title: Development of a treatment protocol for Puerto Rican adolescents with suicidal behaviors.
abstract: Adolescents in Puerto Rico are at an increased risk for suicide attempts, though evidence-based treatments specifically for this group have not been tested. The current study was designed to develop and pilot test a culturally sensitive, manualized outpatient treatment for Puerto Rican adolescents who have experienced a suicidal crisis. The study was divided into phases. Phase 1 consisted of developing a socio-cognitive behavioral treatment for suicidal behavior. Phase 2 tested the treatment protocol in an open trial with 11 (6 male and 5 female) Puerto Rican adolescents. Active treatment had an approximate duration of 3-6 months. An initial assessment, process measures, and posttreatment assessment were completed with each participant to measure treatment feasibility as well as suicidality, symptoms, and risk factors. Participants were very satisfied with treatment and reported relevant clinical benefits. The retention rate was 73% (8 out of 11). For those who completed the treatment protocol, the goal of reducing further suicide risk was achieved; 2 showed reliable clinical changes in suicidal ideation, while 6 maintained low levels during treatment. All treatment completers had either a partial or total remission of their pretreatment diagnosis and half had reliable improvements in at least 1 risk factor. A theory-driven treatment protocol was developed according to patient's needs, but further research is needed to continue its development and to explore its efficacy.
authors.affiliation: Institute for Psychological Research, University of Puerto Rico.
authors.forename: Yovanska
authors.initials: Y
authors.lastname: Duarté-Vélez
authors.affiliation: Department of Psychology, University of Puerto Rico.
authors.forename: Paloma
authors.initials: P
authors.lastname: Torres-Dávila
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University.
authors.forename: Anthony
authors.initials: A
authors.lastname: Spirito
authors.affiliation: Institute for Psychological Research, University of Puerto Rico.
authors.forename: Norka
authors.initials: N
authors.lastname: Polanco
authors.affiliation: Institute for Psychological Research, University of Puerto Rico.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Bernal
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000553:Ambulatory Care / Q000379:methods; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011647:Puerto Rico; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000517:prevention & control / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology; D016896:Treatment Outcome; D000092864:Suicide Prevention