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Targeting Adolescent Insomnia to Lessen Overall Risk of Suicidal Behavior
Sponsor: Jeff Bridge
Summary
This study will test the effectiveness of a sleep-related primary suicide prevention program entitled TAILOR (Targeting Adolescent Insomnia to Lessen Overall Risk of Suicidal Behavior), which includes specific behavior-change strategies for adolescents at risk of suicidal behavior who suffer from difficulties falling asleep, staying asleep, and/or insufficient sleep.
Key Details
Gender
All
Age Range
11 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
235
Start Date
2022-10-20
Completion Date
2027-02
Last Updated
2026-02-05
Healthy Volunteers
No
Interventions
TAILOR
The first TAILOR session will assess existing sleep problems from both the adolescent's and parent/legal guardian's perspectives, concluding with offering a CBT strategy to try. Session 2 will involve getting feedback from the family on that specific strategy and then offering additional CBT strategies. The remaining sessions will be devoted to refining the use of CBT strategies. MI will be integrated as the communication style throughout, including reflective listening, rolling with resistance, and showing deference to the family's ultimate decisions. The interventionist will also use the "elicit-provide-elicit" approach from MI. The interventionist will elicit the family's own ideas for improving the adolescent's sleep, ask for permission to provide his/her own suggestions, and then gauge the family's reactions to those suggestions, versus simply recommending a CBT strategy and problem-solving barriers to implementation.
Enhanced Usual Care
The study clinician will conduct suicide risk screening and further assessment and safety planning where deemed necessary.
Locations (1)
Nationwide Children's Hospital
Columbus, Ohio, United States