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Study Title and Description

Treatment of co-occurring substance abuse and suicidality among adolescents: a randomized trial.



Key Questions Addressed
1 Evidence map
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Primary Publication Information
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TitleData
Title Treatment of co-occurring substance abuse and suicidality among adolescents: a randomized trial.
Author Esposito-Smythers C., Spirito A., Kahler CW., Hunt J., Monti P.
Country Department of Psychology, George Mason University, Fairfax, VA 22030, USA. cesposi1@gmu.edu
Year 2011
Numbers Pubmed ID: 22004303

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: Evidence Map
Arms
Number Title Description Comments
1 CBT_MI
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2 TAU
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Design Details
Question... Follow Up Answer Follow-up Answer
Should this citation be included? Yes
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Does this paper originate from a primary study of interest? ... PMID ... 22004303
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Ages eligible (in years) 13
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17
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Total sample size (in all arms) 40
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Age distribution of enrolled population (in years) 15.7
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Substance used Alcohol
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Cannabis
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Alcohol
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Cannabis
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Interventions studied? Behavioral
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No active treatment
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Behavioral
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No active treatment
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Outcome? Self report of use/abstinence and/or intensity
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Substance-related problems or symptoms scale
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Mental health
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Legal
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Self report of use/abstinence and/or intensity
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Substance-related problems or symptoms scale
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Mental health
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Legal
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Age variation of enrolled population (in years) 1.19
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Study type RCT
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Is any arm a brief intervention (or single session)? No
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Income level of country(ies) of origin Upper income
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Upper income
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Results & Comparisons


Results Data
Outcome: psychiatric medicine rx      Population: All Participants
Time Point Measure CBT_MI TAU


0 months

N Analyzed 20 20
Percentage 68.4 88.2
Counts 14 18


3 months

N Analyzed 19 17
Percentage 66.7 82.4
Counts 13 14


6 months

N Analyzed 17 17
Percentage 64.7 70.6
Counts 11 12


12 months

N Analyzed 16 17
Percentage 56.3 47.1
Counts 9 8


18 months

N Analyzed 15 17
Percentage 40.0 47.1
Counts 6 8
Outcome: Psychiatric outcome      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 3 9
Outcome: Psychiatric outcome      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 1 6
Outcome: Psychiatric outcome      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 1 4
Outcome: Psychiatric outcome      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 0 3
Outcome: Psychiatric outcome      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 3 10
Outcome: Arrest      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 1 7
Outcome: Ran away      Population: All Participants
Time Point Measure CBT_MI TAU


18 months

N Analyzed 19 17
Counts 1 5


Quality Dimensions
Dimension Value Notes Comments
Intention-to-treat-analysis: Bias due to incomplete reporting and analysis according to group allocation No Claim ITT but not consistent with text or participant flow
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Group similarity at baseline (selection bias): Selection bias due to dissimilarity at baseline for the most important prognostic indicators Yes All NS
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Co-interventions (performance bias): Performance bias because co-interventions were different across groups Yes
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Compliance (performance bias): Performance bias due to inappropriate compliance with interventions across groups No 26% did not complete
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Timing of outcome assessments (detection bias): Detection bias because important outcomes were not measured at the same time across groups Yes
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Additional Bias: Bias due to problems not covered elsewhere in the table. If yes, describe them in the Notes. No
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Random sequence generation (selection bias): Selection bias (biased allocation to interventions) due to inadequate generation of a randomized sequence Low
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Allocation concealment (selection bias): Selection bias (biased allocation to interventions) due to inadequate concealment of allocations prior to assignment Low
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Blinding of participants (performance bias): Performance bias due to knowledge of the allocated interventions by participants during the study High
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Blinding of personnel/ care providers (performance bias): Performance bias due to knowledge of the allocated interventions by personnel/care providers during the study. High
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Blinding of outcome assessor (detection bias): Detection bias due to knowledge of the allocated interventions by outcome assessors. Low "On occasion" blinding broken by participants
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Incomplete outcome data (attrition bias): Attrition bias due to amount, nature or handling of incomplete outcome data Low <20%
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Selective Reporting (reporting bias): Reporting bias due to selective outcome reporting
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Quality Rating
No quality rating data was found.