Haddock Gillian, Davies Linda, Evans Emma, Emsley Richard, Gooding Patricia, Heaney Lisa, Jones Sarah, Kelly James, Munro Ailsa, Peters Sarah, Pratt Daniel, Tarrier Nicholas, Windfuhr Kirsten, Awenat Yvonne
School of Psychological Sciences, Manchester University, Zochonis Building, Brunswick Street, Manchester, M13 9PL, UK.
Centre for Health Economics, Institute of Population Health, Manchester University, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
Trials. 2016 Feb 11;17:79. doi: 10.1186/s13063-016-1192-9.
Suicide is a major cause of preventable death, and suicidal behaviour is prevalent in acute psychiatric wards. People admitted to acute psychiatric wards often experience repeated episodes of suicidal behaviour, causing great distress and heavy use of NHS services. There is little research investigating effective psychological treatments for suicidal patients in inpatient settings although previous research has found support for psychological therapies which specifically target suicidal behaviour. This paper describes the protocol of a single blind RCT to investigate the acceptability and feasibility of a cognitive behavioural intervention targeting suicidality (CBSP) for suicidal people in acute psychiatric wards.
METHODS/DESIGN: A single blind RCT comparing treatment as usual (TAU) to TAU plus Cognitive Behavioural Suicide Prevention (CBSP) therapy (TAU + CBSP). Sixty participants (aged 18-65 years) who are suicidal, or have been within the past 3 months, will be recruited from NHS trusts in the North West of England. Our primary objective is to determine whether CBSP is feasible, acceptable and efficacious when compared to patients who receive TAU alone. Secondary aims are the impact of CBSP on suicidal thinking, behaviours, functioning, quality of life, service use and psychological factors associated with suicide. Assessments take place at baseline, 6 weeks and 6 months (end of treatment). The analysis will report on the feasibility and acceptability of CBSP. Qualitative data from staff and service users will inform feasibility and acceptability data.
Psychiatric inpatients are a high-risk group and the use of psychological therapies in these settings is rare and requires evaluation. This study is essential to investigate the unique contextual challenges involved in delivering psychological therapy to suicidal inpatients and to identify any necessary modifications required within inpatient settings. The findings will inform a larger, definitive trial.
15 March 2012, PB-PG-1111-26026, NIHR ISRCTN17890126 .
自杀是可预防死亡的主要原因，自杀行为在急性精神科病房中很普遍。入住急性精神科病房的患者经常经历反复的自杀行为发作，造成极大痛苦并大量占用国民保健服务（NHS）资源。尽管先前的研究发现针对自杀行为的心理疗法有一定支持，但很少有研究调查住院环境中针对自杀患者的有效心理治疗方法。本文描述了一项单盲随机对照试验（RCT）的方案，以调查针对急性精神科病房中自杀患者的认知行为干预（CBSP）的可接受性和可行性。
方法/设计：一项单盲随机对照试验，将常规治疗（TAU）与TAU加认知行为自杀预防（CBSP）疗法（TAU + CBSP）进行比较。将从英格兰西北部的国民保健服务信托机构招募60名年龄在18至65岁之间、有自杀倾向或在过去3个月内有过自杀行为的参与者。我们的主要目标是确定与仅接受TAU的患者相比，CBSP是否可行、可接受且有效。次要目标是CBSP对自杀想法、行为、功能、生活质量、服务使用以及与自杀相关的心理因素的影响。评估在基线、6周和6个月（治疗结束时）进行。分析将报告CBSP的可行性和可接受性。来自工作人员和服务使用者的定性数据将为可行性和可接受性数据提供信息。
精神科住院患者是高危人群，在这些环境中使用心理疗法很少见且需要评估。这项研究对于调查为自杀住院患者提供心理治疗所涉及的独特背景挑战以及确定住院环境中所需的任何必要调整至关重要。研究结果将为更大规模的确定性试验提供信息。
2012年3月15日，PB-PG-1111-26026，NIHR ISRCTN17890126
