Cited by 106Suicide and Self-Harm StudiesSubstance Abuse Treatment and OutcomesPsychiatric care and mental health services

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Motivational Interviewing-Enhanced Safety Planning for Adolescents at High Suicide Risk: A Pilot Randomized Controlled Trial

Czyz, E. K., King, C. A., Biermann, B. J.·2019·Journal of Clinical Child & Adolescent Psychology

DOI 10.1080/15374416.2018.1496442

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Abstract

This pilot randomized controlled trial examined the feasibility and acceptability of a motivational interview (MI)-enhanced safety planning intervention (MI-SafeCope) for teens hospitalized due to suicide risk and explored proximal outcomes (possible mechanisms of change). Participants were 36 hospitalized adolescents (ages 13-17; 78.8% female) with last-week suicidal ideation and/or past-month suicide attempts. Adolescents were randomized to MI-SafeCope, a three-component intervention (individual and family sessions, postdischarge call), or to treatment as usual. Primary outcomes were feasibility and acceptability. We also explored differences in proximal outcomes assessed at 2 weeks, 1 month, and 3 months (family connectedness, motivation for safety plan use, parental motivation to encourage safety plan use), as well as daily for 4 weeks (self-efficacy, coping behavior, safety plan use). Participation and retention rates and intervention satisfaction ratings indicate feasibility and acceptability. Mixed-effects models of daily assessments indicated, for the MI-SafeCope group, significantly higher self-efficacy to refrain from suicidal action (B = 1.15, p = .030), greater reliance on self to cope with suicidal ideation (B = 1.56, p = .042), and higher likelihood of safety plan use to manage suicidal thoughts (B = 0.25, p = .004). Parents in the MI-SafeCope group reported higher motivation to encourage safety plan use (B = 1.04, p = .031). Safety planning incorporating MI is feasible and acceptable with hospitalized teens. Preliminary findings suggest that MI strategies may be promising in maintaining adherence to safety plans, increasing self-efficacy and coping, and in fostering parents' motivation to encourage safety plan use. Our study also highlights the benefit of daily-level assessment of individuals' response to suicide-specific interventions.

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Authors: Czyz, E. K., King, C. A., & Biermann, B. J.
Affiliations: University of Michigan (US)
Corresponding author: Czyz, E. K.
ORCID: Czyz, E. K.
King, C. A.
Venue: Journal of Clinical Child & Adolescent Psychology
Publisher: Informa UK Limited
Published: 2018-08-24
Volume: 48
Issue: 2
Pages: 250-262
ISSN: 1537-4416 (ISSN-L)
1537-4424
DOI: 10.1080/15374416.2018.1496442
OpenAlex: W2888450918
Cited by: 105
References: 72
Citations by year: 2026: 10 · 2025: 11 · 2024: 14 · 2023: 17 · 2022: 17 · 2021: 19 · 2020: 10 · 2019: 4 · 2018: 2
FWCI: 10.30
Type: journal article
Language: en
Open access: closed
Locations: Journal of Clinical Child & Adolescent Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: American Foundation for Suicide Prevention (PDF-0-028-14)
Michigan Institute for Clinical and Health Research (Postdoctoral Translational Scholar Program)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords: motivational interviewing, safety planning, adolescents, suicide risk, suicidal ideation, suicide attempts, hospitalized adolescents, self-efficacy, coping styles, family involvement, parental motivation, intervention feasibility and acceptability
MeSH terms: Adolescent, Female, Humans, Male, Pilot Projects, Suicide, Attempted, Motivational Interviewing

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Motivational Interviewing-Enhanced Safety Planning for Adolescents at High Suicide Risk: A Pilot Randomized Controlled Trial

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