Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Ohio State University
No Placebo Group
Approved in 3 Jurisdictions
Trial Summary
What is the purpose of this trial?The purpose of this study is to examine the effectiveness of a psychotherapy (non-medication) treatment, Brief Cognitive Behavioral Therapy for Suicide Prevention, in reducing suicide ideation and attempts for people with physical disabilities.
Do I have to stop taking my current medications for this trial?
The trial protocol does not specify whether you need to stop taking your current medications.
What data supports the idea that Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities is an effective treatment?
The available research shows that Cognitive Behavioral Therapy (CBT) is effective for managing chronic pain, which is often a concern for people with physical disabilities. Studies have demonstrated that CBT can improve pain management and related problems, making it a valuable treatment option. Although the research focuses on chronic pain, the success of CBT in this area suggests it could also be beneficial for addressing suicidal thoughts in individuals with physical disabilities. The studies highlight that CBT is effective in various formats, including online and telephone, which can make it more accessible to people who might not otherwise receive treatment.
12345What safety data exists for Cognitive Behavioral Therapy for Suicidal Thoughts in Physical Disabilities?
The provided research does not directly address safety data for Cognitive Behavioral Therapy (CBT) specifically targeting suicidal thoughts in individuals with physical disabilities. However, it does discuss the safety and effectiveness of Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP), which is a related intervention. The studies indicate that Brief CBT-CP is a safe and effective nonpharmacological treatment for chronic pain, with high patient satisfaction and reported improvements in pain-related functioning. While these findings suggest that CBT interventions can be safely implemented in primary care settings, specific safety data for the use of CBT in addressing suicidal thoughts in individuals with physical disabilities would require further investigation.
13567Is Brief Cognitive Behavioral Therapy a promising treatment for suicidal thoughts in people with physical disabilities?
Yes, Brief Cognitive Behavioral Therapy (BCBT) is a promising treatment. It has been shown to effectively reduce the risk of suicide attempts, especially in groups like US Army soldiers. This suggests it could be helpful for people with physical disabilities who have suicidal thoughts.
89101112Eligibility Criteria
This trial is for adults with physical disabilities affecting vision, hearing, or mobility who have had suicidal thoughts in the past week or a suicide attempt in the past month. Participants must be able to give informed consent and need internet access with a webcam.Inclusion Criteria
I am 18 years old or older.
I have thought about suicide in the last week or attempted it in the last month.
I have a disability that affects my vision, hearing, or ability to move.
Exclusion Criteria
Inability to provide informed consent
Lack of internet connection and web camera
Participant Groups
The study tests Brief Cognitive Behavioral Therapy aimed at reducing suicidal thoughts and attempts among people with physical disabilities. It's a psychotherapy approach that does not involve medication.
1Treatment groups
Experimental Treatment
Group I: Brief Cognitive Behavioral Therapy for People with Physical DisabilitiesExperimental Treatment1 Intervention
Brief Cognitive Behavioral Therapy for People with Physical Disabilities is already approved in United States, European Union, Canada for the following indications:
🇺🇸 Approved in United States as Brief CBT for:
- Chronic pain management
- Mental health conditions in individuals with physical disabilities
🇪🇺 Approved in European Union as Brief Cognitive Behavioral Therapy for:
- Anxiety disorders
- Depressive disorders
- Chronic pain management
🇨🇦 Approved in Canada as CBT-CP for:
- Chronic pain management
- Mental health conditions in veterans and military personnel
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
The Ohio State Universitty Wexner Medical CenterColumbus, OH
Loading ...
Who Is Running the Clinical Trial?
Ohio State UniversityLead Sponsor
American Foundation for Suicide PreventionCollaborator
References
Brief Cognitive Behavioral Therapy For Chronic Pain: Results From a Clinical Demonstration Project in Primary Care Behavioral Health. [2020]Although cognitive behavioral therapy is an effective intervention for chronic pain, it is a lengthy treatment typically applied only in specialty care settings. The aim of this project was to collect preliminary effectiveness data for Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP), an abbreviated, modular form of treatment designed for use in primary care.
Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. [2022]Over the past three decades, cognitive-behavioral therapy (CBT) has become a first-line psychosocial treatment for individuals with chronic pain. Evidence for efficacy in improving pain and pain-related problems across a wide spectrum of chronic pain syndromes has come from multiple randomized controlled trials. CBT has been tailored to, and found beneficial for, special populations with chronic pain, including children and older adults. Innovations in CBT delivery formats (e.g., Web-based, telephone-delivered) and treatments based on CBT principles that are delivered by health professionals other than psychologists show promise for chronic pain problems. This article reviews (a) the evidence base for CBT as applied to chronic pain, (b) recent innovations in target populations and delivery methods that expand the application of CBT to underserved populations, (c) current limitations and knowledge gaps, and (d) promising directions for improving CBT efficacy and access for people living with chronic pain.
Comparing the clinical and cost-effectiveness of remote (telehealth and online) cognitive behavioral therapy-based treatments for high-impact chronic pain relative to usual care: study protocol for the RESOLVE multisite randomized control trial. [2023]Cognitive behavioral therapy for chronic pain (CBT-CP) is an effective but underused treatment for high-impact chronic pain. Increased access to CBT-CP services for pain is of critical public health importance, particularly for rural and medically underserved populations who have limited access due to these services being concentrated in urban and high income areas. Making CBT-CP widely available and more affordable could reduce barriers to CBT-CP use.
Interactive Voice Response-Based Self-management for Chronic Back Pain: The COPES Noninferiority Randomized Trial. [2019]Recommendations for chronic pain treatment emphasize multimodal approaches, including nonpharmacologic interventions to enhance self-management. Cognitive behavioral therapy (CBT) is an evidence-based treatment that facilitates management of chronic pain and improves outcomes, but access barriers persist. Cognitive behavioral therapy delivery assisted by health technology can obviate the need for in-person visits, but the effectiveness of this alternative to standard therapy is unknown. The Cooperative Pain Education and Self-management (COPES) trial was a randomized, noninferiority trial comparing IVR-CBT to in-person CBT for patients with chronic back pain.
Targeting Chronic Pain in Primary Care Settings by Using Behavioral Health Consultants: Methods of a Randomized Pragmatic Trial. [2022]Manualized cognitive and behavioral therapies are increasingly used in primary care environments to improve nonpharmacological pain management. The Brief Cognitive Behavioral Therapy for Chronic Pain (BCBT-CP) intervention, recently implemented by the Defense Health Agency for use across the military health system, is a modular, primary care-based treatment program delivered by behavioral health consultants integrated into primary care for patients experiencing chronic pain. Although early data suggest that this intervention improves functioning, it is unclear whether the benefits of BCBT-CP are sustained. The purpose of this paper is to describe the methods of a pragmatic clinical trial designed to test the effect of monthly telehealth booster contacts on treatment retention and long-term clinical outcomes for BCBT-CP treatment, as compared with BCBT-CP without a booster, in 716 Defense Health Agency beneficiaries with chronic pain.
Patients' perspectives of brief cognitive behavioral therapy for chronic pain: Treatment satisfaction, perceived utility, and global assessment of change. [2021]Introduction: Brief Cognitive Behavioral Therapy for Chronic Pain (Brief CBT-CP) is a biopsychosocial treatment designed to improve access to nonpharmacological pain care in primary care. Results from a clinical demonstration project in Veterans Health Administration (VHA) clinics showed rapid improvement in pain outcomes following Brief CBT-CP treatment in Primary Care Behavioral Health (PCBH). As part of this larger project, the current work aimed to understand patients' perspectives of Brief CBT-CP via a self-report survey completed posttreatment. Method: Thirty-four primary care patients received Brief CBT-CP as part of their usual VHA care and subsequently completed an anonymous survey that included questions regarding treatment modality, intervention content, utility, and satisfaction, as well as global assessment of change in pain-related functioning. Results: Participants reported that Brief CBT-CP content was useful (91%) and that they were satisfied with the intervention overall (89%), including appointment length, frequency of encounters, and comprehensibility of content. On average (M = 4.50, SD = 1.71), participants reported "somewhat better" to "moderately better" pain-related functioning following treatment. Exploratory descriptive analysis indicated that self-reported change in function following treatment may vary by patient characteristics, including gender and opioid use history. Discussion: Patients were receptive to Brief CBT-CP, were satisfied with their experience during treatment, and reported benefit in pain-related functioning after treatment. Further development and evaluation of Brief CBT-CP as a feasible biopsychosocial treatment option for pain in primary care clinics using the PCBH model of integration is warranted. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools: A Randomized Comparative Effectiveness Trial. [2023]Cognitive behavioral therapy for chronic pain (CBT-CP) is a safe and effective alternative to opioid analgesics. Because CBT-CP requires multiple sessions and therapists are scarce, many patients have limited access or fail to complete treatment.
Economic Evaluation of Brief Cognitive Behavioral Therapy vs Treatment as Usual for Suicidal US Army Soldiers. [2022]Brief cognitive behavioral therapy (BCBT) is a clinically effective intervention for reducing risk of suicide attempts among suicidal US Army soldiers. However, because specialized treatments can be resource intensive, more information is needed on costs and benefits of BCBT compared with existing treatments.
Psychosocial treatments of suicidal behaviors: a practice-friendly review. [2022]Worldwide, almost a million people die by suicide each year. Intentional, nonfatal, self-inflicted injury, including both suicide attempts and acts without suicide intent, also has very high prevalence. This article provides a practice-friendly review of controlled studies of psychosocial treatments aiming to prevent suicide, attempted suicide, and nonsuicidal self-inflicted injuries. Despite relatively small sample sizes for a low-base-rate outcome such as self-inflicted injury, several psychotherapies have been found effective, including cognitive therapy, dialectical behavior therapy, problem-solving therapy, and interpersonal psychotherapy, as well as outreach interventions, such as sending caring letters. The clinical implications of the review are discussed with the goal of translating the science to service-particularly the importance of outreach and treatment of non-compliance, the assessment and management of suicide risk, and competency in effective psychotherapies. These are critical steps for clinical psychology and psychotherapists to take in their role in suicide prevention.
Efficacy of psychological pain theory-based cognitive therapy in suicidal patients with major depressive disorder: A pilot study. [2019]The present study aimed to explore the effects of psychological pain theory-based cognitive therapy (PPTBCT) on suicide among depressed patients, compared with a control group who received usual psychological care (UPC). The sample consisted of 32 depressed patients and 32 healthy control subjects. All participants completed the Beck Scale for Suicide Ideation (BSI), Beck Depression Inventory, Three-Dimensional Psychological Pain Scale (TDPPS), and Problem Solving Inventory(PSI), and Automatic Thoughts Questionnaire (ATQ). All measures differed significantly between depressed patients and healthy controls. Then clinical participants were assigned randomly to the PPTBCT (n=19) and control (n=13) groups. During the 8-week intervention, scores related to depression, suicidal ideation, psychological pain, and automatic thoughts were decreased in both groups at the post-intervention and 4-week follow-up time points, compared with pre-intervention scores. BSI scores remained low at follow up and did not differ significantly from post-intervention scores in the PPTBCT group, but were significantly higher at follow up than at post-intervention in the control group. PPTBCT may effectively reduce suicide risk in patients with major depressive disorder, although the effects of its application need to be confirmed.
Do physical disabilities differentiate between suicidal ideation and attempts? An examination within the lens of the ideation to action framework of suicide. [2020]This study examined histories of suicidality among those with and without physical disabilities. Physical disabilities were anticipated to differentiate those with a history of suicide attempts from those with a history of ideation only after accounting for the presence of health conditions and other correlates.
Cognitive therapy for the suicidal patient: a case study. [2019]The use of cognitive therapy to treat a suicidal patient.