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Completed

NCT Number: NCT01398891

Development of a Positive Psychology Intervention to Reduce Suicide Risk

This pilot study will recruit patients admitted to the inpatient psychiatric unit at MGH for suicidal ideation or a suicide attempt. Inclusion criteria will be broad to increase enrollment rates and obtain information for patients with a wide range of diagnoses and illness severity. Enrolled subjects will complete randomly-selected positive psychology exercises daily (on weekdays) until discharge and will rate the exercises in multiple domains. Subjects' participation will be complete at the end of their admission or when all exercises have been completed, whichever comes first.

Overall, our goal is to assess the acceptability and utility of eight possible positive psychology interventions related to gratitude, optimism, kindness, mindfulness, recollection, and forgiveness in suicidal inpatients.

This is a single-arm study, completed with patients who have been admitted to the hospital for suicidal ideation or a suicide attempt. It is aimed at developing a positive psychology treatment aimed at suicidal patients. The study consists of serial completion of different positive psychology exercises, once daily, during admission, to get subjects' input on their feasibility and impact. This will allow us to work collaboratively to identify the specific exercises that best fit this population. Subjects' participation ends when they are discharged from the hospital. The investigators plan to enroll 30 subjects at MGH (and total) in this study.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult (age 18 and older) admitted to inpatient psychiatric unit at Massachusetts General Hospital
  • Suicidal ideation at time of admission OR
  • Admission occurring in context of suicide attempt
  • Ability to read and write in English

Exclusion criteria

  • Psychotic symptoms
  • Cognitive disorder

Treatment and study plan

Positive Psychology Exercises

Other

At each session, the interventionalist will prepare the subject to complete a randomly-selected positive psychology exercise, lasting approximately 20 minutes, within the next 24 hours. He or she will describe the rationale for the exercise and the details of the exercise, and will answer any questions. A sheet with written instructions (matching the verbal instructions) for the exercise will be provided, with space for recording the exercise and an area to provide ratings on the exercise. On the following day, the interventionalist will review the prior day's exercise (and record whether it was completed). The exercises will be completed daily on weekdays for a maximum of 8 days.

Primary outcomes

  1. Completion of exercises

    Time frame: Every 24 hours until all exercises administered or discharge occurs

    Exercises assigned each day and assessed for completion the next day (a total of eight exercises)

Secondary outcomes

  1. Optimism

    Time frame: Baseline and on the date of discharge (average length of admission= 2 weeks)

    Life Orientation Test-Revised

  2. Feasibility and utility of exercises

    Time frame: Assessed within 24 hours of exercise completion

    Self-report using Likert scale

  3. Hopelessness

    Time frame: Baseline and on the date of discharge (average length of admission=2 weeks)

    Beck Hopelessness Scale

Sponsors and collaborators

Lead sponsor

Massachusetts General Hospital

Other

Registry information

Acronym: HOPE

Important dates

Study start
2011
Primary completion
2013
Study completion
2013
First posted
Jul 21, 2011
Registry last updated
Mar 5, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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