Evidence map›Paper›PMID 34304029›Full record

Trial reportGeneral hospital psychiatry

Pilot RCT of the Attempted Suicide Short Intervention Program (ASSIP) adapted for rapid delivery during hospitalization to adult suicide attempt patients with substance use problems.

Kenneth R Conner, Jaclyn C Kearns, Erika C Esposito, Edmund Pizzarello, Timothy J Wiegand, Peter C Britton, Konrad Michel, Anja C Gysin-Maillart, David B Goldston

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Brief and Ultra-Brief Suicide-Specific Interventions.Focus (American Psychiatric Publishing) · 2023
    Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Kenneth R ConnerUniversity of Rochester Medical Center, Rochester, NY, USA. Electronic address: kenneth_conner@urmc.rochester.edu.
Jaclyn C KearnsDepartment of Psychology, University of Rochester, Rochester, NY, USA. Electronic address: jaclyn.kearns@rochester.edu.
Erika C EspositoDepartment of Psychology, University of Rochester, Rochester, NY, USA.
Edmund PizzarelloUniversity of Rochester Medical Center, Rochester, NY, USA.
Timothy J WiegandUniversity of Rochester Medical Center, Rochester, NY, USA.
Peter C BrittonUniversity of Rochester Medical Center, Rochester, NY, USA; Center of Excellence for Suicide Prevention, Finger Lakes VA Healthcare System, Canandaigua, NY, USA.
Konrad MichelUniversity Hospital of Psychiatry, Bern, Switzerland.
Anja C Gysin-MaillartTranslational Research Centre, University Hospital of Psychiatry, University of Bern, Switzerland; Unit for Clinical Suicide Research, Department of Clinical Sciences, Psychiatry, Faculty of Medicine, Lund University, Sweden; University of Leipzig, Department of Medical Psychology and Medical Sociology, Germany.
David B GoldstonDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.

Funding

Suicidal adults with alcohol or drug use problems: A new hospital-based treatmentR34AA026016 · NIAAA · UNIVERSITY OF ROCHESTER · PI CONNER, KENNETH R · 2017 to 2019
$683k
NIAAA NIH HHS R34 AA026016
6 · The paper itself

Abstract

objectiveThe Attempted Suicide Short Intervention Program (ASSIP) was adapted for hospital delivery and to address substance use problems as well as evaluated for feasibility, acceptability, and therapist fidelity in a series of preparatory steps (n = 28) and in a pilot randomized controlled trial, RCT (n = 34).

methodIn the RCT, patients with suicide attempts and substance use problem(s) with sufficient lengths of stay to deliver three ASSIP therapy sessions in hospital were randomized to adapted ASSIP or treatment as usual control. A blinded assessor identified suicide reattempts over 6-month follow-up with the Columbia-Suicide Severity Rating Scale (C-SSRS) and a comprehensive multi-source method. Treatment process measures and the Scale for Suicidal Ideation (SSI) were also administered.

resultsMedian hospital stay was 13 days. ASSIP subjects reported high satisfaction with the treatment and high therapeutic alliance. Study therapists showed high fidelity to the modified ASSIP intervention. Repetition of suicide attempt was common in both study groups including a combined 9 (26%) subjects with reattempt based on C-SSRS and 13 (38%) subjects with reattempt based on multiple sources.

conclusionsAdult suicide attempt patients with substance use problems who require lengthy hospitalizations are at exceptionally high risk and may require additional strategies to lower risk.

Indexed as

Substance-Related DisordersSuicide, AttemptedAdultBehavior TherapyHospitalizationHumansSuicidal IdeationAlcoholHospitalInterventionRCTSubstance useSuicide attempt

Identifiers

PMID34304029
PMCPMC8448954

What OpenQuestion holds

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Registered trials

None linked

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.