Suicidal Ideation Clinical Trial
Official title:
Effectiveness of a Virtual Hope Box Smartphone App in Enhancing Veterans' Coping With Suicidal Ideation: A Randomized Clinical Trial.
A hope box or self soothing kit is a therapeutic tool employed by clinicians with patients
expressing suicidal ideation, significant distress, or otherwise at risk of suicidal or
non-suicidal self harm. A "Virtual Hope Box" (VHB) takes the common hope box practice and
uses smartphone features to enhance the experience. The rich multimedia features on a
smartphone allow more varied options. Furthermore, these devices are already a common
repository for user-generated and user-preferred media, which will allow for a highly
personalized VHB that is highly portable and always available to a user in distress. We
hypothesize that:
1. Patients in the (VHB) intervention condition will demonstrate pre-post reductions in 1)
severity of suicidal ideation 2) ability to cope with stressors and 3) increases in
perceived reasons for living
2. Patients in the intervention condition will demonstrate greater pre-post reductions in
symptoms of suicidal ideation, ability to cope with stressors, and perceived reasons for
living compared to patients in the (ETAU) control condition.
3. Patients and clinicians will find VHB to be beneficial and its use readily integrated
into practice.
Our overall objective in the proposed study is to assess the impact of a virtual hope-box
(VHB) smartphone app on suicidal ideation in veterans undergoing clinical therapy who have
recently had suicidal ideation or behavior. We propose to conduct this study in two phases:
Phase 1: Modifying the current VHB-β version of the app to accommodate feedback from pilot
study participants. The result will be the VHB V1.0 to be tested in phase 2. This component
of the study will be conducted by the T2 group located at Joint Base Lewis-McChord.
Phase 2: Implementing a randomized controlled trial comparing the VHB intervention with
enhanced treatment as usual (ETAU) in clinical practice. This component of the study will be
conducted at the Portland VA Medical Center.
This research project seeks to answer several essential questions:
1. Can a smartphone app containing the essential components of a hope box and associated
elements of CT/DBT (Dialectical Behavioral Therapy) reduce severity of suicidal
ideation, and increase perceptions of reasons for living and ability to cope, in a
clinical sample of veterans?
2. Is a smartphone VHB app more effective in reducing severity of suicidal ideation, and
increasing perceptions of reasons for living and ability to cope, compared to enhanced
treatment as usual (ETAU)? In addition, we will gather important information about
implementing and integrating VHB as a treatment component in mental health treatment
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