Feasibility, acceptability, and preliminary effects of a brief alcohol intervention for suicidal adolescents in inpatient psychiatric treatment

McManama O'Brien, Kimberly H.; Sellers, Christina M.; Battalen, Adeline Wyman; Ryan, Colleen A.; Maneta, Eleni K.; Aguinaldo, Laika D.; White, Erina; Spirito, Anthony

doi:10.1016/j.jsat.2018.08.013

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Feasibility, acceptability, and preliminary effects of a brief alcohol intervention for suicidal adolescents in inpatient psychiatric treatment
Citation	McManama O'Brien KH, Sellers CM, Battalen AW, Ryan CA, Maneta EK, Aguinaldo LD, White E, Spirito A. J. Subst. Abuse Treat. 2018; 94: 105-112.
Affiliation	Brown University, Department of Psychiatry and Human Behavior, 121 South Main St., Providence, RI 02912, United States of America. Electronic address: Anthony_Spirito@brown.edu.
Copyright	(Copyright © 2018, Elsevier Publishing)
DOI	10.1016/j.jsat.2018.08.013
PMID	30243410
Abstract	Alcohol use, both short-term intoxication and longer-term use, is a notable risk factor for suicide. Despite the strong relationship between alcohol use and suicidal thoughts and behaviors, providers typically treat these two problems independently. In particular, acute psychiatric care hospitalizations for adolescents are typically brief, and many only cursorily address alcohol use. Integrating a brief motivational enhancement intervention for alcohol use into an inpatient psychiatric hospitalization treatment protocol has the potential to enhance motivation to stop or reduce drinking if adolescents can more fully understand how it increases risk for suicidal behavior. This study tested the feasibility, acceptability, and preliminary effects of the Alcohol and Suicide Intervention for Suicidal Teens (ASIST), a brief motivational enhancement intervention targeting alcohol use and suicidal thoughts and behaviors for suicidal adolescents receiving inpatient psychiatric treatment. RESULTS from a randomized pilot trial of ASIST (N = 50) revealed that the intervention was both feasible and acceptable, with 92% of those in the ASIST condition reporting that the intervention helped them to understand how their alcohol use is related to their suicidal thoughts and behaviors. Study findings suggest a larger randomized controlled trial may be warranted to test the effectiveness of ASIST with psychiatrically hospitalized adolescents. Copyright © 2018 Elsevier Inc. All rights reserved. Language: en
Keywords	Adolescents; Alcohol; Brief intervention; Motivational enhancement; Suicide