The purpose of this study is to examine the extent to which delivering sleep and circadian focused interventions in addition to evidenced based psychiatric care for depression and suicide risk may contribute to decreasing suicide risk among high risk young adults. Investigators will evaluate three interventions targeting sleep in acutely suicidal college students enrolled in intensive outpatient treatment. Participants will be randomly assigned to one of three intervention groups: 1. Triple Chronotherapy (TCT)+ Transdiagnostic Sleep and Circadian Intervention (TSC) 2. Transdiagnostic Sleep and Circadian Intervention (TSC) 3. Sleep Feedback (SF) Participants will be followed for 6 months with primary outcome domains of suicidal thoughts and behaviors and depression evaluated by blinded clinicians at short (Days 1-4 of intervention), medium (2 months) and long (6 month) term intervals.
Age range
18 Years – 25 Years
Sex
ALL
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Suicidal Thoughts and Behaviors via CSSRS
Timeframe: (short term) Intervention Days 1-4
Suicidal Thoughts and Behaviors via CSSRS
Timeframe: (medium term) 2 month follow up
Suicidal Thoughts and Behaviors via CSSRS
Timeframe: (long term) 6 month follow up
Suicidal Thoughts and Behaviors via LIFE SI/SIB scale
Timeframe: (medium term) 2mo follow up
Suicidal Thoughts and Behaviors via LIFE SI/SIB scale
Timeframe: (long term) 6mo follow up
Depression via KSADS Depression Rating Scale
Timeframe: (short term) Intervention Days 1-4
Depression via KSADS Depression Rating Scale
Timeframe: (medium term) 2mo follow up
Depression via KSADS Depression Rating Scale
Timeframe: (long term) 6mo follow up
Depression via LIFE PSR
Timeframe: (medium term) 2mo follow up
Depression via LIFE PSR
Timeframe: (long term) 6mo follow up