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| ID | Type | Description | Link |
|---|---|---|---|
| R34MH113757 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| Massachusetts General Hospital | OTHER |
| National Institute of Mental Health (NIMH) | NIH |
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Suicide is among the leading causes of death worldwide, and the risk of suicide is highest in the period immediately following discharge from inpatient psychiatric care.1Importantly, despite the enormously elevated risk during this period, nearly 50% of patients do not attend scheduled therapy after discharge. Even among those who do attend therapy, however, the skills learned in treatment may be difficult to use during the highly distressing time leading up to and during a suicide crisis. Most traditional treatments are not designed to be effective during a suicide crisis. In order to reduce the risk of suicidal thoughts and behaviors in general and specifically during the post-discharge period, interventions are needed that: (1) are easily adhered to and (2) are accessible and effective during a suicide crisis. As such, the purpose of this research study is to test an innovative, new intervention in order to develop an effective and accessible intervention for those at high risk for suicide
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unified Protocol | Experimental | Unified Protocol-based treatment, with three sessions |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unified Protocol | Behavioral | Unified Protocol based treatment, modified for use in brief treatment on inpatient units |
|
| Measure | Description | Time Frame |
|---|---|---|
| Suicidal thoughts | Within-person changes in momentary self-reported intensity of suicidal urges (measured on a 11-point rating scale via ecological momentary assessment) from pre- to post-EMI | Overall changes in momentary self-reported intensity of suicidal urges (on a 11-point scale up to 4x/ day via ecological momentary assessment) from pre- to post-EMI use, across the study period, which is approximately four weeks post discharge |
| Self-efficacy for managing negative emotion | Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy for managing negative emotions scale. The scale is measured with four five-point scale items, summed to a score ranging from 4 to 20 where higher scores are better. | Beginning of study and end-of-study, approximately four weeks post discharge |
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Inclusion Criteria:
Exclusion Criteria
- The presence of any factor that impairs an individual's ability to provide informed consent and comprehend and effectively participate in the study including: an inability to speak or write English fluently, the presence of gross cognitive impairment due to florid psychosis, intellectual disability, dementia, acute intoxication, or the presence of extremely agitated or violent behavior.
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| Name | Affiliation | Role |
|---|---|---|
| Evan Kleiman | Rutgers, The State University of New Jersey | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rutgers University Behavioral Healthcare | Piscataway | New Jersey | 08854 | United States |
We will share Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices)
Code will be shared within three months after manuscript publication.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Feb 4, 2026 | |
| Reset | Feb 20, 2026 | |
| Release | Apr 15, 2026 | |
| Unrelease | Apr 16, 2026 | |
| Release | Apr 16, 2026 | |
| Reset | May 7, 2026 | |
| Release | May 7, 2026 | |
| Reset | Jun 3, 2026 | |
| Release | Jun 3, 2026 | |
| Reset | Jun 29, 2026 |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| ICF | No | No | Yes | Informed Consent Form | Dec 14, 2022 | Apr 3, 2023 | ICF_000.pdf |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Feb 4, 2026 | Feb 20, 2026 | |||
| Apr 15, 2026 | Apr 16, 2026 |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D000080103 | Emotional Regulation |
| D059020 | Suicidal Ideation |
| D013406 | Suicide, Attempted |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D000068356 | Self-Control |
| D012919 | Social Behavior |
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| Apr 16, 2026 | May 7, 2026 |
| May 7, 2026 | Jun 3, 2026 |
| Jun 3, 2026 | Jun 29, 2026 |
| Jul 7, 2026 |