Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2025
Efficacy of a brief psychological intervention for adolescents with recent suicide attempt: A randomized clinical trial.
Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
27 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAdolescents are at a heightened risk of suicide reattempts following hospital discharge, but few evidence-based interventions exist. This study evaluated the efficacy of the self-awareness of mental health (SAM) program combined with treatment as usual (TAU) versus TAU alone in reducing reattempts among high-risk adolescents.
methodsA randomized clinical trial was conducted across nine Spanish hospitals (January 2021-March 2024) with 261 adolescents (12-17 years) who had attempted suicide within the last 15 days. Participants were assigned to SAM + TAU (n=128) or TAU (n=133), with 12-month follow-up. The primary outcome was suicide reattempts within 12 months; secondary analyses examined time to reattempt and associated risk factors.
resultsAfter 12-months, no significant differences were found in reattempt rates [22.6% (SAM) versus 27.8% (TAU); OR=0.610, 95%CI (0.321-1.151), p=0.127] or time to reattempt [HR=0.606, 95%CI (0.390-1.021), p=0.060]. In SAM, attentional impulsivity emerged as a significant risk factor [HR=1.126, 95% CI (1.004-1.263), p=0.043], while nonplanning impulsivity was protective [HR=0.878, 95%CI (0.814-0.948), p<0.001]. In TAU, increased suicide risk was linked to suicidal intentionality [HR=1.341, 95%CI (1.009-1.782), p=0.044] and more prior attempts [HR=1.230, 95%CI (1.039-1.457), p=0.016]. Conversely, fewer psychiatric diagnoses emerged as a protective factor [HR=0.821, 95%CI (0.677-0.996), p=0.045].
conclusionsWhile no significant differences were found between groups, SAM identified important psychological factors influencing suicide risk. These findings provide a foundation for targeted interventions to prevent reattempts in adolescents.
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