mental Health | Psychiatric disorders | Systematic Assessment |
|
| Suicide Attempt | Psychiatric disorders | Systematic Assessment |
|
| Emergency Department Visit | General disorders | Systematic Assessment |
|
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| Female |
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| Trans Male |
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| Trans Female |
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| Genderqueer/Gender Non-Conforming |
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| Do Not Identify As Any of These Options |
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| Prefer Not to Answer |
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| Missing |
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| Male |
|
| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Black or African American |
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| Asian |
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| Native Hawaiian or Pacific Islander |
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| American Indian or Alaskan Native |
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| Multiracial |
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| Other |
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| Prefer Not to Answer |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Actual Suicide Attempt at Follow-up 1 |
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| Actual Suicide Attempt at Follow-up 2 |
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| Actual Suicide Attempt at Follow-up 3 |
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| Actual Suicide Attempt at Follow-up 4 |
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| Actual Suicide Attempt at Follow-up 5 |
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| Actual Suicide Attempt at Follow-up 6 |
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| Interrupted Suicide Attempt at Post-treatment |
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| Interrupted Suicide Attempt at Follow-up 1 |
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| Interrupted Suicide Attempt at Follow-up 2 |
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| Interrupted Suicide Attempt at Follow-up 3 |
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| Interrupted Suicide Attempt at Follow-up 4 |
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| Interrupted Suicide Attempt at Follow-up 5 |
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| Interrupted Suicide Attempt at Follow-up 6 |
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| Aborted Suicide Attempt at Post-treatment |
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| Aborted Suicide Attempt at Follow-up 1 |
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| Aborted Suicide Attempt at Follow-up 2 |
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| Aborted Suicide Attempt at Follow-up 3 |
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| Aborted Suicide Attempt at Follow-up 4 |
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| Aborted Suicide Attempt at Follow-up 5 |
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| Aborted Suicide Attempt at Follow-up 6 |
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| Preparatory Events at Post-treatment |
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| Preparatory Events at Follow-up 1 |
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| Preparatory Events at Follow-up 2 |
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| Preparatory Events at Follow-up 3 |
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| Preparatory Events at Follow-up 4 |
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| Preparatory Events at Follow-up 5 |
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| Preparatory Events at Follow-up 6 |
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| Most Severe Ideation at Follow-up 1 |
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| Most Severe Ideation at Follow-up 2 |
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| Most Severe Ideation at Follow-up 3 |
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| Most Severe Ideation at Follow-up 4 |
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| Most Severe Ideation at Follow-up 5 |
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| Most Severe Ideation at Follow-up 6 |
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| Intensity of Suicidal Ideation at Follow-up 1 |
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| Intensity of Suicidal Ideation at Follow-up 2 |
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| Intensity of Suicidal Ideation at Follow-up 3 |
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| Intensity of Suicidal Ideation at Follow-up 4 |
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| Intensity of Suicidal Ideation at Follow-up 5 |
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| Intensity of Suicide Ideation at Follow-up 6 |
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| Readmission at Follow-up 2 |
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| Readmission at Follow-up 3 |
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| Readmission at Follow-up 4 |
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| Readmission at Follow-up 5 |
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| Readmission at Follow-up 6 |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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| Wish to be Dead |
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| Non-Specific Active Suicidal Thoughts |
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| Active Suicidal Ideation with Any Methods |
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| Active Suicidal Ideation with Some Intent to Act |
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| Active Suicidal Ideation with Specific Plan |
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