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

Information source: University of Utah
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Suicide; Suicidal Ideation

Intervention: Treatment As Usual (TAU) (Behavioral); Crisis Response Plan (CRP) (Behavioral); Enhanced Crisis Response Plan (E-CRP) (Behavioral)

Phase: N/A

Status: Recruiting

Sponsored by: University of Utah

Official(s) and/or principal investigator(s):
Craig J Bryan, PsyD, ABPP, Principal Investigator, Affiliation: National Center for Veterans Studies & The University of Utah
Tracy A Clemans, PsyD, Study Director, Affiliation: National Center for Veterans Studies & The University of Utah

Overall contact:
Craig J Bryan, PsyD, ABPP, Phone: 801-587-7978, Email: craig.bryan@utah.edu

Summary

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) Crisis Response Plan (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 crisis response plan alone (CRP) and treatment as usual (TAU). 2. The E-CRP intervention will contribute to greater ambivalence about suicide and faster recall of reasons for living relative to the CRP and TAU interventions. 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.

Clinical Details

Official title: Brief Interventions for Short-Term Suicide Risk Reduction in Military Populations

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Primary outcome:

Suicide Attempt Self Injury Interview (SASII)

Inpatient hospitalization

Secondary outcome:

Beck Scale for Suicide Ideation (BSSI)

Reasons For Living Task (RFL)

Suicidal ambivalence

Suicide Intent Scale (SIS)

Suicidal Behaviors Questionnaire-Revised (SBQ-R)

Depression Symptom Index Suicidality Subscale (DSI)

Beck Depression Inventory-II (BDI-II)

PTSD Checklist (PCL)

Beck Hopelessness Scale (BHS)

Anxiety Sensitivity Index (ASI)

Eligibility

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

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

Locations and Contacts

Craig J Bryan, PsyD, ABPP, Phone: 801-587-7978, Email: craig.bryan@utah.edu

Fort Carson, Colorado Springs, Colorado, United States; Recruiting
Travis O Bruce, MD, Principal Investigator
Additional Information

National Center for Veterans Studies

Starting date: January 2013
Last updated: May 27, 2015

Page last updated: August 23, 2015

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