title: Family intervention for adolescents with suicidal behavior: a randomized controlled trial and mediation analysis.
abstract: OBJECTIVE
  Family processes are a risk factor for suicide but few studies target this domain. We evaluated the effectiveness of a family intervention, the Resourceful Adolescent Parent Program (RAP-P) in reducing adolescent suicidal behavior and associated psychiatric symptoms.
  
  
  METHODS
  A preliminary randomized controlled trial compared RAP-P plus Routine Care (RC) to RC only, in an outpatient psychiatric clinic for N = 48 suicidal adolescents and their parents. Key outcome measures of adolescent suicidality, psychiatric disability, and family functioning were completed at pre-treatment, 3-month, and 6-month follow-up.
  
  
  RESULTS
  RAP-P was associated with high recruitment and retention, greater improvement in family functioning, and greater reductions in adolescents' suicidal behavior and psychiatric disability, compared to RC alone. Benefits were maintained at follow-up with a strong overall effect size. Changes in adolescent's suicidality were largely mediated by changes in family functioning.
  
  
  CONCLUSIONS
  The study provides preliminary evidence for the use of family-focused treatments for adolescent suicidal behavior in outpatient settings. Clinical trial registration information-Family intervention for adolescents with suicidal behaviour: A randomized controlled trial and mediation analysis; http://anzctr.org/; ACTRN12613000668707.
authors.affiliation: University of New South Wales.
authors.forename: Jane
authors.initials: J
authors.lastname: Pineda
authors.forename: Mark R
authors.initials: MR
authors.lastname: Dadds
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D002648:Child; D005190:Family / Q000523:psychology*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D010290:Parents / Q000523:psychology; D010865:Pilot Projects; D013405:Suicide / Q000523:psychology*; D016896:Treatment Outcome; D000092864:Suicide Prevention
keywords: family therapy; randomized controlled trial; suicidal behavior