The SAFETY program: A treatment-development trial of a cognitive-behavioral family treatment for adolescent suicide attempters
Open accessAbstract
The purpose of this article is to describe feasibility, safety, and outcome results from a treatment development trial of the SAFETY Program, a brief intervention designed for integration with emergency services for suicide-attempting youths. Suicide-attempting youths, ages 11 to 18, were enrolled in a 12-week trial of the SAFETY Program, a cognitive-behavioral family intervention designed to increase safety and reduce suicide attempt (SA) risk (N = 35). Rooted in a social-ecological cognitive-behavioral model, treatment sessions included individual youth and parent session-components, with different therapists assigned to youths and parents, and family session-components to practice skills identified as critical in the pathway for preventing repeat SAs in individual youths. Outcomes were evaluated at baseline, 3-month, and 6-month follow-ups. At the 3-month posttreatment assessment, there were statistically significant improvements on measures of suicidal behavior, hopelessness, youth and parent depression, and youth social adjustment. There was one reported SA by 3 months and another by 6 months, yielding cumulative attempt rates of 3% and 6% at 3 and 6 months, respectively. Treatment satisfaction was high. Suicide-attempting youths are at high risk for repeat attempts and continuing mental health problems. Results support the value of a randomized controlled trial to further evaluate the SAFETY intervention. Extension of treatment effects to parent depression and youth social adjustment are consistent with our strong family focus and social-ecological model of behavior change.
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FISP is the first session in the evidence-based outpatient intervention SAFETY for youth with a recent suicide attempt.
“FISP is also the first session in an evidence-based outpatient intervention for youth with a recent suicide attempt, SAFETY.65-68”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [65]
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References 32 · Cited by 147
Research works printed but not linked: 1
- U.S. Department of Health and Human Services (USDHHS) National Strategy for Suicide Prevention: Goals and Objectives for Action 2012 23136686
- Authors
- Asarnow, J. R., Berk, M., Hughes, J. L., & Anderson, N. L.
- Affiliations
- University of California, Los Angeles (US)
- The Lundquist Institute (US)
- Corresponding author
- Asarnow, Joan Rosenbaum
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2014-09-25
- Volume
- 44
- Issue
- 1
- Pages
- 194-203
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- PMC
- PMC4289426
- OpenAlex
- W2011474371
- Cited by
- 147
- References
- 32
- Citations by year
- 2026: 10 · 2025: 15 · 2024: 7 · 2023: 9 · 2022: 13 · 2021: 28 · 2020: 8 · 2019: 15 · 2018: 18 · 2017: 9 · 2016: 9 · 2015: 3 · 2014: 3
- FWCI
- 9.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Research reported in this publication was supported by grants from the American Foundation for Suicide Prevention and the National Institute of Mental Health, R34 MH078082. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We thank the youths, families, staff, and colleagues who made this project possible, including Stanley Huey, Ph.D., who consulted on the treatment development, and Donald Guthrie, Ph.D.; Gabrielle Carlson, M.D.; and Mark Rappaport, M.D., who served on our Data Safety & Management Board. ClinicalTrials.gov Identifier: NCT00692302.
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- safety programs, adolescent suicide attempts, suicide prevention, socio-ecological model, parental depression, hopelessness, social adaptation, treatment development, treatment safety and feasibility
- MeSH terms
- Adolescent, Child, Family Therapy, Feasibility Studies, Female, Follow-Up Studies, Humans, Male, Safety, Suicide, Attempted, Program Evaluation, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Suicidal Ideation
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