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

NCT ID: NCT01360736

Last Updated: 2020-02-20

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

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2018-12-31

Brief Summary

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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).

Detailed Description

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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 \[FU-3\]).

Conditions

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Suicide Suicide, Attempted

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Safety Planning - Military (SAFE-MIL)

Brief Safety Planning Using Stanley and Brown (2012) Model

Group Type EXPERIMENTAL

Safety Planning - Military (SAFE MIL)

Intervention Type BEHAVIORAL

The Safety Planning Intervention (SPI) which is delivered in the SAFE MIL condition aims to help individuals lower their imminent suicide risk by having them collaborate with the study clinician to generate a detailed, hierarchically-arranged action plan for managing suicidal thoughts and urges.

E-CARE

Treatment As Usual and Assessment Services of Study; Control Condition

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Safety Planning - Military (SAFE MIL)

The Safety Planning Intervention (SPI) which is delivered in the SAFE MIL condition aims to help individuals lower their imminent suicide risk by having them collaborate with the study clinician to generate a detailed, hierarchically-arranged action plan for managing suicidal thoughts and urges.

Intervention Type BEHAVIORAL

Other Intervention Names

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Safety Planning

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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U.S. Army Medical Research and Development Command

FED

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

US Department of Veterans Affairs

FED

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role collaborator

University of Rochester

OTHER

Sponsor Role collaborator

Columbia University

OTHER

Sponsor Role collaborator

Henry M. Jackson Foundation for the Advancement of Military Medicine

OTHER

Sponsor Role lead

Responsible Party

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Marjan Holloway

Principal Investigator (Contact PI)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marjan G Holloway, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Uniformed Services University of the Health Sciences

Lisa Brenner, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Denver VA

Gregory Brown, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Glenn Currier, M.D., MPH

Role: PRINCIPAL_INVESTIGATOR

Canandaigua VA; University of Rochester

Kerry Knox, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Canandaigua VA; University of Rochester

Barbara Stanley, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Columbia University

Locations

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Uniformed Services University of the Health Sciences

Bethesda, Maryland, United States

Site Status

Walter Reed National Military Medical Center

Bethesda, Maryland, United States

Site Status

Countries

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United States

References

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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(Suppl 1):S33-7. doi: 10.2105/AJPH.2011.300501.

Reference Type BACKGROUND
PMID: 22390597 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 25020008 (View on PubMed)

Other Identifiers

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W81XWH-09-2-0129 Study 2

Identifier Type: -

Identifier Source: org_study_id

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