DBT Skills Groups for Veterans at High Risk for Suicide Attempt

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-30

Study Completion Date

2027-02-26

Brief Summary

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Veteran suicide death is a national crisis. Risk factors include emotion dysregulation, which occurs across mental health disorders. Dialectical behavior therapy (DBT) is an evidence-based suicide intervention that targets emotion dysregulation but is resource-intensive and not widely available at VHA. A more efficient evidence-based DBT Skills Group (DBT-SG) is associated with reduced suicidal ideation and emotion dysregulation and likely more feasible to implement at VHA. This is a randomized controlled trial to test whether DBT-SG in addition to VHA treatment-as-usual, compared to only VHA treatment-as-usual, reduces Veteran emotion dysregulation.

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Detailed Description

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This is a randomized controlled trial at four VHA medical centers. Veterans will be randomized to VHA treatment-as-usual or VHA treatment-as-usual plus DBT-SG.

Conditions

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Suicide, Attempted

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to one of two study conditions for the duration of the study.

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Outcomes assessors will be masked to study condition.

Study Groups

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DBT-SG plus VHA treatment as usual

Dialectical Behavior Therapy Skills Group (DBT-SG) in addition to VHA treatment as usual. Group is 24 weekly sessions teaching skills in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness.

Group Type EXPERIMENTAL

DBT-SG

Intervention Type BEHAVIORAL

Dialectical Behavior Therapy Skills Group (DBT-SG) in addition to VHA treatment as usual. Group is 24 weekly sessions teaching skills in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness.

VHA treatment as usual

Intervention Type BEHAVIORAL

VHA treatment as usual for Veterans at risk for suicide attempt

VHA treatment as usual

VHA treatment as usual for Veterans at risk for suicide attempt

Group Type ACTIVE_COMPARATOR

VHA treatment as usual

Intervention Type BEHAVIORAL

VHA treatment as usual for Veterans at risk for suicide attempt

Interventions

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DBT-SG

Dialectical Behavior Therapy Skills Group (DBT-SG) in addition to VHA treatment as usual. Group is 24 weekly sessions teaching skills in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness.

Intervention Type BEHAVIORAL

VHA treatment as usual

VHA treatment as usual for Veterans at risk for suicide attempt

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Veteran eligible for VHA care at participating site
* two or more suicide attempts in lifetime, with one in past 12 months, on Columbia-Suicide Severity Rating Scale (C-SSRS)
* current suicidal ideation (endorsing a suicidal ideation scale of at least 1 \[passive ideation\] on C-SSRS
* emotion dysregulation (score 95 or greater on DERS)
* can attend group sessions
* willing to provide contact information for at least one person who can help locate the participant if study staff are unable to contact them (information for three contact persons will be requested; a participant must provide at least one contact person's information to be included in the study)
* access to telephone; if insufficient access to videoteleconference and local facility is using remote procedures for study, willing to request access to VA-provided device

Exclusion Criteria

* significant cognitive impairment (score \< 28 on modified Telephone Interview for Cognitive Status (mTICS)
* inability to read English or communicate in spoken and written English
* plan to move away or be unavailable in the next 18 months

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No