The goal of this program is to test a brief, online, cognitive behavioral intervention for people who struggle with self-harm or suicidal urges or behavior in the context of emotion-related impulsivity.
Participants will be asked to complete 7 brief online modules to cover how to understand emotion-triggered impulsivity, to better detect states of high emotion and arousal, to learn new strategies for self-calming high arousal, and to pre-plan how to cope with high arousal states. As part of the program, participants receive daily texts and prompts to remind them of the intervention content and skills. At baseline and follow-up, participants will complete measures of emotion-related impulsivity, self-harm, and suicidality.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
2
7 online modules designed to teach cognitive behavioral skills
University of California
Berkeley, California, United States
Change in suicidal ideation among adults
Columbia Suicide Severity Rating scale suicidal ideation severity score; scores range from 0 to 5, where 5 is more severe.
Time frame: immediately before the intervention and one week after intervention
Change in interview-rated suicidal ideation among adolescent patients
Self-Injurious Thoughts and Behaviors Interview suicidal ideation in the past month scored as the sum of the items on the worst intensity, average intensity, and likelihood of suicidal ideation items; scores range from 0 to 12, with higher scores reflecting greater severity.
Time frame: immediately before the intervention and one week after intervention
Change in self-rated suicidal ideation among adolescent patients
Suicide Ideation Questionnaire Jr; scores range from 0 to 6, where 6 is more severe
Time frame: immediately before the intervention and one week after intervention
Change in self-rated deliberate self-harm
Deliberate Self-Harm Inventory Frequency in past month score, from 0 to number of incidents reported (higher scores are worse outcomes)
Time frame: immediately before the intervention and one week after intervention
Change in interview-based self-harm among adolescent patients
Self-Injurious Thoughts and Behaviors Interview NSSI severity in the past month, scored as the sum of the items on the worst intensity, average intensity, and likelihood of NSSI items; scores range from 0 to 12 with higher scores reflecting greater severity.
Time frame: immediately before the intervention and one week after intervention
Change in impulsivity
self-rated Three factor impulsivity Feelings Trigger Action subscale; scores range from 1 to 5, where 5 reflects more severe impulsivity
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Time frame: immediately before the intervention and one week after intervention
Change in interview-based impulsivity among adolescent patients
Urgency interview scores, scored as the sum of 8 items, range = 0 to 16, where higher scores reflect more impulsivity.
Time frame: immediately before the intervention and one week after intervention
Change in aggression
Bryant Aggression scale: mean of physical aggression, verbal aggression, and anger subscales; range of scores from 1 to 5, where 5 = more severe aggression
Time frame: immediately before the intervention and one week after intervention