Crisis Response Planning for Military Personnel

NCT ID: NCT05795764

Last Updated: 2024-11-15

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

RECRUITING

Clinical Phase

NA

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-21

Study Completion Date

2027-12-31

Brief Summary

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The study is a randomized trial comparing outcomes of active duty service members who present to the emergency department at risk for suicide and receive care from providers trained in crisis response planning versus those providing treatment as usual.

Detailed Description

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Conditions

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Suicidal Suicide Threat Suicidal Ideation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Crisis Response Planning

CRP is a brief psychotherapeutic intervention that can be provided to patients at risk of suicidal behavior. When using the intervention, a provider works with the patient (1) to conduct a narrative assessment of the events preceding suicidal thoughts or behavior, and (2) to develop a personalized plan for identifying and managing distress that could escalate to a suicide attempt. The CRP, which is typically handwritten by the patient on an index card, includes personal warning signs of distress, emotion regulation strategies, reasons for living, and contact information for friends/family as well as professional (psychological/medical) and emergency resources.

Group Type EXPERIMENTAL

Crisis Response Planning

Intervention Type BEHAVIORAL

Crisis Response Planning (CRP) is a brief psychotherapeutic intervention.

Treatment as Usual

Existing clinical practices in the emergency department include the following elements recommended by the VA/DoD Clinical Practice Guidelines: (1) all patients are screened for suicidal ideation at every visit; (2) for those with positive screens, a suicide risk assessment interview is conducted by a mental health professional; (3) a safety planning form with means restriction (such as the Stanley-Brown; Stanley \& Brown, 2012) is completed; and (4) patients are referred for follow-up mental health treatment as needed. Other elements of TAU could include behavioral and psychotropic interventions, referrals to specialty mental healthcare, and admission for psychiatric inpatient care.

Group Type ACTIVE_COMPARATOR

Treatment as Usual

Intervention Type BEHAVIORAL

Standard care provided for patients at risk for suicide

Interventions

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Crisis Response Planning

Crisis Response Planning (CRP) is a brief psychotherapeutic intervention.

Intervention Type BEHAVIORAL

Treatment as Usual

Standard care provided for patients at risk for suicide

Intervention Type BEHAVIORAL

Other Intervention Names

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CRP

Eligibility Criteria

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Inclusion Criteria

* Active duty service members
* \>18 years old
* Present to the emergency department at NMCSD with a primary concern related to suicidal ideation, plan, intention, or attempt, or are assessed as being at elevated risk of suicidal behavior
* Able to understand and speak English
* Able to provide consent

Exclusion Criteria

* Unable to provide informed consent due to impaired mental status (e.g., acute intoxication, psychosis, mania, altered consciousness)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Naval Health Research Center

FED

Sponsor Role collaborator

Ohio State University

OTHER

Sponsor Role collaborator

United States Naval Medical Center, San Diego

FED

Sponsor Role lead

Responsible Party

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Kristen Walter

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristen H Walter, PhD

Role: PRINCIPAL_INVESTIGATOR

Naval Health Research Center

Locations

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Naval Medical Center San Diego

San Diego, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kristen H Walter, PhD

Role: CONTACT

619-540-4108

Pia R Khandekar, PsyD

Role: CONTACT

619-532-9264

Facility Contacts

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Pia R Khandekar, PsyD

Role: primary

619-532-9264

References

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Walter KH, Khandekar PR, Kline AC, Miggantz EL, Otis NP, Glassman LH, Thomsen CJ, Brock G, Bryan CJ. Comparison of crisis response planning and treatment as usual for active duty service members at risk for suicide: Study protocol for a stepped-wedge cluster randomized trial in a military treatment facility. Contemp Clin Trials Commun. 2024 Dec 6;42:101407. doi: 10.1016/j.conctc.2024.101407. eCollection 2024 Dec.

Reference Type DERIVED
PMID: 39735169 (View on PubMed)

Other Identifiers

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NMCSD.2022.0058

Identifier Type: -

Identifier Source: org_study_id

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