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

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) 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.

Conditions

• Suicide
• Suicidal Ideation

Interventions

BEHAVIORAL

Treatment As Usual (TAU)

BEHAVIORAL

Standard Crisis Response Plan (S-CRP)

BEHAVIORAL

Enhanced Crisis Response Plan (E-CRP)

Sponsors & Collaborators

• The University of Texas Health Science Center at San Antonio

  collaborator OTHER

• University of Utah

  lead OTHER

Principal Investigators

• Craig J Bryan, PsyD, ABPP · National Center for Veterans Studies & The University of Utah

• Tracy A Clemans, PsyD · National Center for Veterans Studies & The University of Utah

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2013-01-31

Primary Completion

2016-09-30

Completion

2016-09-30

Countries

• United States

Study Locations