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Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

VA Office of Research and Development logo

VA Office of Research and Development

Status

Completed

Conditions

Suicide

Treatments

Behavioral: CB Intervention

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT01771965
IIR 11-298

Details and patient eligibility

About

The goal of this research plan is to test the effectiveness of a brief, cognitive behavioral (CB) intervention to promote behavioral health treatment engagement among at-risk Veterans who call the Crisis Line but are resistant to behavioral health services.

Full description

The goal of this research plan is to test the effectiveness of a brief, cognitive behavioral (CB) intervention to promote behavioral health treatment engagement among at-risk Veterans who call the Crisis Line but are resistant to behavioral health services. This randomized controlled trial will recruit 80 Veterans who report current suicidal ideation at the time of the Crisis Line call and are resistant to seeking behavioral health treatment. Half of the participants will receive the brief, individualized CB intervention and half will receive standardized procedures from VA's Crisis Line (i.e., usual care). The effectiveness of the intervention will be tested on 1) attitudes toward behavioral health treatment rates, and 2) initiation of and adherence to treatment (assessed by the number of sessions attended). The investigators will also assess the impact of the intervention on suicidal ideation (SI) and explore the impact on the most common symptoms observed in Veteran suicide decedents (e.g., depression).

Enrollment

19 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Inclusion criteria for the study are as follows:

  • individuals 18 and older who call the Veteran Crisis Line
  • have a phone number where they can be reached, be it a land line or a cell phone
  • deemed by the Crisis Line responder to be at risk for suicide, but not imminent risk
  • refuse a referral to the SPC or to a behavioral health treatment provider during the call
  • report current suicidal ideation (SI) during the call based on administration of a standard item
  • have not been in behavioral health treatment in the past. Presence of SI will be subsequently confirmed by the research assistant using the Columbia Suicide Severity Rating Scale, a validated instrument.

Exclusion criteria

Exclusion criteria are being judged by the Crisis Line responder to show:

  • debilitating cognitive impairment
  • active psychosis or mania
  • acute alcohol or drug intoxication

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

19 participants in 2 patient groups

Usual care
No Intervention group
Description:
No intervention.
CB Intervention
Experimental group
Description:
Cognitive Behavioral one-on-one single session administered by phone
Treatment:
Behavioral: CB Intervention

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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