Developing Adaptive Treatment Strategies to Address Suicidal Risk in College Students: A Pilot Sequential, Multiple Assignment, Randomized Trial (SMART)

Autor:	Jacqueline Pistorello, Georgia Dalto, Spondita Goswami, Samantha K Noose, Patricia Chatham, Joseph C. Walloch, Tami Jeffcoat, Robert Gallop, Maria Young, Yani L. Dickens, Nadia Samad Locey, David A. Jobes, Jacquelyn Johnson, Scott N. Compton, Josephine S. Au
Rok vydání:	2018
Předmět:	Male Suicide Prevention Moderate to severe 050103 clinical psychology medicine.medical_specialty Adolescent media_common.quotation_subject Suicidal risk education Psychological Techniques Fidelity Pilot Projects Treatment dropout Risk Assessment Article Suicidal Ideation law.invention Treatment satisfaction 03 medical and health sciences Help-Seeking Behavior 0302 clinical medicine Randomized controlled trial Risk Factors law Adaptation Psychological Humans Medicine 0501 psychology and cognitive sciences Students media_common Cognitive Behavioral Therapy business.industry 05 social sciences 030227 psychiatry Suicide Psychiatry and Mental health Clinical Psychology Treatment Outcome Physical therapy Treatment strategy Female business Self-Injurious Behavior
Zdroj:	Archives of Suicide Research. 22:644-664
ISSN:	1543-6136 1381-1118
Popis:	This pilot study investigated the potential to utilize adaptive treatment strategies for treating moderate to severe suicidal risk among college students. This article will describe the unique study design and report on feasibility and acceptability findings. A 2-stage Sequential Multiple Assignment Randomized Trial (SMART) was conducted: In Stage 1, 62 suicidal college students were randomized to either a suicide-focused or a treatment-as-usual condition (4-8 weeks). Those deemed insufficient responders were re-randomized to one of two Stage 2 interventions-both suicide-focused but one comprehensive and multimodal and the other flexible and theoretically agnostic (4-16 additional weeks). Recruitment rates were high, treatment dropout levels were lower than expected for the setting, study dropouts were rare, and counselors were able to deliver suicide-focused approaches with fidelity. Treatment satisfaction was high among clients and moderately high among counselors. Findings from this pilot show that a SMART is highly feasible and acceptable to suicidal college students, counselors, and campuses.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9866f76bd0966453b747a3a0378ff764 https://doi.org/10.1080/13811118.2017.1392915 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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