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Feasibility and Initial Benefit of a Brief Group CBT-I Intervention for Reducing Suicidality in Adolescents
Afsoon Gazor1, Stephen Buerkert2, Savannah Dieste1
1University of Texas Southwestern Medical Center, Dallas, TX, USA.
Objectives:
This multi-method study examined the feasibility, acceptability, and initial benefit for a brief, group CBT-I adapted for adolescents in treatment for suicidality (CBT-IAsi).
Method:
Measures of subjective and objective (actigraphy) sleep and suicidality were collected from adolescents (N = 242, M = 14.6 years) in both intervention (CBT-IAsi) and control groups, at four time points across treatment.
Results:
Feasibility findings indicated high rates of subjective measures completion (75.2%) and CBT-IAsi attendance (88.0%), but lower compliance with actigraphy (18.8%). Acceptability was high, with almost all adolescents reporting CBT-IAsi as helpful and enjoyable. Generalized Estimating Equations models evidenced benefit via significant improvements of suicidality and subjective sleep quality, but not objective sleep, over treatment. Adolescents in the CBT-IAsi group showed significantly greater reductions in suicidal thoughts compared to the active treatment control group.
Conclusions:
This real-world study supports CBT-IAsi as a promising intervention that augments reductions in suicidal thoughts, with the potential to reduce health care burden and enhance access to care.
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