Trial Outcomes & Findings for Telehealth to Reduce Suicidality and Improve HIV Care Engagement in Tanzania (NCT NCT04696861)

NCT ID: NCT04696861

Last Updated: 2025-04-20

Results Overview

Columbia-Suicide Severity Rating Scale (C-SSRS) items measuring suicidal thoughts (yes/no), intent (yes/no), and plan (yes/no). Reported here are the number of participants who responded 'yes' to each of the items.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 60 participants
• Primary outcome timeframe: 3 months post enrollment
• Results posted on: 2025-04-20

Participant Flow

Participant milestones

Measure	IDEAS for Hope Intervention Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Overall Study STARTED	30	30
Overall Study COMPLETED	26	30
Overall Study NOT COMPLETED	4	0

Reasons for withdrawal

Measure	IDEAS for Hope Intervention Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Overall Study Death	1	0
Overall Study Lost to Follow-up	3	0

Baseline Characteristics

Telehealth to Reduce Suicidality and Improve HIV Care Engagement in Tanzania

Baseline characteristics by cohort

Measure	IDEAS for Hope Intervention n=30 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.	Total n=60 Participants Total of all reporting groups
Age, Continuous	43.83 years STANDARD_DEVIATION 11.86 • n=93 Participants	42.67 years STANDARD_DEVIATION 10.99 • n=4 Participants	43.25 years STANDARD_DEVIATION 11.36 • n=27 Participants
Sex: Female, Male Female	23 Participants n=93 Participants	24 Participants n=4 Participants	47 Participants n=27 Participants
Sex: Female, Male Male	7 Participants n=93 Participants	6 Participants n=4 Participants	13 Participants n=27 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	30 Participants n=93 Participants	30 Participants n=4 Participants	60 Participants n=27 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) Asian	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) Black or African American	30 Participants n=93 Participants	30 Participants n=4 Participants	60 Participants n=27 Participants
Race (NIH/OMB) White	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) More than one race	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=93 Participants	0 Participants n=4 Participants	0 Participants n=27 Participants
Region of Enrollment Tanzania	30 participants n=93 Participants	30 participants n=4 Participants	60 participants n=27 Participants

PRIMARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Columbia-Suicide Severity Rating Scale (C-SSRS) items measuring suicidal thoughts (yes/no), intent (yes/no), and plan (yes/no). Reported here are the number of participants who responded 'yes' to each of the items.

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Number of Participants With Suicidal Ideation Suicidal Thoughts	4 Participants	3 Participants
Number of Participants With Suicidal Ideation Plan	0 Participants	0 Participants
Number of Participants With Suicidal Ideation Intent	0 Participants	0 Participants

PRIMARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up

Participant medical records were reviewed after the 3-month follow-up survey to identify whether they had a gap in care during the study period, defined as 6 or more days where they did not have enough prescribed medication on hand to maintain adherence between HIV clinic appointments.

Outcome measures

Measure	IDEAS for Hope Intervention n=29 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Number of Participants With a Gap in HIV Care Engagement	2 Participants	1 Participants

PRIMARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

During the baseline and follow-up surveys, participants were asked two questions related to their adherence to antiretroviral medication: "Think about the last 14 days. On how many days did you miss taking your HIV pill(s)?" and the same question with a 90 day recall period. Adherence challenges were coded yes/no at each time point, defined as (1) missing 3 or more days of medication in the past 14 days or (2) missing 6 or more days in the past 90 days.

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
HIV Medication Adherence, as Measured by Number of Participants Who Report Adherence Challenges	1 Participants	2 Participants

PRIMARY outcome

Timeframe: Baseline, 3 months Post Enrollment

Population: Data not collected.

Extraction of routine HIV viral load testing from the patient medical record at baseline and 3-months post study enrollment.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Patient Health Questionnaire (PHQ-9), 9 items, score 0-27 with higher indicating more depression

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Depression	2.71 score on a scale Standard Deviation 2.43	3.13 score on a scale Standard Deviation 2.87

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

HIV Stigma Scale (HSS), 12 items, score 12-48 with higher indicating more stigma

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
HIV Stigma	29.35 score on a scale Standard Deviation 3.49	30.31 score on a scale Standard Deviation 5.39

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Self-reported disclosures to partner, family, friends, others (yes/no)

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Number of HIV Disclosures Made by Participants Disclosed to partner	2 Disclosures	1 Disclosures
Number of HIV Disclosures Made by Participants Disclosed to family	0 Disclosures	2 Disclosures
Number of HIV Disclosures Made by Participants Disclosed to friends	4 Disclosures	2 Disclosures
Number of HIV Disclosures Made by Participants Disclosed to others	0 Disclosures	2 Disclosures

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Total Number of HIV Disclosures Made by Participants	6 Disclosures	7 Disclosures

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Perceived Availability of Support Scale (PASS), 7 items, score 7 to 35 with higher indicating more social support

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Social Support	27.21 score on a scale Standard Deviation 7.15	27.9 score on a scale Standard Deviation 7.42

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

10 items adapted from the Client Satisfaction Questionnaire (CSQ), score 10 to 40 with higher indicating greater satisfaction with the intervention

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Acceptability of Intervention	34.93 score on a scale Standard Deviation 3.11	33.5 score on a scale Standard Deviation 2.78

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Beck Hopelessness Scale (Balsamo Short Form), 9 items, score 0 to 9 with higher indicating more hopelessness

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Hopelessness	1.75 score on a scale Standard Deviation 2.12	2.4 score on a scale Standard Deviation 2.33

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Brief Reasons for Living Inventory, 12 items, score 12 to 72 with higher indicating more reasons to live

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Reasons for Living	60.54 score on a scale Standard Deviation 8.79	62.3 score on a scale Standard Deviation 5.49

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

The World Health Organization Quality of Life Brief Version (WHOQOL-BREF), 2 items, score 2 to 10 with higher indicating better quality of life

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Quality of Life (Overall)	3.54 score on a scale Standard Deviation 0.84	3.60 score on a scale Standard Deviation 0.62

SECONDARY outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

The World Health Organization Quality of Life Brief Version (WHOQOL-BREF), 2 items, score 2 to 10 with higher indicating better quality of life

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Quality of Life (Health Satisfaction)	3.79 score on a scale Standard Deviation 0.74	3.73 score on a scale Standard Deviation 0.91

POST_HOC outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Brief Symptom Inventory Anxiety Subscale, 6 items, score 0 to 24 with higher indicating more anxiety

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Anxiety	5.5 score on a scale Standard Deviation 4.22	7.43 score on a scale Standard Deviation 5.71

POST_HOC outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Self-Efficacy to Avoid Suicidal Action (SEASA) Scale, 6 items, score 0 to 60 with higher indicating more coping self-efficacy

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Suicide Coping Self-Efficacy	45.86 score on a scale Standard Deviation 11.51	43.53 score on a scale Standard Deviation 11.99

POST_HOC outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Beliefs About Medicine Questionnaire (BMQ), 10 items, score 10 to 50 with higher indicating more positive attitudes about medication

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Attitudes About Antiretroviral Therapy	42.25 score on a scale Standard Deviation 3.53	42.73 score on a scale Standard Deviation 4.59

POST_HOC outcome

Timeframe: 3 months post enrollment

Population: 1 intervention participant died prior to 3-month follow-up and 1 intervention participant was lost to follow-up and did not complete the 3-month follow-up survey

Illness Cognition Questionnaire (ICQ), 7 items, score 7-28 with higher indicating more acceptance

Outcome measures

Measure	IDEAS for Hope Intervention n=28 Participants Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 Participants Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
HIV Acceptance	20.75 score on a scale Standard Deviation 2.77	20.73 score on a scale Standard Deviation 3.86

Adverse Events

IDEAS for Hope Intervention

Serious events: 1 serious events

Other events: 0 other events

Deaths: 1 deaths

Enhanced Standard of Care With Safety Planning

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Measure	IDEAS for Hope Intervention n=30 participants at risk Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement. IDEAS for Hope: Participants will receive three counseling sessions at two week intervals, delivered by telehealth by a trained psychiatric nurse, focused on managing suicidal ideation and enhancing HIV care engagement.	Enhanced Standard of Care With Safety Planning n=30 participants at risk Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning. Enhanced Standard of Care (Safety Planning): Participants will receive a brief, 10-15 minute counseling session, delivered by telehealth by a trained psychiatric nurse, focused on safety planning.
Immune system disorders AIDS-related complications	3.3% 1/30 • 3 months post enrollment One adverse event, a serious adverse event involving the death of a study participant, was reported to the study IRBs and determined to be not related to the study.	0.00% 0/30 • 3 months post enrollment One adverse event, a serious adverse event involving the death of a study participant, was reported to the study IRBs and determined to be not related to the study.

Other adverse events

Adverse event data not reported

Additional Information

Brandon Knettel

Duke University School of Nursing

Phone: 1 919 660 1218

Email: brandon.knettel@duke.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place