Evidence map›Paper›PMID 30768418›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2019

A Randomized Controlled Trial: Attachment-Based Family and Nondirective Supportive Treatments for Youth Who Are Suicidal.

Guy S Diamond, R Roger Kobak, E Stephanie Krauthamer Ewing, Suzanne A Levy, Joanna L Herres, Jody M Russon, Robert J Gallop

Registry-linked trialOpen access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01537419 (Attachment Based Family Therapy), which is not on this map. Cited by 62 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 13 pooled it
16.8field-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.

NCT01537419 nacompletednot on this map

Attachment Based Family Therapy (ABFT) for Suicidal Adolescents

TypeinterventionalSponsorDrexel UniversityRan2012 to 2016Enrolled129ConditionsSuicide, Depression, Family RelationshipsArmsAttachment-Based Family Therapy, Family-Enhanced Non-directive Supportive Therapy
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 13 syntheses or guidelines pooled it, 140 citations in OpenAlex.

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  4. Reducing self-harm in adolescents: the RISA-IPD comprehensive synopsis.Health technology assessment (Winchester, England) · 2026
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  13. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
    Pooled it
  14. Trajectories of parent criticism across treatment for youth self-harm.Journal of child psychology and psychiatry, and allied disciplines · 2025
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  20. Daily emotion contagion in parent-adolescent dyads: Variations by adolescent suicidal ideation.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026
    Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Guy S DiamondCenter for Family Intervention Science, Drexel University, Philadelphia, PA. Electronic address: guy.diamond@drexel.edu.
R Roger KobakUniversity of Delaware, Newark.
E Stephanie Krauthamer EwingCenter for Family Intervention Science, Drexel University, Philadelphia, PA.
Suzanne A LevyCenter for Family Intervention Science, Drexel University, Philadelphia, PA.
Joanna L HerresThe College of New Jersey, Ewing Township.
Jody M RussonVirginia Tech, Blacksburg.
Robert J GallopApplied Statistics Program, West Chester University, PA.
Drexel University · USCollege of New Jersey · USUniversity of Delaware · USVirginia Tech · USWest Chester University · US

Funding

Attachment-Based Family Therapy for Suicidal AdolescentsR01MH091059 · NIMH · DREXEL UNIVERSITY · PI DIAMOND, GUY SIGMOND, KOBAK, R. ROGERS · 2011 to 2015
$3.0M
NIMH NIH HHS R01 MH091059
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of attachment-based family therapy (ABFT) compared with a family-enhanced nondirective supportive therapy (FE-NST) for decreasing adolescents' suicide ideation and depressive symptoms.

methodA randomized controlled trial of 129 adolescents who are suicidal ages 12- to 18-years-old (49% were African American) were randomized to ABFT (n = 66) or FE-NST (n = 63) for 16 weeks of treatment. Assessments occurred at baseline and 4, 8, 12, and 16 weeks. Trajectory of change and clinical recovery were calculated for suicidal ideation and depressive symptoms.

resultsThere was no significant between-group difference in the rate of change in self-reported ideation (Suicidal Ideation Questionnaire-Jr; F

conclusionContrary to expectations, ABFT did not perform better than FE-NST. The 2 treatments produced substantial decreases in suicidal ideation and depressive symptoms that were comparable to or better than those reported in other more intensive, multicomponent treatments. The equivalent outcomes could be attributed to common treatment elements, different active mechanisms, or regression to the mean. Future studies will explore long-term follow up, secondary outcomes, and potential moderators and mediators. CLINICAL TRIAL REGISTRATION INFORMATION: Attachment-Based Family Therapy for Suicidal Adolescents; http://clinicaltrials.gov; NCT01537419.

Indexed as

Family TherapyObject AttachmentSuicidal IdeationAdolescentChildDepressionFemaleHumansMalePennsylvaniaReactive Attachment DisorderSelf ReportSuicide, Attemptedattachmentdepressionsuicidetreatment

Identifiers

PMID30768418
PMCPMC6491252
OpenAlexW2898714608

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.