Evidence map›Paper›PMID 30021457›Full record

Trial reportThe American journal of psychiatry2018

As Safe as Possible (ASAP): A Brief App-Supported Inpatient Intervention to Prevent Postdischarge Suicidal Behavior in Hospitalized, Suicidal Adolescents.

Betsy D Kennard, Tina Goldstein, Aleksandra A Foxwell, Dana L McMakin, Kristin Wolfe, Candice Biernesser, Alexandra Moorehead, Antoine Douaihy, Lucas Zullo, Erin Wentroble and 5 more

Erratum issued 2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The American journal of psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 68 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 20 pooled it
14.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02272179 phase1completednot on this map

Brief Intervention for Suicide Risk Reduction in High Risk Adolescents

TypeinterventionalSponsorUniversity of PittsburghRan2014 to 2017Enrolled68ConditionsAdolescent BehaviorArmsAs Safe As Possible, Brite, Treatment as Usual
NCT03825588 nacompletednot on this mapstarted 2019, after this paper: background citation

As Safe As Possible (ASAP): A Balanced, Two-by-Two Design To Test Conjoint and Unique Efficacy of an Inpatient Intervention and an Emotion Regulation/Safety Planning App in Preventing Suicide Attempts Post-Discharge

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2019 to 2022Enrolled241ConditionsSuicidal Ideation, Suicide, AttemptedArmsASAP (As Safe As Possible), BRITE smart phone app, TAU (treatment as usual)
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 20 syntheses or guidelines pooled it, 158 citations in OpenAlex.

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  10. A Systematic Review of Mobile Apps as an Adjunct to Psychological Interventions for Emotion Dysregulation.International journal of environmental research and public health · 2023
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  14. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
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  18. Psychological therapies for people with borderline personality disorder.The Cochrane database of systematic reviews · 2020
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Betsy D KennardFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Tina GoldsteinFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Aleksandra A FoxwellFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Dana L McMakinFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Kristin WolfeFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Candice BiernesserFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Alexandra MooreheadFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Antoine DouaihyFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Lucas ZulloFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Erin WentrobleFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Victoria OwenFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Jamie ZelaznyFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Satish IyengarFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
Giovanna PortaFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
David BrentFrom the Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas; the Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center; Children's Health Medical Center, Dallas; the Department of Statistics, University of Pittsburgh; and Florida International University, Miami.
The University of Texas Southwestern Medical Center · US

Funding

2/2 Brief Intervention for Suicide Risk Reduction in High Risk AdolescentsR34MH100375 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI KENNARD, BETH D · 2014 to 2016
$636k
NIMH NIH HHS R34 MH100375
6 · The paper itself

Abstract

objectiveThe authors report on a pilot study of an inpatient intervention for suicidal adolescents, As Safe as Possible (ASAP), supported by a smartphone app (BRITE) to reduce suicide attempts following hospital discharge.

methodAcross two sites, 66 adolescents hospitalized for suicidal ideation (N=26) or a recent suicide attempt (N=40) were randomly assigned to the ASAP intervention program plus treatment as usual or to treatment as usual alone. ASAP, which focuses on emotion regulation and safety planning, is a 3-hour intervention delivered on the inpatient unit. The BRITE app prompted participants to rate their level of emotional distress on a daily basis and provided personalized strategies for emotion regulation and safety planning. A blind, independent evaluator assessed suicide attempts following hospital discharge and suicidal ideation at 4, 12, and 24 weeks after discharge.

resultsThe ASAP intervention did not have a statistically significant effect on suicide attempt, although findings were in the hypothesized direction for occurrence of an attempt (16% compared with 31%; χ

conclusionsThe ASAP intervention program shows promise in reducing the incidence of postdischarge suicide attempts among adolescents hospitalized for suicidality and merits further study.

Indexed as

Mobile ApplicationsSuicide PreventionAdolescentChildFemaleHumansInpatientsMaleStress, PsychologicalSuicidal IdeationSuicideSuicide, AttemptedAdolescentsInpatient InterventionPhone ApplicationSuicide Prevention

Identifiers

PMID30021457
PMCPMC6169524
OpenAlexW2883970607

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.