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Motivational Interviewing to Prevent Suicide in High Risk Veterans

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
VA Office of Research and Development
ClinicalTrials.gov Identifier:
NCT01544127
First received: February 28, 2012
Last updated: April 11, 2017
Last verified: April 2017
  Purpose
The purpose of study is to test the efficacy of an adaptation of Motivational Interviewing to Address Suicidal Ideation (MI-SI) on the severity of suicidal ideation in psychiatrically hospitalized Veterans at high risk for suicide.

Condition Intervention
Suicidal Ideation
Treatment Engagement
Behavioral: Motivational Interviewing to Address Suicidal Ideation (MI-SI)
Behavioral: Motivational Interviewing to Address Suicidal Ideation (MI-SI)- Revised

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Outcomes Assessor
Primary Purpose: Treatment
Official Title: Motivational Interviewing to Prevent Suicide in High Risk Veterans

Resource links provided by NLM:


Further study details as provided by VA Office of Research and Development:

Primary Outcome Measures:
  • Severity of Suicidal Ideation [ Time Frame: Six months ]
    The severity of suicidal ideation will be measured using the Beck Scale for Suicidal Ideation (SSI) at baseline, 1, 3, and 6 months after discharge.


Secondary Outcome Measures:
  • Treatment Engagement [ Time Frame: Six months ]
    Treatment engagement will be measured using the Treatment Services Review-6 (TSR-6) at baseline, 1, 3, and 6 months after discharge.


Other Outcome Measures:
  • Suicide Attempts [ Time Frame: Six months ]
    Suicide attempts will be measured with the Columbia Suicide Severity Rating Scale (C-SSRS) at baseline, 1, 3, and 6 months after discharge.


Enrollment: 132
Actual Study Start Date: July 30, 2012
Estimated Study Completion Date: September 2017
Estimated Primary Completion Date: September 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: MI-SI 1
Motivational Interviewing to Address Suicidal Ideation (MI-SI)
Behavioral: Motivational Interviewing to Address Suicidal Ideation (MI-SI)
1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
Other Name: MI-SI 1
No Intervention: Arm 2
Treatment as Usual (TAU)
Experimental: MI-SI 2
Motivational Interviewing to Address Suicidal Ideation (MI-SI)- Revised
Behavioral: Motivational Interviewing to Address Suicidal Ideation (MI-SI)- Revised
1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)
Other Name: MI-SI 2

Detailed Description:
Veterans who receive health care from the VA are at elevated risk for suicide, and the number of Veterans at high risk may be growing. Although the months following discharge from psychiatric hospitalization are a period of acute risk for Veterans, there is a dearth of empirically supported treatments tailored to psychiatric inpatients and no studies examining treatments for psychiatrically hospitalized Veterans. This randomized controlled trial will test the efficacy of an adaptation of Motivational Interviewing to Address Suicidal Ideation (MI-SI) on the severity of suicidal ideation in psychiatrically hospitalized Veterans at high risk for suicide. Participants will be recruited from the Acute Psychiatric Inpatient Unit at the Syracuse VA Medical Center. To meet high-risk criteria, Veterans must score over two on the Beck Scale for Suicidal Ideation (SSI), which is prospectively predictive of death by suicide. Participants will complete a screening assessment to confirm eligibility and a baseline assessment of risk factors for suicide. They will be randomized to receive Motivational Interviewing to Address Suicidal Ideation (MI-SI) plus treatment as usual (TAU), or TAU alone. The MI-SI group will receive two sessions of MI-SI during hospitalization and one telephone booster session after discharge. Participants in both conditions will be asked to complete telephone follow-up interviews at 1, 3, and 6 months after discharge. Change in the severity of suicidal ideation will be measured using the SSI.
  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Veteran status,
  • admitted to psychiatric inpatient unit,
  • age 18 and over,
  • English speaking,
  • able to understand the study and provide informed consent,
  • clinically cleared to participate by unit staff,
  • receive health care from a VA facility in upstate NY,
  • at increased risk for suicide (Beck Scale for Suicidal Ideation [SSI] > 2)

Exclusion Criteria:

  • current psychosis,
  • current mania,
  • dementia,
  • prisoner status,
  • being inaccessible and discharged from the unit less than 48 hours after being identified by study staff
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01544127

Locations
United States, New York
Syracuse VA Medical Center, Syracuse, NY
Syracuse, New York, United States, 13210
Sponsors and Collaborators
VA Office of Research and Development
Investigators
Principal Investigator: Peter C Britton, PhD MS Syracuse VA Medical Center, Syracuse, NY
  More Information

Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT01544127     History of Changes
Other Study ID Numbers: MHBA-20-11S
IK2CX00064 ( Other Grant/Funding Number: Department of Veterans Affairs )
Study First Received: February 28, 2012
Last Updated: April 11, 2017
Individual Participant Data  
Plan to Share IPD: Undecided

Keywords provided by VA Office of Research and Development:
Veterans
Motivational Interviewing
Inpatients
Suicide, Attempted

Additional relevant MeSH terms:
Suicide
Suicidal Ideation
Self-Injurious Behavior
Behavioral Symptoms

ClinicalTrials.gov processed this record on April 27, 2017