Sleep and Circadian Interventions for College Students at High Risk of Suicide
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-25
SponsorUniversity of Pittsburgh
About this trial
The purpose of this study is to examine the extent to which delivering sleep and circadian focused interventions in addition to evidenced based psychiatric care for depression and suicide risk may contribute to decreasing suicide risk among high risk young adults. Investigators will evaluate three interventions targeting sleep in acutely suicidal college students enrolled in intensive outpatient treatment. Participants will be randomly assigned to one of three intervention groups:
1. Triple Chronotherapy (TCT)+ Transdiagnostic Sleep and Circadian Intervention (TSC) 2. Transdiagnostic Sleep and Circadian Intervention (TSC) 3. Sleep Feedback (SF) Participants will be followed for 6 months with primary outcome domains of suicidal thoughts and behaviors and depression evaluated by blinded clinicians at short (Days 1-4 of intervention), medium (2 months) and long (6 month) term intervals.
Eligibility criteria
Qualifiers
Enrolled or planning to enroll in treatment at COSTAR Intensive Outpatient Program
English language fluency and literacy sufficient to engage in study protocol
Suicidal ideation or suicide attempt in past month
Clinically significant sleep disturbance, operationalized as Pittsburgh Sleep Quality Index global PSQI score >= 7, and/or delayed bedtimes (>midnight), and/or >2 hours in sleep timing variability
Disqualifiers
Non-affective psychosis per electronic health record (EHR) review and/or baseline clinical assessment, or symptom severity or psychosocial functioning impairments that preclude participation
Contraindications for either sleep deprivation or bright light therapy (e.g., bipolar disorder; seizure disorder; photosensitizing medication)
Intellectual disability precluding comprehension of study procedures
Evidence of untreated obstructive sleep apnea and/or restless legs syndrome
Trial design
Treatments tested in this trial
- Sleep Feedback + Psychoeducation
- Transdiagnostic Sleep and Circadian Intervention + Bright Light (TSC+)
- Triple Chronotherapy (TCT+)
Treatment groups
90 Participants
are divided into 3 treatment groupsSponsors and collaborators
University of Pittsburgh
Lead sponsor
American Foundation for Suicide Prevention
Collaborator
Source ClinicalTrials.gov