Mind the Methods

ISCTM

Welcome to Mind the Methods, the official podcast of the International Society for CNS Clinical Trials and Methodology (ISCTM). We are your gateway to the latest insights, innovations, and conversations at the forefront of central nervous system clinical research. Our series dives deep into the science and strategy behind CNS research, bringing together a global community of researchers, clinicians, regulators, and industry leaders. We explore the critical challenges and breakthroughs shaping the future of therapeutics development, with a dedicated focus on advancing trial methodology and improving patient outcomes.

Episodes

  1. Including People with Suicidal Ideation/Behavior in CNS Trials

    6D AGO

    Including People with Suicidal Ideation/Behavior in CNS Trials

    In this episode of Mind the Methods (the ISCTM podcast), Dr. Mark Opler speaks with Dr. Elizabeth Ballard, Associate Scientist at the NIMH Intramural Research Program and the 2025 recipient of the ISCTM Lewis Alan Opler Prize, about the evolving science of suicidal ideation and behavior. Dr. Elizabeth Ballard explains why many commonly used tools were built for risk documentation and legal protection, not for detecting treatment-related changes in clinical trials, and how repurposing them can obscure true signals, particularly for rapidly acting interventions. Drawing on trial examples, Dr. Elizabeth Ballard highlights how different measures (full scales vs. single items/subscales) can yield different conclusions about treatment effects, underscoring that measurement choice can be the difference between “it didn’t work” and “we didn’t measure it correctly.” The conversation also addresses the field’s “catch-22”: trials often exclude participants with suicidal ideation/behavior, limiting what we can learn about how treatments affect people with lived experience. Dr. Ballard discusses practical steps to safely include higher-risk participants, IRB and DSMB education, clear monitoring and response pathways, adverse event planning, and shared resources across research networks. Looking forward, Dr. Elizabeth Ballard describes a “both/and” future that blends clinician interviews with self-report, ecological momentary assessment, and emerging objective/implicit measures, arguing that suicide risk is dynamic and variable, and our tools must evolve to capture that reality.

    27 min

About

Welcome to Mind the Methods, the official podcast of the International Society for CNS Clinical Trials and Methodology (ISCTM). We are your gateway to the latest insights, innovations, and conversations at the forefront of central nervous system clinical research. Our series dives deep into the science and strategy behind CNS research, bringing together a global community of researchers, clinicians, regulators, and industry leaders. We explore the critical challenges and breakthroughs shaping the future of therapeutics development, with a dedicated focus on advancing trial methodology and improving patient outcomes.