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Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT01771965
First Posted: January 18, 2013
Last Update Posted: July 26, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
VA Office of Research and Development
  Purpose
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.

Condition Intervention
Suicide Behavioral: CB Intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

Resource links provided by NLM:


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

Primary Outcome Measures:
  • Change in Treatment Engagement (Number of Participants Entering Treatment) [ Time Frame: 30 days after baseline ]
    The investigators will be asking about service utilization since baseline interview. Zero = no mental health treatment and 1 = received mental health treatment.


Enrollment: 19
Study Start Date: October 2014
Study Completion Date: January 2016
Primary Completion Date: January 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Usual care
No intervention.
Experimental: 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.

Detailed 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).
  Eligibility

Information from the National Library of Medicine

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, Learn About Clinical Studies.


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

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
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01771965


Locations
United States, New York
Canandaigua VA Medical Center, Canandaigua, NY
Canandaigua, New York, United States, 14424
United States, Vermont
White River Junction VA Medical Center, White River Junction, VT
White River Junction, Vermont, United States, 05009-0001
Sponsors and Collaborators
VA Office of Research and Development
Investigators
Principal Investigator: Tracy A. Stecker, PhD White River Junction VA Medical Center, White River Junction, VT
  More Information

Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT01771965     History of Changes
Other Study ID Numbers: IIR 11-298
First Submitted: December 21, 2012
First Posted: January 18, 2013
Results First Submitted: July 14, 2017
Results First Posted: July 26, 2017
Last Update Posted: July 26, 2017
Last Verified: July 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

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