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Couples Intervention to Improve Mental Health

W

Wesleyan University

Status

Unknown

Conditions

Suicide

Treatments

Behavioral: Mental Health Education
Behavioral: Couples Crisis Response Plan

Study type

Interventional

Funder types

Other

Identifiers

NCT04084756
00113793
W81XWH-16-2-0004 (Other Grant/Funding Number)

Details and patient eligibility

About

Over the last decade, suicide rates have risen within the military and have remained high. Converging evidence suggests that suicide prevention efforts may be enhanced by explicitly including family members in treatment. The study's objectives are to test the effect of the CCRP, a targeted single session couples intervention on suicide ideation among military service members and Veterans, and to understand how the use of the CCRP impacts suicide risk during the 6 months immediately postdischarge from a psychiatric inpatient unit.

Full description

Over the last decade, suicide rates have risen within the military and have remained high. Converging evidence suggests that suicide prevention efforts may be enhanced by explicitly including family members in treatment, however no couple-bases suicide-specific interventions exist.

The study's objectives are to test the effect of the Couples Crisis Response Plan (CCRP), a targeted single-session couples intervention, on suicide ideation among military service members and Veterans, and to understand how the use of the CCRP impacts suicide risk during the period of time immediately post-discharge from a psychiatric inpatient unit. The CCRP will be compared to an active control condition (mental health education).

The primary aim is to compare the effect of the CCRP to an active control condition on suicide ideation in the 6 months following treatment among military service members and Veterans who have been psychiatrically hospitalized for acute suicide risk and their partners. The CCRP is specifically adapted for use with partnered service members at elevated risk for suicide. A secondary aim is to determine how use of the CCRP skills impacts suicidal ideation over time and identify the role partners play in encouraging use of the plan and managing suicide risk.

Enrollment

200 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. military service member (active duty or veteran) of any branch or component that has served since 9/11/2001 or the partner of such a service member;
  2. that the service member reports active suicide ideation and/or a suicide attempt within the previous 30 days;
  3. that the service member is in a committed, exclusive, cohabiting relationship of at least 6 months;
  4. the willingness of the service member's partner to participate in research.

Exclusion criteria

  1. a psychiatric condition, medical condition, or cognitive disability/deficit that precludes the ability of either partner to provide informed consent
  2. physical aggression within the past year reported by either partner on a behaviorally-anchored screener for moderate to severe partner violence or extreme relationship distress (a score of of less than 9 on the Couples Satisfaction Index-4)
  3. inability of either partner to read or speak English

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

200 participants in 2 patient groups

Couples Crisis Response Plan
Experimental group
Treatment:
Behavioral: Couples Crisis Response Plan
Mental Health Education
Active Comparator group
Treatment:
Behavioral: Mental Health Education

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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