ESTABLISHING EFFICACY OF AN INPATIENT INTERVENTION AND PHONE APP TO REDUCE SUICIDE RISK

We aim to randomize 240 adolescents psychiatrically hospitalized for suicidal ideation or a suicide attempt to one of four treatment arms: (1) aSaP + BRiTe+Tau; (2) BRiTe + Tau; (3) aSaP + Tau (4) Tau alone and assess suicidal ideation and behavior at 1, 3, and 6 months post-intake, in order to: 1. assess the relative efficacy of aSaP, BRiTe and the combination on suicidal ideation, non-suicidal self-injury (nSSi), and suicide attempts, and re-hospitalizations. H1: Both aSaP and BRiTe will be superior to Tau alone, and aSaP+BRiTe will be superior to BRiTe or aSaP alone. 2. examine mediators and moderators of treatment outcome H2: The effects of aSaP and BRiTe will be mediated by increases in reasons for living, decreases in dysfunctional emotional regulation, increases in functional emotional regulation, and decreases in implicit associations with death, and will be moderated by previous history of an attempt, and family engagement in treatment. in addition, the impact of BRiTe will be proportional to the frequency of use. 3. To examine the costs and cost efficacy of aSaP and BRiTe and the combination. H3: . Cost per outcome achieved will be lower for each of the interventions (aSaP+BRiTe; aSaP alone; BRiTe alone) compared to Tau at Week 24 follow-up. Cost per outcome achieved will be most advantageous for aSaP+BRiTe.