Treatment of co-occurring substance abuse and suicidality among adolescents: A randomized trial.
Open accessAbstract
OBJECTIVE: This study tested a cognitive-behavioral treatment protocol for adolescents with a co-occurring alcohol or other drug use disorder (AOD) and suicidality in a randomized clinical trial. METHOD: Forty adolescents (Mage = 15 years; 68% female, 89% White) and their families recruited from an inpatient psychiatric hospital were randomly assigned to an integrated outpatient cognitive-behavioral intervention for co-occurring AOD and suicidality (I-CBT) or enhanced treatment as usual (E-TAU). Primary measures include the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Suicide Ideation Questionnaire, Columbia Impairment Scale, Timeline Followback, Rutgers Alcohol Problem Index, and Rutgers Marijuana Problem Index. Assessments were completed at pretreatment as well as 3, 6, 12, and 18 months postenrollment. RESULTS: In intent-to-treat analyses, I-CBT was associated with significantly fewer heavy drinking days and days of marijuana use relative to E-TAU but not with fewer drinking days. Those randomized to I-CBT in comparison to E-TAU also reported significantly less global impairment as well as fewer suicide attempts, inpatient psychiatric hospitalizations, emergency department visits, and arrests. Adolescents across groups showed equivalent reductions in suicidal ideation. CONCLUSIONS: I-CBT for adolescents with co-occurring AOD and suicidality is associated with significant improvement in both substance use and suicidal behavior, as well as markedly decreased use of additional health services including inpatient psychiatric hospitalizations and emergency department visits. Further testing of integrated protocols for adolescent AOD and suicidality with larger and more diverse samples is warranted.
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Only three randomized controlled trials have demonstrated efficacy in temporarily reducing risk for suicidal behavior among adolescents with a history of suicide attempts or self-harm.
“Only three randomized controlled trials have demonstrated efficacy in temporarily reducing the risk for suicidal behavior among adolescents with a history of suicide attempts or self-harm (Asarnow et al. 2017, Esposito-Smythers et al. 2011, McCauley et al. 2018).”
From Adolescent Suicide as a Failure of Acute Stress-Response Systems. (2019) · cites this paper as Esposito-Smythers et al. 2011
The Results (Suicide Attempts and Other Adverse Psychiatric/Legal Outcomes; page unavailable) report significantly fewer suicide attempts in the randomized I-CBT group than in enhanced treatment as usual over 18 months. But the Participants and Study Sample sections show that 25% of the adolescents had suicidal ideation only, without a reported prior attempt; the trial therefore does not establish the result solely among adolescents with a history of attempts or self-harm. This citation supports the efficacy finding for this trial, not the sentence’s count of three trials. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn substance use disorders, CBT reduced attempt frequency compared with treatment as usual in adolescents but not in adults.
“In substance use disorders, CBT reduced attempt frequency compared with TAU in adolescents(92) but not in adults.(93)”
From Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review (2021) · cites this paper as [92]
Family intervention and Cognitive Behavior Therapy contribute to reductions in suicidality in adolescents.
“consistent with findings of other studies demonstrating that family intervention and Cognitive Behavior Therapy (CBT) contribute to reductions in suicidality in adolescents (e.g.Asarnow, Hughes, Babeva, & Sugar, 2017;Esposito-Smythers, Spirito, Hahler, Hunt, & Monti, 2011).”
From The rapid stabilization pathway: impact of a brief inpatient intervention on the length of stay and readmissions among psychiatrically hospitalized adolescents (2023) · cites this paper as Esposito-Smythers, Spirito, Hahler, Hunt, & Monti, 2011
Esposito-Smythers et al demonstrated the effectiveness of a protocol that included cognitive behavioral therapy for SUD, individual cognitive behavioral therapy for depression and suicidality, and family skills training.
“Esposito-Smythers et al [22] demonstrated the effectiveness of a protocol that included cognitive behavioral therapy (CBT) for SUD, individual CBT for depression and suicidality, and family skills training.”
From Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment Development Study (2024) · cites this paper as [22]
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“These indicated approaches typically identify adolescents in need of services after an attempt (e.g., Esposito-Smythers et al., 2011), and thus they may fail to identify the estimated 74% of youth suicide decedents who die on the first attempt (Groholt, Ekeberg, Wichstrom, & Haldorsen, 1997).”
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“Building on the success of their prior small trial in which an integrated CBT for youths with substance use disorders plus SI or SAs led to significantly fewer SAs compared to usual care (Esposito-Smythers et al., 2011), Esposito-Smythers et al.”
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Future Directions for the Study of Suicide and Self-Injury
Nock, M. K. (2012) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2012.652001 · Cited by 87 · see citing works
Makol, B. A., Reyes, A. D. L., Ostrander, R. S., & Reynolds, E. K. (2019) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-019-00540-7 · Cited by 86 · see citing works
The ebb and flow of the wish to live and the wish to die among suicidal military personnel.
Bryan, C. J., Rudd, M. D., Peterson, A. L., Young-McCaughan, S., & Wertenberger, E. G. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.05.049 · Cited by 82 · see citing works
Association between insufficient sleep and suicidal ideation among adolescents.
Baiden, P., Tadeo, S., Tonui, B. C., Seastrunk, J. D., & Boateng, G. O. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2019.112579 · Cited by 74 · see citing works
Esposito‐Smythers, C., Wolff, J. C., Liu, R. T., Hunt, J. I., Adams, L., Kim, K., Frazier, E. A., Yen, S., Dickstein, D. P., & Spirito, A. (2019) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13095 · Cited by 75 · see citing works
“The lack of differential effects was surprising due to the strong results of the initial study (Esposito-Smythers et al., 2011).”
ResultSelf-citationDobias, M., Schleider, J. L., Jans, L. K., & Fox, K. R. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103983 · Cited by 74 · see citing works
Couple and family therapy for substance use disorders: Evidence‐based update 2010–2019
Hogue, A., Schumm, J. A., MacLean, A., & Bobek, M. (2021) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12546 · Cited by 74 · see citing works
Family-Based Crisis Intervention With Suicidal Adolescents: A Randomized Clinical Trial
Wharff, E. A., Ginnis, K. B., Ross, A. M., White, E. M., White, M. T., & Forbes, P. W. (2019) · Pediatric Emergency Care · doi:10.1097/pec.0000000000001076 · Cited by 76 · see citing works
“Of those reflected in the literature, most take place in outpatient,(3,4) home,(5) or inpatient settings.(6) Evidence indicates that family processes are critical to adolescent suicidal interventions(3,7,8); however, access and delivery of treatment can be problematic.”
BackgroundCole-Lewis, Y., Gipson, P. Y., Opperman, K. J., Arango, A., & King, C. A. (2016) · Journal of Religion and Health · doi:10.1007/s10943-016-0194-y · Cited by 70 · see citing works
Kennard, B. D., Biernesser, C. L., Wolfe, K. L., Foxwell, A. A., Lee, S. J. C., Rial, K. V., Patel, S., Cheng, C., Goldstein, T. R., McMakin, D. L., et al. (2015) · Journal of Technology in Human Services · doi:10.1080/15228835.2015.1106384 · Cited by 67 · see citing works
Family processes: risk, protective and treatment factors for youth at risk for suicide.
Diamond, G., Kodish, T., Ewing, E. S. K., Hunt, Q. A., & Russon, J. M. (2022) · Aggression and Violent Behavior · doi:10.1016/j.avb.2021.101586 · Cited by 70 · see citing works
O'Connor, E. J., Gaynes, B. N., Bu, B., Williams, C., & Ep, W. (2013) · Cited by 64 · see citing works
Suicidal ideation and substance use among adolescents and young adults: A bidirectional relation?
Zhang, X., & Wu, L.-T. T. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.05.025 · Cited by 63 · see citing works
“Available data showed that the integrated treatment was ssociated with significant improvement in both substance use and uicidal behaviors (Esposito-Smythers et al., 2011).”
BackgroundFamily environment as a moderator of the association between anxiety and suicidal ideation
Machell, K. A., Rallis, B. A., & Esposito-Smythers, C. L. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.03.002 · Cited by 62 · see citing works
Self-citationEvidence-Based Interventions for Youth Suicide Risk
Busby, D. R., Hatkevich, C., McGuire, T. C., & King, C. A. (2020) · Current Psychiatry Reports · doi:10.1007/s11920-020-1129-6 · Cited by 59 · see citing works
Bahji, A., Pierce, M., Wong, J., Roberge, J. N., Ortega, I., & Patten, S. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.6614 · Cited by 60 · see citing works
Asarnow, J. R., Babeva, K. N., & Horstmann, E. (2017) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2017.05.002 · Cited by 58 · see citing works
Asarnow, J. R., & Miranda, J. M. (2014) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032813-153742 · Cited by 56 · see citing works
Sinyor, M., Williams, M., Mitchell, R. H. B., Zaheer, R., Bryan, C. J., Schaffer, A., Westreich, N., Ellis, J., Goldstein, B. I., Cheung, A., et al. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.01.178 · Cited by 54 · see citing works
Czyz, E. K., King, C. A., Prouty, D., Micol, V. J., Walton, M., & Nahum‐Shani, I. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13383 · Cited by 54 · see citing works
Sellers, C. M., Iriarte, A. D.-V., Battalen, A. W., & O’Brien, K. H. M. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.02.006 · Cited by 53 · see citing works
Oppenheimer, C. W., Glenn, C. R., & Miller, A. B. (2022) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2022.2051526 · Cited by 58 · see citing works
“In addition to DBT-A, two other interventions have shown promise for reducing suicide attempts in adolescents (e.g., integrated family therapy: Asarnow et al., 2017; integrated cognitive behavioral therapy: Esposito-Smythers et al., 2011).”
BackgroundWolff, J. C., Frazier, E. A., Weatherall, S. L., Thompson, A. D., Liu, R. T., & Hunt, J. I. (2018) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2017.0135 · Cited by 46 · see citing works
“The present study aimed to adapt an empirically supported CBT manual (Esposito-Smythers et al. 2011) for use with acute adolescent inpatients with a broad range of psychopathology within the time constraints of a brief hospital stay, and to assess whether implementation of this adapted manual is…”
Self-citationGodley, S. H., Smith, J. E., Passetti, L. L., & Subramaniam, G. (2014) · Substance Abuse · doi:10.1080/08897077.2014.936993 · Cited by 42 · see citing works
Meza, J. I., Zullo, L., Vargas, S. M., Ougrin, D., & Asarnow, J. R. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13780 · Cited by 42 · see citing works
Padmanathan, P., Hall, K., Moran, P., Jones, H. E., Gunnell, D., Carlisle, V., Lingford-Hughes, A., & Hickman, M. (2020) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2019.152135 · Cited by 41 · see citing works
Miller, A. B., Esposito-Smythers, C. L., & Leichtweis, R. N. (2015) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12196 · Cited by 41 · see citing works
Self-citationWeinstein, S. M., Cruz, R. A., Isaia, A., Peters, A. T., & West, A. E. (2017) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12416 · Cited by 41 · see citing works
“Psychosocial treatments that have shown greater efficacy for suicidal thoughts or behaviors versus control were specifically designed to treat suicidality and related risk factors (e.g., Diamond et al., 2010; Esposito-Smythers et al., 2011; Pineda & Dadds, 2013; Rossouw & Fonagy, 2012).”
Spirito, A., Wolff, J. C., Seaboyer, L. M., Hunt, J., Esposito-Smythers, C. L., Nugent, N. R., Zlotnick, C., & Miller, I. (2014) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2013.0130 · Cited by 39 · see citing works
“Adolescent CBT was based on protocols used in prior clinical trials with depressed adolescents (March et al. 2004; Vitiello et al. 2006; Brent et al. 2008; Kennard et al. 2009; Lewis et al. 2010; Esposito-Smythers et al. 2011).”
MethodSelf-citationLee, C. M., Kilmer, J. R., Neighbors, C., Cadigan, J. M., Fairlie, A. M., Patrick, M. E., Logan, D. E., Walter, T., & WHITE, H. R. (2020) · Prevention Science · doi:10.1007/s11121-020-01171-x · Cited by 39 · see citing works
Morley, K. C., Sitharthan, G., Haber, P. S., Tucker, P., & Sitharthan, T. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0035310 · Cited by 39 · see citing works
“This may indicate the need to strengthen strategies to increase engagement in the cannabis-using, younger clientele, as demonstrated recently by Esposito-Smythers et al. (2011) employing parental and family training in a CBT package.”
BackgroundFuture Directions in Research on Psychotherapy for Adolescent Depression
Curry, J. F. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.904233 · Cited by 38 · see citing works
Labelle, R. J., Pouliot, L., & Janelle, A. (2015) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0039159 · Cited by 37 · see citing works
Master Clinician Review: Saving Holden Caulfield: Suicide Prevention in Children and Adolescents
Brent, D. A. (2018) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.05.030 · Cited by 37 · see citing works
Jelalian, E., Jandasek, B. N., Wolff, J. C., Seaboyer, L. M., Jones, R. N., & Spirito, A. (2016) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1163705 · Cited by 36 · see citing works
Self-citationPsychological and neurobiological aspects of suicide in adolescents: Current outlooks
Vargas‐Medrano, J., Diaz-Pacheco, V., Castaneda, C. A., Miranda-Arango, M., Longhurst, M. O., Martin, S. L., Ghumman, U., Mangadu, T., Chheda, S., Thompson, P. M., et al. (2020) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2020.100124 · Cited by 35 · see citing works
“Suicide is a complex behavior with multiple factors associated with social isolation, mental illness, alcohol abuse, substance use disorder, family-related events (Esposito-Smythers et al., 2011; Ganz and Sher, 2009).”
Prioritizing Research to Reduce Youth Suicide and Suicidal Behavior
Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Grupp-Phelan, J., & Campo, J. V. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.001 · Cited by 34 · see citing works
Mereish, E. H., & Miranda, R. (2019) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.14055 · Cited by 34 · see citing works
Witt, K., Chitty, K. M., Wardhani, R., Värnik, A., Leo, D. D., & Kõlves, K. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108885 · Cited by 34 · see citing works
Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.
Mann, J., Michel, C. A., & Auerbach, R. (2023) · Focus · doi:10.1176/appi.focus.23021004 · Cited by 476 · see citing works
“In substance use disorders, CBT has been reported to reduce attempt frequency comparedwith treatment as usual in adolescents (92) but not in adults (93).”
Review of family‐based treatments from 2010 to 2019 for suicidal ideation and behavior
Frey, L. M., Hunt, Q. A., Russon, J. M., & Diamond, G. (2022) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12568 · Cited by 32 · see citing works
Babowitch, J. D., & Antshel, K. M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.04.018 · Cited by 30 · see citing works
Yuan, S. N. V., Kwok, R. K. H., & Ougrin, D. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00104 · Cited by 31 · see citing works
“The remaining articles were screened for abstract and 27 articles were examined for full-text (Cotgrove et al., 1995; Harrington et al., 1998; Wood et al., 2001; Spirito et al., 2002; Huey et al., 2004; Donaldson et al., 2005; King et al., 2006, 2009; Chanen et al., 2008; Hazell et al., 2009; Schuppert et al., 2009, 2…”
BackgroundMethodInfluentialBabeva, K. N., Klomhaus, A. M., Sugar, C. A., Fitzpatrick, O. M., & Asarnow, J. R. (2019) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12573 · Cited by 31 · see citing works
A. Hulvershorn, L., D. Quinn, P., & L. Scott, E. (2015) · Current Drug Abuse Reviews · doi:10.2174/1874473708666150514102745 · Cited by 30 · see citing works
“Indeed, an integrated CBT has been developed specifically for adolescents with SUDs and suicidality (57).”
Esposito-Smythers, C. L., Hadley, W. S., Curby, T. W., & Brown, L. K. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.11.005 · Cited by 30 · see citing works
Self-citationRethinking Suicidal Behavior Disorder
Obegi, J. H. (2018) · Crisis · doi:10.1027/0227-5910/a000543 · Cited by 35 · see citing works
Treatments for Self-Injurious Thoughts and Behaviors in Youth: Progress and Challenges
Bettis, A. H., Liu, R. T., Walsh, B., & Klonsky, E. (2020) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2020.1806759 · Cited by 20 · see citing works
“Empirical evidence for the efficacy of these CBT-based approaches remains mixed, and suggests a combination of individual and family-based CBT is most promising for reducing SITBs in youth (Alavi et al., 2013; Glenn et al., 2019; Esposito-Smythers et al., 2006, 2011; Robinson et al., 2015).”
BackgroundKruzan, K. P., Meyerhoff, J., Biernesser, C. L., Goldstein, T. R., Reddy, M. C., & Mohr, D. C. (2021) · JMIR Mental Health · doi:10.2196/31367 · Cited by 30 · see citing works
“The confirmatory questions probed the perceived importance of, and elicited contextual information on, core evidence-based treatment targets common to suicide prevention interventions [40-45].”
Hogue, A., Bobek, M., MacLean, A., Miranda, R., Wolff, J. C., & Jensen‐Doss, A. (2020) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2019.12.002 · Cited by 28 · see citing works
“When new skills are taught to parents, they are practiced in relation to parenting behavior (Esposito-Smythers et al., 2011).”
BackgroundSaving Lives: Recognizing and Intervening with Youth at Risk for Suicide
Arango, A., Gipson, P. Y., Votta, J. G., & King, C. A. (2021) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081219-103740 · Cited by 28 · see citing works
Conner, K. R., Wyman, P. A., Goldston, D. B., Bossarte, R. M., Lu, N., Kaukeinen, K. A., Tu, X. M., Houston, R. J., Lamis, D. A., Chan, G., et al. (2014) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2014.952009 · Cited by 27 · see citing works
“Along these lines, data show that interventions designed to strengthen parent–child relationships can prevent suicidal behavior (Esposito-Smythers et al., 2011; Pineda & Dadds, 2013) and show an effect over and above rigorous individual-level intervention (Diamond et al.”
Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors.
Duarté‐Vélez, Y., Dávila, P. T., Spirito, A., Polanco-Frontera, N., & Bernal, G. (2016) · Psychotherapy · doi:10.1037/pst0000044 · Cited by 26 · see citing works
“The second protocol had positive outcomes in reducing suicide attempts in adolescents with major depression, substance abuse, and suicidality (Esposito-Smythers et al., 2011), but had not been translated into Spanish, nor adapted or tailored to the needs of Latino/a adolescents or other minority…”
BackgroundSelf-citationSellers, C. M., McRoy, R. G., & O'Brien, K. H. M. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.01.021 · Cited by 25 · see citing works
Defayette, A. B., Adams, L. M., Whitmyre, E. D., Williams, C. A., & Esposito-Smythers, C. L. (2019) · Archives of Suicide Research · doi:10.1080/13811118.2019.1635931 · Cited by 25 · see citing works
“Further, treatment services are often underutilized for reasons such as fear of stigma, cultural perceptions of therapeutic services, and structural barriers, among others (Esposito-Smythers et al., 2011a).”
BackgroundSelf-citationA Trauma-Informed Approach to Youth Suicide Prevention and Intervention
Tunno, A. M., Inscoe, A. B., Goldston, D. B., & Asarnow, J. R. (2021) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2021.1923089 · Cited by 24 · see citing works
“…behavior and self-harm urges/behavior include cognitive-behavior based interventions with strong family components (Asarnow et al., 2015; McCauley et al., 2018; Mehlum et al., 2014; Esposito-Smythers et al., 2011; for reviews, see Glenn et al., 2018; Iyenger et al., 2018; Ougrin et al., 2015).”
BackgroundScreening, Brief Intervention, and Referral to Treatment
Borus, J. S., Parhami, I., & Levy, S. (2016) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2016.05.001 · Cited by 23 · see citing works
Hogue, A., Bobek, M., Levy, S., Henderson, C. E., Fishman, M. J., Becker, S. J., Dauber, S. E., Porter, N., & Wenzel, K. R. (2021) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12499 · Cited by 24 · see citing works
“…partners (e.g., behavioral couple therapy; see O’Farrell et al., 2017) or among other family members (e.g., behavioral family therapy; see Donohue et al., 2014), as well as discrete protocols for teaching granular parenting skills or family interaction skills (e.g., Esposito-Smythers et al., 2011).”
BackgroundThe potential use of CAMS for suicidal youth: building on epidemiology and clinical interventions
Jobes, D. A., Vergara, G. A., Lanzillo, E. C., & Ridge-Anderson, A. (2019) · Children s Health Care · doi:10.1080/02739615.2019.1630279 · Cited by 23 · see citing works
“…substance use disorders revealed that while both I-CBT (modified to include parent-training and family therapy) and enhanced standard care (ESC) led to reductions in suicidal ideation, I-CBT had significantly lower rates of suicide attempts at 18-month follow-up (Esposito-Smythers et al., 2011).”
BackgroundKim, E., Kim, H., & Park, E. (2020) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12610 · Cited by 24 · see citing works
Cüceler, S., Yılmaz, M., & Türkleş, S. (2021) · Journal of Dependence · doi:10.51982/bagimli.958710 · Cited by 23 · see citing works
“Psikolog araştırmacıların yaptığı bir başka randomize klinik çalışmada ise, madde bağımlılığı ve intihar eğilimi olan ergenler için bir bilişsel davranışçı tedavi (BDT) protokolü test edilmiş ve çalışma sonucunda, entegre BDT alan ergenlerin madde kullanımı ve intihar davranışında anlamlı iyileşme görüldüğü, psikiyatr…”
Life is Precious: A Community-Based Program to Reduce Suicidal Behavior in Latina Adolescents
Humensky, J. L., Coronel, B., Gil, R. M., Mazzula, S. L., & Lewis‐Fernández, R. (2016) · Archives of Suicide Research · doi:10.1080/13811118.2016.1242442 · Cited by 23 · see citing works
O’Brien, K. H. M., Wyman Battalen, A., Sellers, C. M., Spirito, A., Yen, S., Maneta, E., Ryan, C. A., & Braciszewski, J. M. (2019) · Journal of Technology in Human Services · doi:10.1080/15228835.2018.1561347 · Cited by 22 · see citing works
Self-citationSinger, J. B., O’Brien, K. H. M., & LeCloux, M. (2016) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-016-0453-5 · Cited by 22 · see citing works
Overall goal of Cognitive-Behavioral Therapy in Major Psychiatric Disorders and Suicidality
Serafini, G., Costanza, A., Aguglia, A., Amerio, A., Placenti, V., Magnani, L., Escelsior, A., Sher, L., & Amore, M. (2022) · Medical Clinics of North America · doi:10.1016/j.mcna.2022.05.006 · Cited by 27 · see citing works
Working With the Suicidal Client Who Also Abuses Substances
Esposito-Smythers, C. L., Walsh, A., Spirito, A., Rizzo, C. J., Goldston, D. B., & Kaminer, Y. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2010.11.004 · Cited by 22 · see citing works
“Next, we provide a case example and demonstrate how to apply an integrated I-CBT protocol (Esposito-Smythers et al., 2010) to this case.”
MethodSelf-citationSantel, M., Neuner, F., Berg, M., Steuwe, C., Jobes, D. A., Driessen, M., & Beblo, T. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1038302 · Cited by 21 · see citing works
Cognitive Therapy for Suicidal Patients: Current Status.
Wenzel, A. E., & Jager‐Hyman, S. (2012) · PubMed · Cited by 21 · see citing works
Arora, P. G., & Persaud, S. (2019) · International Journal of School & Educational Psychology · doi:10.1080/21683603.2019.1578313 · Cited by 21 · see citing works
O’Brien, K. H. M. M., & Berzin, S. C. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00102.x · Cited by 21 · see citing works
- Authors
- Esposito-Smythers, C., Spirito, A., Kahler, C. W., Hunt, J., & Monti, P.
- Affiliations
- George Mason University (US)
- Brown University (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2011-12
- Volume
- 79
- Issue
- 6
- Pages
- 728-739
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC3226923
- OpenAlex
- W2169253176
- Cited by
- 254
- References
- 40
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 11 · 2023: 21 · 2022: 21 · 2021: 33 · 2020: 22 · 2019: 23 · 2018: 17 · 2017: 11 · 2016: 20 · 2015: 13 · 2014: 26 · 2013: 12 · 2012: 3
- FWCI
- 10.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA014191)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- adolescent substance use disorders, suicidality, co-occurring disorders, cognitive behavioral therapy, alcohol consumption, cannabis use, suicide attempts, psychiatric hospitalization, emergency department visits, functional disability, suicidal ideation
- MeSH terms
- Adolescent, Major Depressive Disorder, Female, Humans, Male, Suicide, Attempted, Cognitive Behavioral Therapy, Treatment Outcome, Substance-Related Disorders, Suicidal Ideation
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