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Lack of recruitment
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The goal of this program is to test a brief, online, cognitive behavioral intervention for people who struggle with self-harm or suicidal urges or behavior in the context of emotion-related impulsivity.
Participants will be asked to complete 7 brief online modules to cover how to understand emotion-triggered impulsivity, to better detect states of high emotion and arousal, to learn new strategies for self-calming high arousal, and to pre-plan how to cope with high arousal states. As part of the program, participants receive daily texts and prompts to remind them of the intervention content and skills. At baseline and follow-up, participants will complete measures of emotion-related impulsivity, self-harm, and suicidality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Participants will be immediately assigned to the intervention. |
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| Waitlist control | Other | Participants will complete measures before and after a waitlist equivalent to the duration of the intervention, to assess whether change is observed with time and repeated assessment. After the waitlist control, participants will be provided the opportunity to take part in the intervention. In this RDICT design, the pre- post- treatment data will be included in analyses. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Calm program | Behavioral | 7 online modules designed to teach cognitive behavioral skills |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in suicidal ideation among adults | Columbia Suicide Severity Rating scale suicidal ideation severity score; scores range from 0 to 5, where 5 is more severe. | immediately before the intervention and one week after intervention |
| Change in interview-rated suicidal ideation among adolescent patients | Self-Injurious Thoughts and Behaviors Interview suicidal ideation in the past month scored as the sum of the items on the worst intensity, average intensity, and likelihood of suicidal ideation items; scores range from 0 to 12, with higher scores reflecting greater severity. | immediately before the intervention and one week after intervention |
| Change in self-rated suicidal ideation among adolescent patients | Suicide Ideation Questionnaire Jr; scores range from 0 to 6, where 6 is more severe | immediately before the intervention and one week after intervention |
| Change in self-rated deliberate self-harm | Deliberate Self-Harm Inventory Frequency in past month score, from 0 to number of incidents reported (higher scores are worse outcomes) | immediately before the intervention and one week after intervention |
| Change in interview-based self-harm among adolescent patients | Self-Injurious Thoughts and Behaviors Interview NSSI severity in the past month, scored as the sum of the items on the worst intensity, average intensity, and likelihood of NSSI items; scores range from 0 to 12 with higher scores reflecting greater severity. | immediately before the intervention and one week after intervention |
| Change in impulsivity |
| Measure | Description | Time Frame |
|---|---|---|
| Change in aggression | Bryant Aggression scale: mean of physical aggression, verbal aggression, and anger subscales; range of scores from 1 to 5, where 5 = more severe aggression | immediately before the intervention and one week after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sheri L Johnson, Ph.D. | professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California | Berkeley | California | 94720 | United States |
We will provide fully de-identified data on OSF.
We will upload data at the time we submit the article for publication. Data will be available for 7 years.
Data will be available to authorized users of the OSF website.
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D016728 | Self-Injurious Behavior |
| D007175 | Impulsive Behavior |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Adult participants will be enrolled in the intervention, and we will use pre-, post-data to evaluate whether the program appears to be helpful. Adolescent participants will be randomly assigned to a waitlist control or intervention; those in the waitlist will be offered the intervention after they complete the waitlist period.
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Interview-based assessments will be conducted by personnel who are unaware of treatment condition.
self-rated Three factor impulsivity Feelings Trigger Action subscale; scores range from 1 to 5, where 5 reflects more severe impulsivity |
| immediately before the intervention and one week after intervention |
| Change in interview-based impulsivity among adolescent patients | Urgency interview scores, scored as the sum of 8 items, range = 0 to 16, where higher scores reflect more impulsivity. | immediately before the intervention and one week after intervention |