Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line
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.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line|
- Change in treatment engagement (number of participants entering treatment) [ Time Frame: 30 and 60 days after baseline ] [ Designated as safety issue: No ]The investigators will be asking about service utilization since baseline interview. Zero = no mental health treatment and 1 = received mental health treatment.
|Study Start Date:||December 2013|
|Estimated Study Completion Date:||December 2016|
|Estimated Primary Completion Date:||December 2015 (Final data collection date for primary outcome measure)|
No Intervention: 1
Usual care. No intervention.
CB intervention-Cognitive Behavioral one-on-one single session administered by phone
Behavioral: CB Intervention
The Cognitive Behavioral (CB) intervention is a brief, manualized, tailored one-on-one single session lasting 45-60 minutes and administered by phone. An individual format was chosen to reduce the potential discomfort of stigma of individual concerns in the presence of others. The intervention targets a change in the beliefs that influence whether or not someone enters mental health or substance use treatment. During the session, participants will be given a brief introduction to CBT and informed that CBT is based on the theory that cognitions (i.e., thoughts/beliefs), feelings and behaviors all interact with each other;101, 102 therefore, thoughts about certain situations or things influence behavior. Since thoughts are modifiable, changing thoughts about situations may change behavior.
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 250 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). We 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).
|Contact: Tracy A Stecker, PhD||(603) firstname.lastname@example.org|
|Contact: Diane L Rivera||(802) 295-9363 ext 5373||Diana.email@example.com|
|United States, New York|
|Canandaigua VA Medical Center, Canandaigua, NY||Not yet recruiting|
|Canandaigua, New York, United States, 14424|
|Contact: Kenneth R Conner, PsyD 585-393-7548 Ken.Conner@va.gov|
|United States, Vermont|
|White River Junction VA Medical Center, White River Junction, VT||Not yet recruiting|
|White River Junction, Vermont, United States, 05009-0001|
|Contact: Tracy A Stecker, PhD 603-448-0263 firstname.lastname@example.org|
|Principal Investigator: Tracy A. Stecker, PhD|
|Principal Investigator:||Tracy A. Stecker, PhD||White River Junction VA Medical Center, White River Junction, VT|