Trial Outcomes & Findings for Motivational Interviewing to Prevent Suicide in High Risk Veterans (NCT NCT01544127)
NCT ID: NCT01544127
Last Updated: 2022-02-25
Results Overview
The number of participants with suicidal ideation and severity of suicidal ideation was measured using the Scale for Suicidal Ideation (SSI) at 1, 3, and 6 months after discharge. Scores range from 0-38, with scores of 1 or greater indicating the presence of suicidal ideation.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
132 participants
Primary outcome timeframe
6 months
Results posted on
2022-02-25
Participant Flow
Participant milestones
| Measure |
MI-SI
Motivational interviewing to address suicidal ideation (MI-SI) is an adaptation of motivational interviewing that is focused on exploring and resolving ambivalence about living.
|
MI-SI-R
Motivational interviewing to address suicidal ideation revised (MI-SI-R) is an adaptation of motivational interviewing that is focused on resolving ambivalence about living.
|
VA TAU
Treatment as usual is standard treatment received during acute psychiatric hospitalization in a Department of Veterans Affairs (VA) medical center and after discharge.
|
|---|---|---|---|
|
Overall Study
STARTED
|
33
|
33
|
66
|
|
Overall Study
COMPLETED
|
22
|
27
|
52
|
|
Overall Study
NOT COMPLETED
|
11
|
6
|
14
|
Reasons for withdrawal
| Measure |
MI-SI
Motivational interviewing to address suicidal ideation (MI-SI) is an adaptation of motivational interviewing that is focused on exploring and resolving ambivalence about living.
|
MI-SI-R
Motivational interviewing to address suicidal ideation revised (MI-SI-R) is an adaptation of motivational interviewing that is focused on resolving ambivalence about living.
|
VA TAU
Treatment as usual is standard treatment received during acute psychiatric hospitalization in a Department of Veterans Affairs (VA) medical center and after discharge.
|
|---|---|---|---|
|
Overall Study
Lost to Follow-up
|
4
|
2
|
9
|
|
Overall Study
Withdrawal by Subject
|
2
|
2
|
1
|
|
Overall Study
Discharged out of catchment area
|
1
|
1
|
1
|
|
Overall Study
Death
|
1
|
0
|
0
|
|
Overall Study
Jail or Prison
|
1
|
1
|
2
|
|
Overall Study
Became Psychotic
|
1
|
0
|
0
|
|
Overall Study
Researcher withdrew
|
1
|
0
|
0
|
|
Overall Study
Went active duty
|
0
|
0
|
1
|
Baseline Characteristics
Motivational Interviewing to Prevent Suicide in High Risk Veterans
Baseline characteristics by cohort
| Measure |
MI-SI+TAU
n=33 Participants
Motivational Interviewing to Address Suicidal Ideation (MI-SI)
MI-SI focuses on exploring and resolving ambivalence about living. It consist of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up session (30-50 mins)
|
MI-SI-R+TAU
n=33 Participants
Motivational Interviewing to Address Suicidal Ideation Revised (MI-SI-R)
MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
Treatment as Usual (TAU)
n=66 Participants
Treatment as Usual (TAU)
TAU consisted of standard inpatient treatment that includes medication management, case management, meals and a bed, and milieu therapy consisting of creative and social activities. Some families of veterans also received education to create a supportive home environment. Suicidal patients also completed a safety plan prior to discharge, and their care was overseen by a local Suicide Prevention Coordinator and case managers.
|
Total
n=132 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
46.61 years
STANDARD_DEVIATION 12.69 • n=5 Participants
|
43.91 years
STANDARD_DEVIATION 12.44 • n=7 Participants
|
46.03 years
STANDARD_DEVIATION 12.77 • n=5 Participants
|
45.64 years
STANDARD_DEVIATION 12.61 • n=4 Participants
|
|
Sex: Female, Male
Female
|
3 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
14 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
30 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
58 Participants
n=5 Participants
|
118 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
32 Participants
n=5 Participants
|
33 Participants
n=7 Participants
|
64 Participants
n=5 Participants
|
129 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
2 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Black or African American
|
5 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
18 Participants
n=4 Participants
|
|
Race (NIH/OMB)
White
|
25 Participants
n=5 Participants
|
25 Participants
n=7 Participants
|
52 Participants
n=5 Participants
|
102 Participants
n=4 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Marital Status
Married
|
13 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
22 Participants
n=5 Participants
|
44 Participants
n=4 Participants
|
|
Marital Status
Divorced/Separated
|
9 Participants
n=5 Participants
|
15 Participants
n=7 Participants
|
33 Participants
n=5 Participants
|
57 Participants
n=4 Participants
|
|
Marital Status
Never Married
|
8 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
10 Participants
n=5 Participants
|
25 Participants
n=4 Participants
|
|
Marital Status
Widowed
|
3 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
6 Participants
n=4 Participants
|
|
Employment
Part/Fulltime/Self-Employed
|
4 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
14 Participants
n=5 Participants
|
24 Participants
n=4 Participants
|
|
Employment
Student/Homemaker
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Employment
Unemployed
|
11 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
18 Participants
n=5 Participants
|
35 Participants
n=4 Participants
|
|
Employment
Disabled/Retired
|
18 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
31 Participants
n=5 Participants
|
70 Participants
n=4 Participants
|
|
Employment
Other
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
1 Participants
n=4 Participants
|
|
Years of Service
|
6.21 years
STANDARD_DEVIATION 7.05 • n=5 Participants
|
5.82 years
STANDARD_DEVIATION 4.82 • n=7 Participants
|
7.09 years
STANDARD_DEVIATION 6.78 • n=5 Participants
|
6.55 years
STANDARD_DEVIATION 6.40 • n=4 Participants
|
|
Era
Post 9/11 (2001-Present)
|
7 Participants
n=5 Participants
|
13 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
37 Participants
n=4 Participants
|
|
Era
Desert Storm/Shield (1990-2001)
|
2 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
10 Participants
n=4 Participants
|
|
Era
Post-Vietnam Peace (1975-1990)
|
9 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
31 Participants
n=4 Participants
|
|
Era
Vietnam War (1964-1975)
|
6 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
12 Participants
n=4 Participants
|
|
Era
Post-Korea Peace (1955-1964)
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
2 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Era
Multiple Eras
|
9 Participants
n=5 Participants
|
10 Participants
n=7 Participants
|
21 Participants
n=5 Participants
|
40 Participants
n=4 Participants
|
|
Deployed to Combat Zone
|
15 Participants
n=5 Participants
|
17 Participants
n=7 Participants
|
30 Participants
n=5 Participants
|
62 Participants
n=4 Participants
|
|
Scale for Suicidal Ideation (SSI)
Current (week before hospitalization)
|
23.27 units on a scale
STANDARD_DEVIATION 8.33 • n=5 Participants
|
20.06 units on a scale
STANDARD_DEVIATION 7.73 • n=7 Participants
|
20.54 units on a scale
STANDARD_DEVIATION 8.64 • n=5 Participants
|
21.11 units on a scale
STANDARD_DEVIATION 24.85 • n=4 Participants
|
|
Scale for Suicidal Ideation (SSI)
Worst Point
|
26.75 units on a scale
STANDARD_DEVIATION 8.50 • n=5 Participants
|
25.76 units on a scale
STANDARD_DEVIATION 8.81 • n=7 Participants
|
23.45 units on a scale
STANDARD_DEVIATION 9.07 • n=5 Participants
|
24.85 units on a scale
STANDARD_DEVIATION 8.92 • n=4 Participants
|
|
Columbia- Suicide Severity Rating Scale (C-SSRS): Suicide Attempt Last Month
|
6 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
30 Participants
n=4 Participants
|
|
C-SSRS: Lifetime Suicide Attempts
|
2.85 events
STANDARD_DEVIATION 3.44 • n=5 Participants
|
1.84 events
STANDARD_DEVIATION 2.81 • n=7 Participants
|
1.24 events
STANDARD_DEVIATION 1.66 • n=5 Participants
|
1.80 events
STANDARD_DEVIATION 2.57 • n=4 Participants
|
|
Ohio State University Traumatic Brain Injury Identification Method (TBI-ID): Loss of Consciousness
#Times
|
2.03 events
STANDARD_DEVIATION 2.23 • n=5 Participants
|
1.91 events
STANDARD_DEVIATION 2.11 • n=7 Participants
|
1.18 events
STANDARD_DEVIATION 1.71 • n=5 Participants
|
1.58 events
STANDARD_DEVIATION 1.98 • n=4 Participants
|
|
Ohio State University Traumatic Brain Injury Identification Method (TBI-ID): Loss of Consciousness
# Times >= 30 mins
|
0.42 events
STANDARD_DEVIATION 0.66 • n=5 Participants
|
0.21 events
STANDARD_DEVIATION 0.42 • n=7 Participants
|
0.17 events
STANDARD_DEVIATION 0.41 • n=5 Participants
|
0.24 events
STANDARD_DEVIATION 0.50 • n=4 Participants
|
|
TBI-ID: Loss of Consciousness Before 15 Years of Age
|
11 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
12 Participants
n=5 Participants
|
35 Participants
n=4 Participants
|
|
TBI-ID: Worst TBI
|
3.00 units on a scale
STANDARD_DEVIATION 1.06 • n=5 Participants
|
2.70 units on a scale
STANDARD_DEVIATION 1.10 • n=7 Participants
|
2.44 units on a scale
STANDARD_DEVIATION 1.18 • n=5 Participants
|
2.64 units on a scale
STANDARD_DEVIATION 1.15 • n=4 Participants
|
|
Patient Health Questionnaire (PHQ-9): Depression
|
18.54 units on a scale
STANDARD_DEVIATION 4.29 • n=5 Participants
|
18.12 units on a scale
STANDARD_DEVIATION 4.74 • n=7 Participants
|
17.92 units on a scale
STANDARD_DEVIATION 5.28 • n=5 Participants
|
18.13 units on a scale
STANDARD_DEVIATION 4.88 • n=4 Participants
|
|
Posttraumatic Stress Disorder (PTSD) Checklist Civilian Version (PCL-C)
|
60.12 units on a scale
STANDARD_DEVIATION 11.07 • n=5 Participants
|
58.39 units on a scale
STANDARD_DEVIATION 12.73 • n=7 Participants
|
56.89 units on a scale
STANDARD_DEVIATION 13.35 • n=5 Participants
|
58.08 units on a scale
STANDARD_DEVIATION 12.64 • n=4 Participants
|
|
Beck Anxiety Inventory (BAI)
|
26.09 units on a scale
STANDARD_DEVIATION 10.72 • n=5 Participants
|
27.21 units on a scale
STANDARD_DEVIATION 12.72 • n=7 Participants
|
28.24 units on a scale
STANDARD_DEVIATION 10.20 • n=5 Participants
|
26.91 units on a scale
STANDARD_DEVIATION 11.08 • n=4 Participants
|
|
Alcohol Use Disorders Identification Test (AUDIT)
|
14.54 units on a scale
STANDARD_DEVIATION 11.50 • n=5 Participants
|
9.67 units on a scale
STANDARD_DEVIATION 10.19 • n=7 Participants
|
14.48 units on a scale
STANDARD_DEVIATION 12.53 • n=5 Participants
|
12.80 units on a scale
STANDARD_DEVIATION 11.81 • n=4 Participants
|
|
Drug Abuse Screening Test (DAST)
|
2.58 units on a scale
STANDARD_DEVIATION 2.90 • n=5 Participants
|
2.85 units on a scale
STANDARD_DEVIATION 3.38 • n=7 Participants
|
3.02 units on a scale
STANDARD_DEVIATION 3.31 • n=5 Participants
|
2.86 units on a scale
STANDARD_DEVIATION 3.21 • n=4 Participants
|
|
Addiction Severity Index (ASI) (past 28 days)
Any Mental Health Inpatient Days
|
0.27 days
STANDARD_DEVIATION 1.15 • n=5 Participants
|
2.82 days
STANDARD_DEVIATION 7.38 • n=7 Participants
|
2.39 days
STANDARD_DEVIATION 6.32 • n=5 Participants
|
1.97 days
STANDARD_DEVIATION 5.87 • n=4 Participants
|
|
Addiction Severity Index (ASI) (past 28 days)
Any Mental Health Outpatient Days
|
2.58 days
STANDARD_DEVIATION 4.47 • n=5 Participants
|
2.83 days
STANDARD_DEVIATION 4.43 • n=7 Participants
|
3.58 days
STANDARD_DEVIATION 5.50 • n=5 Participants
|
2.82 days
STANDARD_DEVIATION 4.43 • n=4 Participants
|
|
Addiction Severity Index (ASI) (past 28 days)
Psychiatric Medication
|
14.82 days
STANDARD_DEVIATION 12.87 • n=5 Participants
|
18.70 days
STANDARD_DEVIATION 12.61 • n=7 Participants
|
17.20 days
STANDARD_DEVIATION 12.82 • n=5 Participants
|
16.98 days
STANDARD_DEVIATION 12.76 • n=4 Participants
|
|
Addiction Severity Index (ASI) (past 28 days)
Medical Medication
|
16.15 days
STANDARD_DEVIATION 12.96 • n=5 Participants
|
14.00 days
STANDARD_DEVIATION 14.00 • n=7 Participants
|
14.45 days
STANDARD_DEVIATION 13.36 • n=5 Participants
|
14.77 days
STANDARD_DEVIATION 13.35 • n=4 Participants
|
|
Addiction Severity Index (ASI) (past 28 days)
Substance Abuse Medication
|
1.85 days
STANDARD_DEVIATION 6.09 • n=5 Participants
|
0.03 days
STANDARD_DEVIATION 0.17 • n=7 Participants
|
2.14 days
STANDARD_DEVIATION 7.08 • n=5 Participants
|
1.54 days
STANDARD_DEVIATION 5.89 • n=4 Participants
|
PRIMARY outcome
Timeframe: 6 monthsPopulation: Analytical sample consists of participants who completed at least one follow-up.
The number of participants with suicidal ideation and severity of suicidal ideation was measured using the Scale for Suicidal Ideation (SSI) at 1, 3, and 6 months after discharge. Scores range from 0-38, with scores of 1 or greater indicating the presence of suicidal ideation.
Outcome measures
| Measure |
MI-SI+TAU
n=28 Participants
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=31 Participants
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=63 Participants
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of Veterans Health Administration(VHA) suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Number of Participants With Suicidal Ideation
1 Month
|
16 Participants
|
19 Participants
|
38 Participants
|
|
Number of Participants With Suicidal Ideation
3 Months
|
17 Participants
|
16 Participants
|
42 Participants
|
|
Number of Participants With Suicidal Ideation
6 Months
|
13 Participants
|
18 Participants
|
40 Participants
|
PRIMARY outcome
Timeframe: 6 monthsPopulation: Analyses were limited to the participants who reported suicidal ideation over follow-up.
Severity of suicidal ideation was measured by the Scale for Suicidal Ideation at 1, 3, and 6 months after discharge. Scores range from 0 to 38, with higher scores indicating more severe suicidal ideation.
Outcome measures
| Measure |
MI-SI+TAU
n=25 Participants
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=27 Participants
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=54 Participants
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of Veterans Health Administration(VHA) suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Severity of Suicidal Ideation Among Those With It
1 month
|
16.94 score on a scale
Standard Deviation 9.05
|
14.26 score on a scale
Standard Deviation 9.70
|
14.21 score on a scale
Standard Deviation 9.62
|
|
Severity of Suicidal Ideation Among Those With It
3 months
|
8.88 score on a scale
Standard Deviation 9.05
|
15.25 score on a scale
Standard Deviation 9.39
|
12.74 score on a scale
Standard Deviation 8.57
|
|
Severity of Suicidal Ideation Among Those With It
6 months
|
18.15 score on a scale
Standard Deviation 10.52
|
16.89 score on a scale
Standard Deviation 9.18
|
15.45 score on a scale
Standard Deviation 10.06
|
SECONDARY outcome
Timeframe: 1 monthPopulation: Analyses were limited to participants who were immediately discharged to outpatient treatment.
Treatment engagement was measured using the Treatment Services Review-6 (TSR-6) at 1 month after discharge.
Outcome measures
| Measure |
MI-SI+TAU
n=21 Participants
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=25 Participants
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=41 Participants
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of Veterans Health Administration(VHA) suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Number of Participants With Two Outpatient Mental Health or Substance Treatment Sessions
|
16 Participants
|
17 Participants
|
31 Participants
|
OTHER_PRE_SPECIFIED outcome
Timeframe: 1, 3, and 6 monthsPopulation: All participants were entered into analyses and censored at suicide attempt or the last follow-up assessment. Follow-up assessments were completed by 122 participants.
Presence of a suicide attempt was measured with the Columbia Suicide Severity Rating Scale (C-SSRS) at 1, 3, and 6 months after discharge.
Outcome measures
| Measure |
MI-SI+TAU
n=28 Participants
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=31 Participants
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=63 Participants
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of Veterans Health Administration(VHA) suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Number of Participants With a Suicide Attempt
1 Month
|
2 Participants
|
1 Participants
|
5 Participants
|
|
Number of Participants With a Suicide Attempt
3 Months
|
2 Participants
|
1 Participants
|
1 Participants
|
|
Number of Participants With a Suicide Attempt
6 Months
|
2 Participants
|
0 Participants
|
2 Participants
|
Adverse Events
MI-SI+TAU
Serious events: 7 serious events
Other events: 10 other events
Deaths: 1 deaths
MI-SI-R+TAU
Serious events: 3 serious events
Other events: 10 other events
Deaths: 0 deaths
TAU Alone
Serious events: 12 serious events
Other events: 21 other events
Deaths: 0 deaths
Serious adverse events
| Measure |
MI-SI+TAU
n=33 participants at risk
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=33 participants at risk
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=66 participants at risk
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of VHA suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Psychiatric disorders
Suicide Attempt
|
15.2%
5/33 • Number of events 6 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
9.1%
3/33 • Number of events 4 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
15.2%
10/66 • Number of events 11 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
|
Psychiatric disorders
Accidental Overdose
|
3.0%
1/33 • Number of events 1 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
0.00%
0/33 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
3.0%
2/66 • Number of events 2 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
|
Cardiac disorders
Death
|
3.0%
1/33 • Number of events 1 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
0.00%
0/33 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
0.00%
0/66 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
Other adverse events
| Measure |
MI-SI+TAU
n=33 participants at risk
Motivational Interviewing to Address Suicidal Ideation
MI-SI+TAU: MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
MI-SI-R+TAU
n=33 participants at risk
Motivational Interviewing to Address Suicidal Ideation Revised
MI-SI-R+TAU: MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
|
TAU Alone
n=66 participants at risk
Treatment as usual
TAU: Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of VHA suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.
|
|---|---|---|---|
|
Psychiatric disorders
Suicidal ideation
|
27.3%
9/33 • Number of events 11 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
24.2%
8/33 • Number of events 10 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
28.8%
19/66 • Number of events 24 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
|
Psychiatric disorders
Psychiatric Symptoms
|
6.1%
2/33 • Number of events 2 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
9.1%
3/33 • Number of events 4 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
7.6%
5/66 • Number of events 5 • 6 months
For this study, serious adverse events were death and other life-threatening events including suicide attempts and accidental overdose. Adverse events were suicidal ideation or psychiatric symptoms that led to an Emergency Department visit and/or hospitalization.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place