December 13, 2019
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Therapeutic model for youth suicide prevention 'first step' toward short-term intervention

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A new therapeutic model may be an alternative to lengthy hospital stays for adolescents who are acutely suicidal, according to study results published in Child and Adolescent Mental Health.

“The study provides promising findings that warrant further investigation of a brief, intensive crisis intervention model as an alternative to inpatient care for youth at risk for suicide,” Sandra M. McBee-Strayer, PhD, of The Research Institute at Nationwide Children’s Hospital in Ohio, told Healio Psychiatry. “The significant reductions in suicidal ideation and improvements in functioning reported sets the stage for a randomized controlled trial investigating intensive crisis intervention as a viable treatment option for youth at risk for suicide.”

According to McBee-Strayer and colleagues, although adolescent suicide remains a global major public health concern, research is sparse regarding the effectiveness of interventions that target youth suicide risk. In the present study, the researchers assessed the clinical outcomes, feasibility and acceptability of the Intensive Crisis Intervention (ICI) — a family-centered, cognitive-behavioral treatment that provides an alternative to longer inpatient care, they wrote. They did so over a 2-year period with 50 adolescents, most of whom were female (86%) and Caucasian (78%), with a mean age of 15.1 years. All participants were admitted to an intensive crisis stabilization unit for treatment of suicidal attempts and/or ideation.

Of the study participants, 88% provided follow-up data. The researchers reported that the mean Suicidal Ideation Questionnaire-Junior score at 3 months improved 34.2 points relative to baseline for an effect size of 2.2 (P < .0001). They observed significant improvements in functioning, readiness for care transition and consumer satisfaction upon discharge.

“We are hopeful about these promising findings as an important first step in investigating a short-term crisis intervention alternative to longer inpatient hospitalization for youth at risk for suicide,” McBee-Strayer said. – by Joe Gramigna

Disclosures: The authors report no relevant financial disclosures.