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Suicide | Brief Interventions for Short-Term Suicide Risk Reduction in Military Populations

Suicide research study

What is the primary objective of this study?

The purpose of the proposed study is to identify the most effective brief interventions for reducing short-term risk for suicide attempts in \"real world\" military triage settings, and to identify potential mechanisms of change underlying the interventions' impact on subsequent suicide attempts. We will randomize 360 patients to one of three commonly-used crisis interventions delivered as routine care in the mental health triage system: (1) Treatment As Usual (TAU); (2) Standard Crisis Response Plan (S-CRP); or (3) Enhanced Crisis Response Plan with Reasons For Living (E-CRP). The following hypotheses will be tested: 1. The enhanced crisis response plan (E-CRP) intervention will contribute to significantly decreased risk for suicide attempts and hospitalization during follow-up relative to the standard crisis response plan alone (S-CRP) and treatment as usual (TAU). 2. The standard crisis response plan (S-CRP) intervention will contribute to significantly decreased risk for suicide attempts and hospitalization during follow-up relative to treatment as usual (TAU). 3. Greater ambivalence about suicide and faster recall of reasons for living will mediate the relationship between intervention and reduced risk for suicide attempt during follow-up.

Who is eligible to participate?

Inclusion Criteria: - Active duty - 18 years of age or older - Reporting current suicidal ideation with intent to die, or a suicide attempt within the past two weeks - Able to speak and understand the English language - Able to complete the informed consent process Exclusion Criteria: - Severe psychiatric or medical conditions that preclude the ability to provide informed consent or participation in outpatient treatment

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

Suicide

Suicidal Ideation

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:Treatment As Usual (TAU)

Behavioral:Standard Crisis Response Plan (S-CRP)

Behavioral:Enhanced Crisis Response Plan (E-CRP)

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.

Treatment As Usual (TAU)TAU includes the following intervention components: suicide risk assessment supportive listening provision of professional and crisis contact information referral to mental health treatment and community resources verbal contract for safety

Standard Crisis Response Plan (S-CRP)CRP includes the following intervention components: suicide risk assessment supportive listening identify personal warning signs identify self-management skills identify social support contacts provision of professional and crisis contact information referral to mental health treatment and community resources

Enhanced Crisis Response Plan (E-CRP)The E-CRP includes the following intervention components: suicide risk assessment supportive listening identify personal warning signs identify self-management skills identify reasons for living identify social support contacts provision of professional and crisis contact information referral to mental health treatment and community resources

Study Status

Completed

Start Date: January 2013

Completed Date: September 2016

Phase: N/A

Type: Interventional

Design:

Primary Outcome: Estimated Proportion of Participants With Suicide Attempt

Secondary Outcome: Beck Scale for Suicide Ideation (BSSI)

Study sponsors, principal investigator, and references

Principal Investigator: Craig J Bryan, PsyD, ABPP

Lead Sponsor: University of Utah

Collaborator: The University of Texas Health Science Center at San Antonio

More information:https://clinicaltrials.gov/show/NCT02042131

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