Suicide Prevention Clinical Trial
Official title:
Prevention of Suicide in Veterans Through Brief Intervention and Contact (VA-BIC)
The VA is committed to reducing suicide in the U.S. Veteran population. Over 6,000 Veterans die from suicide each year, and this risk is particularly high following a psychiatric hospitalization. This may be due to problems with engagement in care and poor social connectedness. Although the VA has implemented tools to address Veteran suicide risk, suicide after psychiatric discharge remains an ongoing problem. This has highlighted the need to develop new interventions and approaches to post-discharge mental health care within the VA. In response, this project is a randomized control trial of an intervention an intervention called Prevention of suicide: Education, Awareness, Connection, and Engagement (PEACE). This intervention is comprised of two synergistic and promising components to prevent suicide: 1) a mobile mental health app, which aims to improve social connectedness after discharge; and 2) a manual-based intervention called the Veterans Affairs Brief Intervention and Contact Program (VA-BIC), which promotes engagement in care. The overall goal of this study is to determine if the PEACE intervention combined with standard discharge care reduces suicidal ideation as compared to a control group receiving only standard discharge care.
Background: Suicide is a major public health concern in the U.S., and even more so in the Veteran population. Furthermore, the period following psychiatric hospitalization is one of the highest risk periods for suicide. Based on current evidence, some of the most important contributing factors to post-hospitalization suicide risk include problems with engagement in care, fragmented care, and lack of social connectedness. Other studies in civilian populations have also raised similar concerns, highlighting the need to identify novel and effective interventions or approaches to post-discharge mental health care. Objectives: This project aims to 1) Identify the effect of PEACE on suicidal ideation after psychiatric hospitalization, compared to standard care alone; 2) Identify the effect of PEACE on social connectedness and engagement in care after psychiatric hospitalization, compared to standard care alone; and 3) Compare the effect of PEACE on suicide attempts and suicide deaths after psychiatric hospitalization, compared to standard care alone. Methods: This is a single-site, assessor-blinded, randomized control trial of PEACE plus standard psychiatric hospital discharge care compared to standard psychiatric hospital discharge care alone. The trial will enroll up to 160 participants aged 18 years and older who are being discharged from the White River Junction VA Medical Center inpatient mental health unit. Participants will be randomized to either the PEACE intervention plus standard psychiatric discharge care or standard psychiatric discharge care alone. Suicidal ideation, hopelessness, social connectedness, engagement in care, suicide attempts, and app engagement (only those randomized to PEACE) will be measured at baseline and one, three, and six months post-discharge. Participants randomized to PEACE will also receive eight additional intervention contacts as part of the VA-BIC protocol. Hypothesis: Veterans receiving the PEACE intervention will report greater improvements in suicidal thoughts and behaviors, hopelessness, social connectedness, and engagement in care at follow-up contact visits compared to Veterans receiving standard care alone. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01118169 -
Personal Values, Interpersonal Needs, and Suicidal Ideation in a Veteran Population
|
N/A | |
| Completed |
NCT02877316 -
MYPLAN - Effectiveness of a Safety Plan App to Manage Crisis of Persons at Risk of Suicide
|
N/A | |
| Completed |
NCT06130943 -
Evaluation of the Quality of Telephone Calls to a Suicide Prevention Helpline
|
||
| Recruiting |
NCT06139887 -
Suicide Prevention Program for Veterans Discharged From Community Care Settings
|
N/A | |
| Recruiting |
NCT05067686 -
Health Professionals Perspective on Suicide
|
||
| Not yet recruiting |
NCT06378541 -
Smartphone App Enhanced Facilitation Among Veterans in a Mental Health Inpatient Setting (Project HOPE)
|
N/A | |
| Recruiting |
NCT06164106 -
Feasibility Trial of a Single Session of Crisis Response Planning for Youth at High Risk for Suicide
|
N/A | |
| Recruiting |
NCT05994612 -
Suicide Prevention for Substance Using Youth Experiencing Homelessness
|
N/A | |
| Recruiting |
NCT06094959 -
Integrating Suicide Prevention Packages Into Task-shifted Mental Health Interventions in Low-resourced Contexts
|
N/A | |
| Completed |
NCT06282263 -
The Effect of the Awareness Development Program on Suicide Prevention for Oncology Nurses
|
N/A | |
| Completed |
NCT00516932 -
Pharmacogenomics of Antidepressant Response in Children and Adolescents
|
N/A | |
| Recruiting |
NCT06208293 -
Suicide Prevention Integration Into Task-shifted Mental Health Interventions
|
N/A | |
| Completed |
NCT03114917 -
Cognitive AppRoaches to coMbatting Suicidality
|
N/A | |
| Recruiting |
NCT03026127 -
A Novel Cognitive Reappraisal Intervention for Suicide Prevention
|
N/A | |
| Recruiting |
NCT03136094 -
Suicide in Urban Natives: Detection and Networks to Combat Events
|
N/A | |
| Completed |
NCT02996344 -
Suicide Prevention Training for PC Providers-in-training
|
N/A | |
| Completed |
NCT04565951 -
Increasing Help-Seeking Behavior Among Transitioning Veterans at Risk for Suicide With Online Gatekeeper Training
|
N/A | |
| Not yet recruiting |
NCT06465381 -
Safety Planning and Cognitive Behavioral Therapy for Adolescent Suicide Prevention in Mozambique
|
N/A | |
| Recruiting |
NCT05995678 -
A Mixed Methods Pilot Trial of the STEP Home Workshop to Improve Reintegration and Reduce Suicide Risk for Recently Transitioned Veterans
|
N/A | |
| Recruiting |
NCT06225661 -
Focused Suicide Prevention Strategy for Youth Presenting to the Emergency Department With Suicide Related Behaviour
|
N/A |