Operation Worth Living Project With Suicidal Soldiers at Ft. Stewart

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2017-03-15

Brief Summary

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This is a randomized controlled trial comparing the use of new clinical intervention (the "Collaborative Assessment and Management of Suicidality--CAMS") versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA.

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Detailed Description

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This is a randomized controlled clinical trial of 148 suicidal active-duty US Army Soldiers. Participants were randomized to on-site providers who were trained in the Collaborative Assessment and Management of Suicidality (CAMS) vs. providers doing their own routine care--referred to as Enhanced Care as Usual (E-CAU) within an outpatient military treatment center. The CAMS Rating Scale (CRS) was used to reliably verify fidelity between treatment conditions and the adherence by CAMS providers to the model. Participants received informed consent to be randomly assigned to treatment arm and were ask to complete study assessments at baseline, 3 months, 6 months, and 12 months after the start of treatment. Recruitment is complete and all study assessments were completed as of March 2016. The study is in a second year of no cost extension; outcome data analyses and moderator analyses are currently underway to develop manuscripts for submission to peer-review scientific journals.

Conditions

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Suicidal Ideation Active Suicidal and Self-injurious Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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CAMS--Collaborative Driver-Treatment

The Collaborative Assessment and Management of Suicidality (CAMS) is a suicide-specific clinical intervention that targets and treats patient-defined suicidal "drivers" over the course of clinical care.

Group Type EXPERIMENTAL

The Collaborative Assessment and Management of Suicidality

Intervention Type BEHAVIORAL

Intensive outpatient, suicide-focused, psychotherapy designed to target and treat the "drivers" of suicidal ideation and behaviors.

Enhanced Care as Usual--E-CAU

This control group treatment will reflect current clinical practices for treating suicidal soldiers in the research site setting. These are providers were on site clinicians who provided care according to their usual and customary practices for working with suicidal risk within outpatient care.

Group Type ACTIVE_COMPARATOR

Enhanced Care as Usual

Intervention Type BEHAVIORAL

This is just standard outpatient mental health care that is routinely provided in the study site outpatient clinic

Interventions

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The Collaborative Assessment and Management of Suicidality

Intensive outpatient, suicide-focused, psychotherapy designed to target and treat the "drivers" of suicidal ideation and behaviors.

Intervention Type BEHAVIORAL

Enhanced Care as Usual

This is just standard outpatient mental health care that is routinely provided in the study site outpatient clinic

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Active duty Army personnel at FSGA
* Significant suicidal ideation
* Soldier is appropriate under FSGA policies
* Consent at baseline and follow up
* Consent to randomization and being digitally recorded