Operation Worth Living Project With Suicidal Soldiers at Ft. Stewart (OWL)

Catholic University of America (CUA)

Status: Completed

Conditions: Suicidal Ideation Active; Suicidal and Self-injurious Behavior

Treatments: Behavioral: The Collaborative Assessment and Management of Suicidality; Behavioral: Enhanced Care as Usual

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01300169

09134002 (Other Grant/Funding Number)

CUA-001

Details and patient eligibility

About

This is a randomized controlled trial comparing the use of new clinical intervention (the "Collaborative Assessment and Management of Suicidality--CAMS") versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA.

Full description

This is a randomized controlled clinical trial of 148 suicidal active-duty US Army Soldiers. Participants were randomized to on-site providers who were trained in the Collaborative Assessment and Management of Suicidality (CAMS) vs. providers doing their own routine care--referred to as Enhanced Care as Usual (E-CAU) within an outpatient military treatment center. The CAMS Rating Scale (CRS) was used to reliably verify fidelity between treatment conditions and the adherence by CAMS providers to the model. Participants received informed consent to be randomly assigned to treatment arm and were ask to complete study assessments at baseline, 3 months, 6 months, and 12 months after the start of treatment. Recruitment is complete and all study assessments were completed as of March 2016. The study is in a second year of no cost extension; outcome data analyses and moderator analyses are currently underway to develop manuscripts for submission to peer-review scientific journals.

Enrollment: 150 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Active duty Army personnel at FSGA
• Significant suicidal ideation
• Soldier is appropriate under FSGA policies
• Consent at baseline and follow up
• Consent to randomization and being digitally recorded

Exclusion criteria

• Significant psychosis, cognitive or physical impairment to not give consent
• Judicially ordered treatments

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Double Blind

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150 participants in 2 patient groups

CAMS--Collaborative Driver-Treatment

Experimental group

Description:

The Collaborative Assessment and Management of Suicidality (CAMS) is a suicide-specific clinical intervention that targets and treats patient-defined suicidal "drivers" over the course of clinical care.

Treatment:

Behavioral: The Collaborative Assessment and Management of Suicidality

Enhanced Care as Usual--E-CAU

Active Comparator group

Description:

This control group treatment will reflect current clinical practices for treating suicidal soldiers in the research site setting. These are providers were on site clinicians who provided care according to their usual and customary practices for working with suicidal risk within outpatient care.

Treatment:

Behavioral: Enhanced Care as Usual