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A Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidal
- Source :
- Journal of the American Academy of Child & Adolescent Psychiatry. 58:721-731
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Objective: To evaluate the efficacy of attachment-based family therapy (ABFT) compared with a family-enhanced nondirective supportive therapy (FE-NST) for decreasing adolescents’ suicide ideation and depressive symptoms. Method: A randomized controlled trial of 129 adolescents who are suicidal ages 12- to 18-years-old (49% were African American) were randomized to ABFT (n = 66) or FE-NST (n = 63) for 16 weeks of treatment. Assessments occurred at baseline and 4, 8, 12, and 16 weeks. Trajectory of change and clinical recovery were calculated for suicidal ideation and depressive symptoms. Results: There was no significant between-group difference in the rate of change in self-reported ideation (Suicidal Ideation Questionnaire-Jr; F1,127 = 181, p = .18). Similar results were found for depressive symptoms. However, adolescents receiving ABFT showed a significant decrease in suicide ideation (t127 = 12.61, p < .0001; effect size, d = 2.24). Adolescents receiving FE-NST showed a similar significant decrease (t127 = 10.88, p < .0001; effect size, d = 1.93). Response rates (ie, ≥50% decrease in suicide ideation symptoms from baseline) at post-treatment were 69.1% for ABFT versus 62.3% for FE-NST. Conclusion: Contrary to expectations, ABFT did not perform better than FE-NST. The 2 treatments produced substantial decreases in suicidal ideation and depressive symptoms that were comparable to or better than those reported in other more intensive, multicomponent treatments. The equivalent outcomes could be attributed to common treatment elements, different active mechanisms, or regression to the mean. Future studies will explore long-term follow up, secondary outcomes, and potential moderators and mediators. Clinical trial registration information: Attachment-Based Family Therapy for Suicidal Adolescents; http://clinicaltrials.gov; NCT01537419. Published (Publication status)
- Subjects :
- Male
Family therapy
Social Sciences
Psychology, Developmental
Poison control
Suicide, Attempted
Pediatrics
THERAPY
Suicide prevention
law.invention
SELF-HARM
Randomized controlled trial
law
ADOLESCENTS
Developmental and Educational Psychology
Psychology
Child
Suicidal ideation
11 Medical and Health Sciences
Psychiatry
Reactive Attachment Disorder
treatment
Depression
05 social sciences
17 Psychology and Cognitive Sciences
Psychiatry and Mental health
RELIABILITY
ATTEMPTERS
Family Therapy
Female
medicine.symptom
Life Sciences & Biomedicine
INTERVENTION
050104 developmental & child psychology
Clinical psychology
Adolescent
Developmental & Child Psychology
Suicidal Ideation
PSYCHOTHERAPY
Injury prevention
medicine
Humans
0501 psychology and cognitive sciences
VALIDITY
IDEATION
suicide
attachment
Science & Technology
business.industry
Pennsylvania
Object Attachment
Clinical trial
Supportive psychotherapy
Self Report
business
Subjects
Details
- ISSN :
- 08908567
- Volume :
- 58
- Database :
- OpenAIRE
- Journal :
- Journal of the American Academy of Child & Adolescent Psychiatry
- Accession number :
- edsair.doi.dedup.....2f5f1768e48f39555e2d0ad8bcd07ebb