Dynamic Deconstructive Psychotherapy Versus Brief Intervention and Contact for Suicidal Adolescents and Young Adults
State University of New York - Upstate Medical University
Summary
The purpose of this clinical trial is to assess whether 6 months of treatment with Dynamic Deconstructive Psychotherapy (DDP) is more effective for reducing thoughts of suicide in suicidal adolescents and young adults than usual care in the community supplemented with Brief Intervention and Contact (BIC). DDP and BIC are two evidence-based practices shown to be more effective than usual care at reducing suicidality. Participants will be randomly assigned to receive DDP treatment with safety planning and optional medication management or BIC treatment with safety planning and optional medication management. Participants in both groups will receive the assigned treatment at SUNY Upstate Medical University's Psychiatry High Risk Program (PHRP). Each participant is anticipated to take part in this trial for up to one year.
Description
Currently, it is uncertain which treatments work best to reduce the frequency and intensity of suicidal thoughts in adolescents and young adults. Usual care typically involves a combination of counseling and psychiatric medications targeting the underlying psychiatric conditions. However, usual care is sometimes ineffective at reducing thoughts of suicide. In previous studies, Dynamic Deconstructive Psychotherapy (DDP) and Brief Intervention and Contact (BIC) have been shown to be more effective than usual care at reducing suicidality. The investigators anticipate that participants in the DDP…
Eligibility
- Age range
- 14–40 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * CSSRS suicide ideation of ≥ 2 and PHQ-9 item 9 of ≥ 1 * Ages 14 through 40 years old of both genders * Fluency in English * Willingness to enter outpatient treatment as evidenced by psychiatric consultation at the PHRP and attending a first session with their intake therapist * Willingness to be video-recorded * Completion of baseline outcomes measures Exclusion Criteria: * Previous or current clinical diagnosis of schizophrenia, schizoaffective disorder or autism spectrum disorder as ascertained by self-report on the PHRP intake packet, or on their electronic medical…
Interventions
- BehavioralDynamic Deconstructive Psychotherapy (DDP)
DDP treatment with an assigned therapist for up to 12 months
- BehavioralBrief Intervention and Contact (BIC)
BIC treatment with an assigned therapist for up to 12 months
Location
- SUNY Upstate Medical University, Psychiatry High Risk Program (PHRP)Syracuse, New York