Comparative Effectiveness Trial of Sleep Promotion vs. Disruption in High Suicide Risk Inpatients
The University of Texas Health Science Center, Houston
Summary
The purpose of this study is to examine effects of sleep promotion versus treatment as usual (TAU) on subjective, self-reported sleep while in inpatient psychiatric treatment, to examine effects of sleep promotion vs. TAU/sleep disruption on self-reported depression, anxiety, suicide risk across inpatient length of stay, readmission at 72 hours, objective sleep and to compare implementation outcomes of acceptability and feasibility of sleep promotion relative to TAU/sleep disruption as reported by patients, clinicians, and clinic leaders using mixed methods.
Eligibility
- Age range
- 18–90 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Admitted voluntarily to inpatient psychiatric hospital for suicidal ideation or behavior. * Continue to express suicide risk on the Suicide Behaviors Questionnaire-Revised (SBQ-R) of ≥8 at admission. * Cognitive ability as tested by the Montreal Cognitive Assessment (MoCA) of \> 23. * Have sufficient communication and comprehension ability to consent to the study * English speaking Exclusion Criteria: * Intellectual disability/unable to give informed consent. * Patients with one-to-one supervision or 15-minute (Q15) safety checks for suicidality or aggression will be u…
Interventions
- DrugScented Oil
inpatient-safe aromatherapy (scented oil)
- DeviceEar Plugs
ingestible-safe ear plugs (noise blocking)
- DeviceEye Mask
inpatient-safe eye mask (light blocking).
- BehavioralVideo based safety check
video based safety checks will be conducted as long as participants are in bed and asleep
- BehavioralIn person safety check
In person safety checks will be conducted every 30 minutes
Location
- The University of Texas Health Science Center at HoustonHouston, Texas