Crisis Response Planning for Military Personnel

Conditions

• Suicidal
• Suicidal Ideation
• Suicide Threat

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Crisis Response Planning — BEHAVIORAL
  Crisis Response Planning (CRP) is a brief psychotherapeutic intervention.
• Treatment as Usual — BEHAVIORAL
  Standard care provided for patients at risk for suicide

Study Details

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.

Key Dates

Start date

Jun 21, 2023

Status verified

Nov 2024

Primary completion

Sep 30, 2027

Completion

Dec 31, 2027

Study Design

Enrollment

700 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Arms

• Experimental: 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.
• Active Comparator: 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.

Primary Outcome Measure

Self-Injurious Thoughts and Behaviors Interview (SITBI-R) [ Time Frame: Through study completion, an average of 1 year ]

Central Contacts

• Kristen H Walter, PhD
  619-540-4108
  [email protected]
• Pia R Khandekar, PsyD
  619-532-9264
  [email protected]

Locations (1)

Find similar trials in San Diego, CA

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