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The investigators have developed a novel suicide intervention, Integrated Suicide and Trauma Therapy (ISTT). ISTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of ISTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.
In the last 10 years, despite available treatments, suicide rates have not significantly decreased, and individuals who have experienced any type of childhood maltreatment are at increased odds for suicide attempt. Effective suicide prevention requires learning skills to cope with suicidality in addition to addressing the antecedent factors that contribute to suicide risk. In the context of those with childhood trauma and suicidality, addressing antecedent factors may require treatments that target symptoms associated with developmental trauma. Thus, the investigators have developed an integrated suicide intervention, Integrated Suicide and Trauma Therapy (ISTT). ISTT combines Brief-Skills for Safer Living (Brief-SfSL)-a promising method to enhance coping skills and reduce suicidality-with a trauma therapy component to alleviate the specific impacts of childhood trauma on suicide risk. The aim of this pilot is to test 12-weeks of BSTT to alleviate suicide risk among individuals with a history of childhood trauma and current suicidality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Integrated Suicide and Trauma Therapy (BSTT) | Experimental | This novel suicide intervention integrates Brief Skills for Safer Learning (B-SfSL) with trauma therapy. ISTT incorporates the guiding principles of taking a non-pathologizing approach to treatment, emphasizing safety, attending to the therapeutic relationship, empowering clients, and incorporating solution-focused concepts. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Integrated Suicide and Trauma Therapy | Other | 12-week trauma therapy for suicide risk |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Beck Scale for Suicide Ideation (BSS) score | Beck Scale for Suicide Ideation is a 21-item self-report scale that quantifies suicidal ideation. Items are scored 0 to 2 and yield a total score ranging from 0 to 38. Higher scores reflect greater severity of suicidal ideation. | From baseline to 1 week post-therapy |
| Feasibility and acceptability of ISTT | Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), Feasibility of Intervention Measure (FIM), in addition to a feedback survey and interview created in-house with questions designed to collect quantitative and qualitative feedback from participants with respect to the feasibility and acceptability of the BSTT intervention. | From baseline to 1 week post-therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Generalized Anxiety Disorder 7-item scale (GAD-7) score | The GAD-7 is a brief 7-item self-report scale measuring anxiety symptoms. Total scores range from 0 to 21, with higher scores reflecting more severe anxiety. | From baseline to 1-week post therapy |
| Change in Quick Inventory of Depressive Symptoms 16-item scale (QIDS) score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sakina Rizvi, PhD,MACP,RP | Contact | 416-864-6060 | 6489 | rizvisa@smh.ca |
| Aleksandra Lalovic, PhD,MEd,RP | Contact | 416-864-6060 | 46483 | Aleksandra.Lalovic@unityhealth.to |
| Name | Affiliation | Role |
|---|---|---|
| Sakina Rizvi, PhD,MACP,RP | Unity Health Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Michael's Hospital | Recruiting | Toronto | Ontario | M5B 1M8 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16718583 | Background | Alloy LB, Abramson LY, Smith JM, Gibb BE, Neeren AM. Role of parenting and maltreatment histories in unipolar and bipolar mood disorders: mediation by cognitive vulnerability to depression. Clin Child Fam Psychol Rev. 2006 Mar;9(1):23-64. doi: 10.1007/s10567-006-0002-4. | |
| 30608046 | Background | Angelakis I, Gillespie EL, Panagioti M. Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis. Psychol Med. 2019 May;49(7):1057-1078. doi: 10.1017/S0033291718003823. Epub 2019 Jan 4. |
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| ID | Term |
|---|---|
| D013405 | Suicide |
| D014947 | Wounds and Injuries |
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D003866 | Depressive Disorder |
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The QIDS is a 16-item validated depression scale. Total scores range from 0-27, with higher scores reflecting more severe depression. |
| From baseline to 1 week post-therapy |
| Change in Difficulties in Emotion Regulation Scale 36-item scale (DERS) score | The DERS is a 36-item validated scale measuring six aspects of emotion regulation. The DERS is comprised of 6 subscales, where higher scores are reflective of greater difficulties in emotion regulation. The DERS is often analyzed by percentile. | From baseline to 1 week post-therapy |
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| D019964 |
| Mood Disorders |
| D001523 | Mental Disorders |