OBJECTIVE(S): Objectives are to: 1) conduct a randomized controlled
trial evaluating the efficacy of a family focused cognitive-behavioral
intervention for suicide and suicide attempt prevention, as compared
to Usual ED Care; 2) describe the process of dissemination through two
case studies of intervention implementation in two EDs that differ from
the original development site, and 3) evaluate risk and protective factors
for repeat suicide attempts over the course of a 3-month follow-up,
as well as the impact of these risk and protective factors on the intervention's
efficacy/effectiveness.
METHODS: We enrolled 180 youth presenting with suicide attempts at
two EDs in the Los Angeles area. Using a blocked stratified randomization
procedure with 90 youth per group, youth were randomized to one of two
conditions: 1) the family focused intervention, or 2) Usual ED Care.
The FISP is a cognitive-behavioral family intervention that is conducted
in the ED and capitalizes on the opportunity offered by the ED visit
to deliver an effective intervention, improve adherence to follow-up
care, decrease the risk of repeat and potentially fatal suicide attempts,
and improve clinical and functioning outcomes. Outcomes were monitored
in the ED, 2 weeks after discharge from the ED/hospital, and at a 3
-month follow-up.
STATUS: Data analysis in progress.
IMPACT: This project will build the scientific base for the prevention
of intentional injuries and associated disabilities and deaths. The
study intervention is designed so that actual providers may implement
it in a real world setting. Consequently, results of this project will
yield data on provider- and patient-friendly interventions ready for
broad dissemination and implementation.