A Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidal

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dc.contributor.authorDiamond, Guy S.en
dc.contributor.authorKobak, R. Rogeren
dc.contributor.authorEwing, E. Stephanie Krauthameren
dc.contributor.authorLevy, Suzanneen
dc.contributor.authorHerres, Joannaen
dc.contributor.authorRusson, Jody M.en
dc.contributor.authorGallop, Robert J.en
dc.date.accessioned2021-06-24T23:40:24Zen
dc.date.available2021-06-24T23:40:24Zen
dc.date.issued2019-07-01en
dc.date.updated2021-06-24T23:40:22Zen
dc.description.abstractObjective: 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.en
dc.description.versionPublished versionen
dc.format.extentPages 721-731en
dc.format.extent11 page(s)en
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.jaac.2018.10.006en
dc.identifier.eissn1527-5418en
dc.identifier.issn0890-8567en
dc.identifier.issue7en
dc.identifier.orcidRusson, Jody [0000-0002-5629-2626]en
dc.identifier.otherS0890-8567(18)31901-4 (PII)en
dc.identifier.pmid30768418 (pubmed)en
dc.identifier.urihttp://hdl.handle.net/10919/104003en
dc.identifier.volume58en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000518529900013&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=930d57c9ac61a043676db62af60056c1en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectsuicideen
dc.subjectdepressionen
dc.subjectattachmenten
dc.subjecttreatmenten
dc.subject.meshHumansen
dc.subject.meshDepressionen
dc.subject.meshSuicide, Attempteden
dc.subject.meshObject Attachmenten
dc.subject.meshReactive Attachment Disorderen
dc.subject.meshFamily Therapyen
dc.subject.meshAdolescenten
dc.subject.meshChilden
dc.subject.meshPennsylvaniaen
dc.subject.meshFemaleen
dc.subject.meshMaleen
dc.subject.meshSelf Reporten
dc.subject.meshSuicidal Ideationen
dc.titleA Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidalen
dc.title.serialJournal of The American Academy of Child And Adolescent Psychiatryen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dc.type.otherJournalen
dcterms.dateAccepted2018-10-22en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/All T&R Facultyen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciencesen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/Human Development and Family Scienceen
pubs.organisational-group/Virginia Tech/Liberal Arts and Human Sciences/CLAHS T&R Facultyen

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