N/A
Completed N=62
Developing Adaptive Interventions for Suicidal College Students Seeking Treatment - SMART
Source: ClinicalTrials.gov NCT02442869 ↗Enrolled (actual)
62
Serious AEs
6.5%
Results posted
Mar 2021
Primary outcomePrimary: Feasibility/Acceptability: Participation Rate — 18; 29 Participants
Summary
This pilot study tested the feasibility of utilizing an adaptive intervention strategy for college students who are suicidal when first seeking treatment at a campus clinic. Right now, the typical strategy may rely on a "one size fits all" approach, but in fact suicidal students vary greatly on what and how much they need. This study will pave the way for subsequent larger trials for clinical decision making (trying one approach, and if that doesn't work, another) to be empirically developed and tested in a subsequent large-scale multisite trial with the goal of maximizing resources in overburdened college counseling centers. This pilot study followed by a subsequent large-scale trial could eventually significantly impact service delivery to suicidal college students at college counseling centers.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Feasibility/Acceptability: Participation Rate |
18; 29 | — |
| PRIMARY Feasibility/Acceptability: Number of Students Who Declined to Participate in the Study and Why |
23; 7; 62 | — |
| PRIMARY Feasibility/Acceptability: Number of Students Who Were Retained Within Each of the Four Adaptive Treatment Strategies |
13; 20; 6; 1; 3; 2 | — |
| PRIMARY Feasibility/Acceptability: General Time to Drop-out Among Students Who Dropped Out Within Each Arm |
0; 2; 0; 0; 0; 0 | — |
| PRIMARY Feasibility/Acceptability: Fidelity of the CAMS Intervention Delivery by "Real World" CCC Counselors Via the CAMS Rating Scale 3 (CRS.3) |
2; 0; 0; 48; 6; 2 | — |
| PRIMARY Feasibility/Acceptability: Fidelity of the DBT Intervention Delivery by "Real World" CCC Counselors Via the University of Washington DBT Adherence Rating Scale (Linehan & Korslund, 2003) |
0; 1; 4; 2 | — |
| PRIMARY Feasibility/Acceptability: Satisfaction With Treatment as Reported by Student Participants Via the the Client Satisfaction Questionnaire (CSQ-8) |
27.54; 27.96; 27.00; 27.00; 25.00; 28.00 | — |
| PRIMARY Feasibility/Acceptability: Satisfaction With Treatment by Counselors Via the CSQ-8 (Therapist Version) |
26.83; 25.18; 23.33; 21.50; 21.80; 22.00 | — |
| SECONDARY Scale for Suicide Ideation-Current (SSI) |
13.72; 13.79; 7.35; 5.66 | 0.19 |
Eligibility Criteria
Inclusion Criteria
- Enrolled student at the University of Nevada, Reno (UNR)
- Seeking services at Counseling Services at UNR
- 18 to 25 years of age
- Moderate to severe suicidality (indicated by a score of 2 or above (range is 0 "not at all like me" to 4 "extremely like me") on the Counseling Center Assessment of Psychological Symptoms (CCAPS-34; Locke et al., 2012) question, "I have thoughts of ending my life."
Exclusion Criteria
- Individual is deemed inappropriate to receive services at UNR Counseling Services by the intake worker (the primary exclusion criterion).
- Participant cannot have been in treatment at UNR Counseling Services within the previous 3 months.
Data sourced from ClinicalTrials.gov (NCT02442869). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.