RCT Investigating EMDR for Suicidal Ideation
Suicidal Ideation
About this trial
This is an interventional treatment trial for Suicidal Ideation focused on measuring Eye movement desensitization and Reprocessing, Suicide
Eligibility Criteria
Inclusion criteria include
- adults (ages 18 to 65) with suicidal ideation in the last week.
- Participants must volunteer to be in the study, be able to give informed consent and be able to follow up twice weekly until treatment is complete (a total of 12 sessions).
- Participants must have a primary service provider.
- Participants must have access to their own laptop or desktop computer that enables BLS with a working screen, camera, and microphone, and access to a quiet, private, well-lit space for therapy.
- Participants must be willing to refrain from benzodiazepine, cannabis or illicit substance use in the 24 hours before or after EMDR sessions.
- Participants must be willing to adhere to the study safety precautions
Exclusion criteria
- At the time of assessment, suicidal ideation is not accompanied by intent or plan to follow through with suicide.
- Known pregnancy, as there is limited information about the impact of EMDR in pregnancy.
- DES score above 34 or severe dissociative symptoms (see below), psychotic symptoms or manic symptoms.
- Participants undergoing or planning to undergo electroconvulsive therapy (ECT) or another trauma focused psychotherapy in the 4-month study period.
Referred potential participants will also be excluded on the basis of the assessment interview if they report a history of severe dissociative symptoms in keeping with a separate dissociative disorder, such as
- hearing internal voices,
- amnestic episodes, or dissociative fugue states
- passivity experiences or first rank symptoms under stress, or
- the subjective experience of having alter personality self-states.
- severe isolation of affect, with inability to feel body sensations or tune into emotions
Sites / Locations
- Alberta Hospital Edmonton - recruiting from AHS clinics internallyRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Virtual EMDR
Treatment as usual
Patients will receive 1 to 3 preparation sessions (which will include psychoeducation and preparation exercises before EMDR), followed by up to 12 EMDR sessions, delivered over encrypted Zoom videoconferencing. EMDR is an evidence based trauma therapy. These EMDR sessions will focus on the experiences, urges or negative thoughts associated with their suicidal thoughts. The sessions will be 90 minutes in length and occur twice per week. This group will also have access to usual psychiatric care, which usually includes a family doctor or psychiatrist, mental health therapist and having access to Edmonton's community mental health programs.
This group will also have access to usual care, which usually includes a family doctor or psychiatrist, mental health therapist and having access to Edmonton's community mental health programs.