Examining a Strategy to Engage Rural Veteran Patients After Community Care Treatment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Suicidal Ideation: The Beck Scale for Suicidal Ideation (BSS)
研究概览
简要总结
The goal of this pilot randomized controlled trial is to test an adapted suicide prevention program (the Building VA Engagement, Self-efficacy, and Social Support To Prevent Suicide or BESST) in rural Veterans discharged from community care mental health treatment settings. The main question it aims to answer is:
- Does BESST combined with standard care improve suicide-related outcomes among this population compared to standard care alone?
Participants will be assigned by change to a treatment group. Some will receive the BESST intervention combined with standard care, and some will receive standard care alone. All participants will be in this research study for up to three months.
Those receiving the BESST intervention will have:
- 1 one-hour brief educational session;
- Seven follow-up check-ins (~30 minutes each)
All participants will have three assessment interviews where they will be asked about their mental health and treatment received outside of the VA.
The investigators will compare participants assigned to the BESST intervention combined with standard care vs participants assigned to standard care alone to see if the BESST intervention improves suicide-related outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
The outcomes assessor will be blinded to treatment allocation and will remind the participant at each contact to not disclose their treatment status.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient was recently discharged from a VA community care mental health treatment setting
- •The patient is at risk for self-harm
- •Be a patient connected to the White River Junction VA Medical Center (VAMC), the Togus VA Medical Center (VAMC), or the Manchester VA Medical Center (VAMC);
- •Be a Veteran;
- •Be 18 years or older;
- •Be able to speak English;
排除标准
- •Unable to provide informed consent;
- •The investigators do not plan to enroll any potentially vulnerable populations including prisoners, institutionalized patients, or involuntarily committed patients;
- •Study physician deems the patient not clinically appropriate
结局指标
主要结局
Suicidal Ideation: The Beck Scale for Suicidal Ideation (BSS)
时间窗: 3 months post-baseline
The Beck Scale for Suicidal Ideation (BSS) ranges from 0-38. While there is no established BSS cutoff score to classify suicide risk, there is evidence that higher scores on the BSS correspond to more severe suicidal ideation and that a change of five points or more on the total BSS scores may be clinically relevant.
Suicidal Ideation: The Beck Scale for Suicidal Ideation (BSS)
时间窗: 3 months post-baseline
The Beck Scale for Suicidal Ideation (BSS) ranges from 0-38. While there is no established BSS cutoff score to classify suicide risk, there is evidence that higher scores on the BSS correspond to more severe suicidal ideation and that a change of five points or more on the total BSS scores may be clinically relevant.
次要结局
- Number of Participants With Substance Use at 3 Months Post-baseline(3 months post-baseline)
- Patient Engagement: Suicide-Related Coping Scale (SRCS) External Coping Subscale(3 months post-baseline)
- Patient Engagement: Suicide Related Coping Scale (SRCS) Internal Coping Subscale(3 months post-baseline)
- Hopelessness: Beck Hopelessness Scale (BHS)(3 months post-baseline)
- Connectedness: Interpersonal Needs Questionnaire-15 (INQ-15) Perceived Burdensomeness(3 months post-baseline)
- Connectedness: Interpersonal Needs Questionnaire-15 (INQ-15) Thwarted Belongingness(3 months post-baseline)
- Patient Engagement: General Self-Efficacy Scale (GSES)(3 months post-baseline)
- Hopelessness: Beck Hopelessness Scale (BHS)(3 months post-baseline)
- Connectedness: Interpersonal Needs Questionnaire-15 (INQ-15) Perceived Burdensomeness(3 months post-baseline)
- Connectedness: Interpersonal Needs Questionnaire-15 (INQ-15) Thwarted Belongingness(3 months post-baseline)
- Patient Engagement: General Self-Efficacy Scale (GSES)(3 months post-baseline)
- Patient Engagement: Suicide-Related Coping Scale (SRCS) External Coping Subscale(3 months post-baseline)
- Patient Engagement: Suicide Related Coping Scale (SRCS) Internal Coping Subscale(3 months post-baseline)
- Number of Participants With Suicide Attempts(3 months post-baseline)
- Number of Participants With Substance Use at 3 Months Post-baseline(3 months post-baseline)