Innovations in Practice: Intensive crisis intervention for adolescent suicidal ideation and behavior – an open trial
Abstract
Background Adolescent suicide is a major public health concern worldwide. However, evidence regarding the effectiveness of interventions targeting youth suicide risk is limited. The purpose of this study was to assess the feasibility, acceptability, and clinical outcomes of Intensive Crisis Intervention (ICI), a cognitive-behavioral, family-centered treatment that provides an alternative to longer inpatient care. Method Intensive Crisis Intervention was piloted over a two-year period with 50 adolescents (M age = 15.1 years; 86% Female; 78% Caucasian) admitted to an intensive crisis stabilization unit presenting with suicidal ideation and/or attempts. Data were collected at admission, 30 days, and 3 months post-admission to evaluate changes in suicidal ideation and functioning over time. Results Follow-up data were provided by 88% of study participants. At 3 months, the mean Suicidal Ideation Questionnaire-Junior score improved 34.2 points relative to baseline (effect size of 2.2, p Conclusion Study findings set the stage for a larger, randomized controlled trial to examine the efficacy of ICI in targeting suicidal ideation and behavior in adolescents.
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That family-based cognitive behavioral treatment was associated with a decrease in suicidal ideation 3 months postadmission.
“They reported a decrease in suicidal ideation 3 months postadmission, 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 McBee-Strayer et al. (2019)
A family-based cognitive behavioral treatment administered in a short-term acute psychiatric unit for adolescents was feasible and acceptable, with high levels of patient and parent satisfaction.
“Their findings support the feasibility and acceptability of the intervention, with high levels of patient and parent satisfaction.”
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 McBee-Strayer et al. (2019)
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Sams, D. P., Garrison, D., Walsh, P., Maeng, D., & Cross, W. (2023) · Child and Adolescent Mental Health · doi:10.1111/camh.12636 · Cited by 11 · see citing works
- Authors
- McBee‐Strayer, S. M., Thomas, G. V., Bruns, E. M., Heck, K. M., Alexy, E. R., & Bridge, J. A.
- Affiliations
- Nationwide Children's Hospital (US)
- Corresponding author
- McBee‐Strayer, Sandra M.
- Venue
- Child and Adolescent Mental Health
- Publisher
- Wiley
- Published
- 2019-07
- Volume
- 24
- Issue
- 4
- Pages
- 345-349
- ISSN
- 1475-357X (ISSN-L)
- 1475-3588
- OpenAlex
- W2954328458
- Cited by
- 14
- References
- 8
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 4 · 2021: 2 · 2019: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child and Adolescent Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Research Institute, Nationwide Children's Hospital
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- adolescent suicide, suicidal ideation, suicide attempts, cognitive behavioral therapy, family-centered treatment, feasibility and acceptability, functioning, care transitions, customer satisfaction
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