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A Brief Intervention to Reduce Suicide Risk in Military Service Members and Veterans - Study 2 (SAFEMIL)

Information source: Henry M. Jackson Foundation for the Advancement of Military Medicine
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Suicide; Suicide, Attempted

Intervention: Safety Planning - Military (SAFE MIL) (Behavioral)

Phase: N/A

Status: Active, not recruiting

Sponsored by: Henry M. Jackson Foundation for the Advancement of Military Medicine

Official(s) and/or principal investigator(s):
Marjan G Holloway, Ph.D. (Contact), Principal Investigator, Affiliation: Uniformed Services University of the Health Sciences
Lisa Brenner, Ph.D., Principal Investigator, Affiliation: Denver VA
Gregory Brown, Ph.D., Principal Investigator, Affiliation: University of Pennsylvania
Glenn Currier, M.D., MPH, Principal Investigator, Affiliation: Canandaigua VA; University of Rochester
Kerry Knox, Ph.D., Principal Investigator, Affiliation: Canandaigua VA; University of Rochester
Barbara Stanley, Ph.D., Principal Investigator, Affiliation: Columbia University

Summary

The investigators propose to test the efficacy of a brief, readily accessible, and personalized treatment called the Safety Planning for Military (SAFE MIL; Stanley and Brown, 2012).

Clinical Details

Official title: A Brief Intervention to Reduce Suicide Risk in Military Service Members and Veterans - Study 2

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Primary outcome:

Suicide Ideation

Acceptability and Initiation of Mental Health Care and Substance Use Treatment

Suicide-related Coping

Detailed description: Background: Mental health related hospitalizations and suicide are both significant public health problems within the United States Department of Defense (DoD). There are limited evidence-based suicide prevention interventions that have been developed for military personnel and veterans who are experiencing suicide ideation or who have made a suicide attempt. Objectives: To evaluate the efficacy of the Safety Planning for Military (SAFE MIL) on suicide ideation, suicide-related coping, and attitudes toward help seeking for hospitalized military personnel at high suicide risk. Methodology: To test the efficacy of the adapted intervention, the investigators will randomize 186 patients to one of two conditions: Safety Planning for Military (SAFE MIL) or Enhanced Usual Care (E-CARE). The SAFE MIL condition (intervention) will consist of the Safety Planning Intervention to help the suicidal individual with a collaboratively generated personal plan to mitigate or prevent a future suicidal crisis. The E-Care will consist of the usual care patients receive at an inpatient facility during their hospitalization in addition to assessment services provided by independent evaluators who work directly with our research team. Primary outcomes include suicide ideation, suicide-related coping, and attitudes toward help-seeking [acceptability and initiation of services]. Patients in both conditions will be assessed on the dependent measures at the time of hospital admission (i. e., baseline), at the time discharge (Follow-Up Interval 1 [FU-1]), at 1-month (Follow-Up Interval 2 [FU-2]) and at 6-month (Follow-Up Interval 3 [FU-3]).

Eligibility

Minimum age: 18 Years. Maximum age: 89 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Patient Admitted Due to Recent Suicide Intent and/or Suicide Attempt within past

month

- Baseline Assessment Completed within 48 Hours of Hospital Admission

- Age of 18 years or older.

Exclusion Criteria:

- Medical Incapacity to Participate and/or Serious Cognitive Impairment

- Expected Discharge within 72 Hours of Admission

- Expected Deployment within 1-Month

- Inability to read or understand English

- Inability to provide Informed Consent

Locations and Contacts

Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814, United States

Walter Reed National Military Medical Center, Bethesda, Maryland 20814, United States

Additional Information

Related publications:

Knox KL, Stanley B, Currier GW, Brenner L, Ghahramanlou-Holloway M, Brown G. An emergency department-based brief intervention for veterans at risk for suicide (SAFE VET). Am J Public Health. 2012 Mar;102 Suppl 1:S33-7. doi: 10.2105/AJPH.2011.300501.

Ghahramanlou-Holloway M, Brown GK, Currier GW, Brenner L, Knox KL, Grammer G, Carreno-Ponce JT, Stanley B. Safety Planning for Military (SAFE MIL): rationale, design, and safety considerations of a randomized controlled trial to reduce suicide risk among psychiatric inpatients. Contemp Clin Trials. 2014 Sep;39(1):113-23. doi: 10.1016/j.cct.2014.07.003. Epub 2014 Jul 12.

Starting date: September 2009
Last updated: March 30, 2015

Page last updated: August 23, 2015

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