Top

01-10-2022 | Original Article

Socio-Cognitive Behavioral Therapy for Latinx Adolescent with Suicidal Behaviors: A Pilot Randomized Trial

Auteurs: Yovanska Duarté-Vélez, Gisela Jimenez-Colon, Richard N. Jones, Anthony Spirito

Gepubliceerd in: Child Psychiatry & Human Development

Abstract

Evidence-based treatment for Latinx/Hispanic (L/H) with suicidal behaviors (SB) is scarce. This study evaluated the acceptability and preliminary efficacy of a socio-cognitive-behavioral therapy protocol for SB (SCBT-SB) with L/H adolescents and the feasibility of conducting a randomized controlled trial (RCT) of SCBT-SB compared to treatment-as-usual (TAU). A pilot RCT was conducted with 46 L/H teens. The target outcomes included suicidal ideation (SI), suicide attempts (SAs), and depressive/internalizing symptoms. Results indicated that the SCBT-SB was acceptable and an RCT with diverse L/H families is feasible to implement. Within group analyses showed reductions over time for each group in SI and depressive/internalizing symptoms. Intent-to-treat between-group analyses showed a medium effect for the SCBT-SB at the twelve-month follow-up for depressive/internalizing symptoms and a large effect for SA. Although results must be interpreted cautiously given the small sample size, outcomes suggest that SCBT-SB may be a promising psychosocial treatment for depressive/internalizing symptoms, and SAs in L/H youth.

U.S. Census Bureau, QuickFacts United States. 2019. https://www.census.gov/quickfacts/fact/table/US/PST045219.

Heron M (2019) Deaths: leading causes for 2017. Natl Vital Stat Rep 68(6):1–77PubMed

Ivey-Stephenson AZ et al (2020) Suicidal ideation and behaviors among high school students—youth risk behavior survey, United States, 2019. MMWR 69(1):47–55CrossRef

Duarté-Vélez Y, Vélez-Grau C, Álvarez K (2021) Psychosocial treatments for ethnoculturally diverse youth with suicidal thoughts and behaviors. In: Miranda R, Jeglic EL (eds) Handbook of youth suicide prevention: integrating research into practice. Springer Nature Switzerland AG

Curtin SC, Hedegaard, H (2019)Suicide rates for females and males by race and ethnicity: United States, 1999 and 2017.

Johns MM et al (2020) Trends in violence victimization and suicide risk by sexual identity among high school students—youth risk behavior survey, United States, 2015–2019. MMWR 69(1):19–27CrossRef

Price-Feeney M, Green AE, Dorison S (2020) Understanding the mental health of transgender and nonbinary youth. J Adolesc Health 66(6):684–690CrossRef

Bernal G et al (2019) Can Cognitive-behavioral therapy be optimized with parent psychoeducation? A randomized effectiveness trial of adolescents with major depression in Puerto Rico. Fam Process 58(4):832–854CrossRef

Berk MS et al (2020) Implementation of dialectical behavior therapy with suicidal and self-harming adolescents in a community clinic. Arch Suicide Res 24(1):64–81CrossRef

10.

Smith TB, Domenech-Rodríguez M, Bernal G (2011) Culture. In: Norcross S (ed) Psychoterapy reationships that work. Oxford Press, London, pp 316–335CrossRef

11.

Gulbas LE, Zayas LH (2015) Examining the interplay among family, culture, and Latina teen suicidal behavior. Qual Health Res 25(5):689–699CrossRef

12.

Kuhlberg JA, Peña JB, Zayas LH (2010) Familism, parent-adolescent conflict, self-esteem, internalizing behaviors and suicide attempts among adolescent Latinas. Child Psychiatry Hum Dev 41(4):425–440CrossRef

13.

Duarte-Velez Y, Jones RN, Spirito A (2017) Understanding suicidal ideation in Latino/a adolescents living in Puerto Rico. Arch Suicide Res 22(4):569–583CrossRef

14.

Duarte-Velez Y et al (2016) Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors. Psychotherapy 53(1):45–56CrossRef

15.

Rosselló J, Bernal G (1999) The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents. J Consult Clin Psychol 67:734–745CrossRef

16.

Rosselló J et al (2011) Ideación suicida y respuesta a la terapia cognitiva conductual en adolescentes puertorriqueños/as con depresión mayor [Suicide ideation and treatment response in Puerto Rican adolescents with depression]. Inter Am J Psychol 45(3):321–330

17.

Esposito-Smythers C et al (2011) Treatment of co-occurring substance abuse and suicidality among adolescents: a randomized trial. J Consult Clin Psychol 79(6):728–739CrossRef

18.

Duarte-Velez Y et al (2018) Socio-cognitive behavioral therapy for suicidal behavior with a Puerto Rican male adolescent. Evidence-Based Practice in Child & Adolescent Mental Health 3:81–97CrossRef

19.

Duarté-Vélez Y et al. (In Progress) Clinicians’ perspective on Latinx adolescents with suicidal behaviors and their families: identity and challenges in the USA.

20.

Rounsaville BJ, Carroll KM, Onken LS (2001) A stage model of behavioral therapies research: getting started and moving on from stage I. Clin Psychol-Sci Pract 8(2):133–142CrossRef

21.

Kraemer HC et al (2006) Caution regarding the use of pilot studies to guide power calculations for study proposals. Arch Gen Psych 63(5):484–489CrossRef

22.

Young J, Beck AT (1980) Cognitive therapy rating scale manual. University of Pennsylvania, Philadephia

23.

Stout RL, Wirtz PW, Carbonari JP, Del Boca FK (1994) Ensuring balanced distribution of prognostic factors in treatment outcome research. J Stud Alcohol 12:70–75CrossRef

24.

DeBellis MD (2001) Development traumatology: the psychobiological development of maltreated children and its implications for research, treatment, and policy. Dev Psychopathol 13(3):539–564CrossRef

25.

Weller EB et al (2000) Children’s interview for psychiatric syndromes (ChIPS). J Am Acad Child Adolesc Psych 39(1):76–84CrossRef

26.

Greenfield TK, Attkisson CC (1989) Steps toward a multifactorial satisfaction scale for primary care and mental health services. Eval Program Plann 12(3):271–278CrossRef

27.

Negron R et al (1997) Microanalysis of adolescent suicide attempters and ideators during the acute suicidal episode. J Am Acad Child Adolesc Psych 36(11):1512–1519

28.

Andrusyna TP et al (2001) The factor structure of the working alliance inventory in cognitive-behavioral therapy. J Psychother Pract Res 10(3):173–178PubMedPubMedCentral

29.

Reynolds W (1988) Suicidal ideation questionnaire: professional manual. Psychological Assessment Resources, Odessa, FL

30.

Posner K et al (2007) Columbia-suicide severity rating scale (C-SSRS) in division of metabolism and endocrinology products advisory committee meeting. Columbia University, New York, p 5

31.

Kovacs M (2011) Children’s depression inventory 2nd Edition (CDI 2). Multi-Health Systems Inc, New York

32.

Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms & profiles. University of Vermont, Research Center for Children, Youth, & Families, Burlington, VT

33.

Jacobson NS, Truax P (1991) Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol 59(1):12–19CrossRef

34.

Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, Hillsdale, NJ

35.

Glenn CR et al (2019) Evidence base update of psychosocial treatments for self-injurious thoughts and behaviors in youth. J Clin Child Adolesc Psychol 48(3):357–392CrossRef

36.

Pina AA, Polo AJ, Huey SJ (2019) Evidence-based psychosocial interventions for ethnic minority youth: the 10-year update. J Clin Child Adolesc Psychol 48(2):179–202CrossRef

37.

Asarnow J, Hughes J, Babeva K, Sugar C (2017) Cognitive-behavioral family treatment for suicide attempt prevention: a randomized controlled trial. Am Acad Child Adolesc Psych 56:506–514CrossRef

38.

Diamond GS et al (2010) Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial. J Am Acad Child Adolesc Psych 49(2):122–131

39.

Wolff JC et al (2018) Trajectories of suicidal ideation among adolescents following psychiatric hospitalization. J Abnorm Child Psychol 46(2):355–363CrossRef

Titel: Socio-Cognitive Behavioral Therapy for Latinx Adolescent with Suicidal Behaviors: A Pilot Randomized Trial
Auteurs: Yovanska Duarté-Vélez
Gisela Jimenez-Colon
Richard N. Jones
Anthony Spirito
Publicatiedatum: 01-10-2022
Uitgeverij: Springer US
Gepubliceerd in: Child Psychiatry & Human Development
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI: https://doi.org/10.1007/s10578-022-01439-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen