Computerized DBT Skills Training for Suicidal and Heavy Episodic Drinkers

 说明(申请人提供)：饮酒被认为是自杀死亡的重要危险因素，尤其是那些饮酒以调节情绪的人。不幸的是，缺乏对自杀性酗酒者的治疗结果研究。此外，针对这一人群的治疗必须是最有效和可广泛传播的。技术的应用越来越多地被用作快速传播循证治疗的一种有效和可接受的方式。然而，这些方法很少用于被认为风险太高而无法进行计算机化治疗的个人。沿着这些思路，该项目的目标是开始一系列研究，重点是开发干预措施，通过使用技术来减少酗酒和自杀风险。辩证行为疗法(DBT)技能训练是对与情绪失调相关的行为，包括成瘾和自杀行为的有效干预。此外，DBT技能的使用已被确定为治疗效果的积极因素；因此，通过互联网提供的技能培训干预有能力成为一种有效和有效的治疗提供方法。这项研究的目的是建立一个概念证明，以开发和评估对有自杀倾向的重度间歇性饮酒者进行潜在有效和可接受的干预。具体地说，该项目建议对从事大量间歇性饮酒(HED)以调节情绪的自杀个体进行计算机化DBT技能培训干预的随机对照试点试验。

 DESCRIPTION (provided by applicant): Alcohol use is considered to be a significant risk factor among those who die by suicide, especially among those who drink to regulate their emotions. Unfortunately, there is a dearth of treatment outcome research for suicidal heavy drinkers. Further, treatments that target this population must be maximally effective and widely disseminable. The application of technology has been increasingly utilized as an efficacious and acceptable way to rapidly disseminate evidence-base treatment. However, these methods are used infrequently for individuals deemed too high risk for computerized treatment. Along these lines, the goal of this project is to begin a line of research focused on developing interventions o reduce heavy drinking and risk for suicide through the use of technology. Dialectical Behavior Therapy (DBT) skills training is an effective intervention for behaviors associated with emotion dysregulation including addictive and suicidal behaviors. Further, DBT skills use has been identified as the active ingredient for treatment effectiveness; thus, a skills training interventin delivered via the Internet has the capacity to be a potent and efficient method of treatment delivery. The goal of this research is to establish a proof of concept for developing and evaluating a potentially efficacious and acceptable intervention for heavy episodic drinkers who are suicidal. Specifically, this project proposes to conduct a randomized controlled pilot trial ofa computerized DBT skills training intervention for suicidal individuals who engage in heavy episodic drinking (HED) to regulate emotions.