BRAVA: Building Resilience and Attachment in Vulnerable Adolescents (BRAVA)
Suicidal Ideation, Suicide and Self-harm
About this trial
This is an interventional treatment trial for Suicidal Ideation focused on measuring Adolescent, Suicidal ideation, Group therapy, Crisis
Eligibility Criteria
Inclusion Criteria:
- Adolescents 13 years old to 17.5 years old
- Mild to moderate suicidal ideation (SI without plan or gesture; 1 on the HEADS-ED) (Cappelli, et al., 2012)
- Interested in study participation
- Access to an electronic device with internet and email capabilities, and a functioning camera and microphone
Exclusion Criteria:
- SI with plan or gesture (2 on HEADS ED; indicated plan or gesture)
- Comorbid disorders (psychosis, schizophrenia, developmental disabilities, major substance abuse, and severe eating disorders).
- Referring clinician has identified an externalizing disorder as a primary diagnosis or primary concern (e.g. Conduct Disorder)
- Currently participating in regular psychotherapy at least one time per week
- Currently under Children's Aid Society care
- Currently in the CHEO ED on a Form 1 or Form 2, or placed on a Section 17.
- Express difficulty with reading and writing
Sites / Locations
- CHEO
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Group Intervention
Enhanced Treatment as Usual
The intervention will consist of 6 psycho-educational group sessions for caregivers and 6 psycho-educational group sessions for adolescents. Adolescent and caregiver sessions will be held separately and will focus on different issues. Adolescents are taught skills for coping and relating more effectively with others. Caregivers learn about adolescent development, effective parenting and the importance of connection. The groups consist of 6 stand-alone modules permitting rolling entry and prompt access. Youth and Caregivers will receive a weekly text message reminder of their exit assessment date/time, homework from that week's intervention group and crisis resources.
Youth and Caregivers will receive a weekly text message reminder of their exit assessment date/time, a mental health tip and crisis resources.