Suicide Risk | Patient | A Brief Intervention to Reduce Suicide Risk in Military Service Members and Veterans- Study 1

Suicide Risk | Patient research study

What is the primary objective of this study?

The investigators propose to evaluate Suicide Assessment and Follow-up Engagement: Veteran Emergency Treatment (SAFE VET) which is currently being implemented in 4 VA ED/Urgent Care Units across the United States (Portland VA Medical Center (VAMC), Denver VAMC, Manhattan VAMC, and Philadelphia VAMC).

Who is eligible to participate?

Inclusion Criteria: Veterans will be enrolled who: 1. have received the SAFE VET intervention in VA SAFE VET EDs or treatment-as-usual in E-CARE EDs; 2. aged 18 years or older; 3. identified as being at risk for suicide based upon presenting complaints and/or the assessment of an ED clinician; 4. able to provide 2 contacts with telephone numbers for tracking purposes; and 5. able to provide a home/residential/shelter address where the participant resides and either a home, cellular, or other telephone number where the participant can be reached. Exclusion Criteria: Veterans will not be enrolled if they are: 1. unable to read and understand English; 2. unable or unwilling to give informed consent as determined either by the referring VA ED clinical staff or research personnel (see Mini Quiz below); and/or 3. admitted to the VA inpatient psychiatric unit from the ED.

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Suicide Risk | Patient

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Behavioral:SAFE VETAll SAFE VET EDs provide a standardized intervention that is specifically adapted for use in the ED to mitigate suicide risk. Given that the SAFE VET intervention was developed for use in a busy ED setting, the length of the intervention is approximately 45 minutes. The SAFE VET intervention is administered by a clinical provider who has been specifically trained and consists of: Risk Assessment Safety Planning Intervention: Developed by Stanley and Brown (2008), Safety Planning Intervention consists of a hierarchically-arranged list of coping strategies identified for use during a subsequent suicidal crisis. Clinical Follow-Up Protocol

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.



Study Status


Start Date: September 2009

Completed Date: December 2018


Type: Observational


Primary Outcome: Columbia Suicide-Severity Rating Scale (C-SSRS; Posner et al., 2006; Posner et al. 2008).

Secondary Outcome:

Study sponsors, principal investigator, and references

Principal Investigator: Marjan Holloway, Ph.D.

Lead Sponsor: VA Eastern Colorado Health Care System

Collaborator: US Department of Veterans Affairs

More information:

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