Mindfulness-Based Cognitive Therapy for Preventing Suicide in Military Veterans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 135
- 试验地点
- 4
- 主要终点
- Suicide Event
研究概览
简要总结
The purpose of this study is to test a psychotherapeutic intervention that integrates cognitive therapy and mindfulness meditation techniques to prevent suicide in military Veterans.
详细描述
Every month the VA becomes aware of approximately 1,100 Veterans in VA care who attempt suicide. While the VA has implemented a comprehensive, multifaceted suicide prevention approach, it has yet to implement nationally any evidence-based psychotherapies targeting suicide, a gap due largely to the dearth of evidence-based therapies for suicide. Primary aims of this proposal are to conduct a randomized controlled trial testing an adaptation of a cognitive-behavioral intervention, Mindfulness-Based Cognitive Therapy (MBCT), for Veterans on the VA's High Risk for Suicide List. The investigators' adapted version of MBCT for suicide (MBCT-S) integrates mindfulness meditation techniques with the VA Safety Plan to enhance patients' awareness of suicide triggers and appropriate coping strategies. This study has the potential to increase the range of cost effective treatment alternatives for the large number of suicidal Veterans for whom evidence-based therapies are severely limited.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
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 following criteria were formulated to recruit a sample at high risk for suicide behavior.
- •The subject has experienced a suicidal event during the past 30 days. A suicidal event involves
- •psychiatric hospitalization due to suicidal risk,
- •psychiatric hospitalization if subject was already on the High Risk for Suicide List,
- •suicidal ideation with suicidal intent,
- •suicidal preparatory behaviors, or
- •actual, interrupted, or aborted suicide attempt.
- •The subject is on or will be placed on the VA High Risk for Suicide List
- •OR The subject had an actual, interrupted, or aborted attempt in the last year
- •OR In the study clinician's opinion (i.e., Masters or Doctoral level study personnel with formal mental health training) in consultation with the PI, the suicidal event is significant enough to warrant treatment to reduce suicidal risk.
排除标准
- •cognitive deficits that decrease the likelihood of benefit from MBCT-S
- •severe symptoms of hallucinations or delusions
- •disorganized or disruptive behaviors
- •medically unstable
- •current mindfulness-based psychotherapy or receipt of 2 or more sessions of a mindfulness-based psychotherapy in the last 12 months
结局指标
主要结局
Suicide Event
时间窗: 12-months post-baseline
The investigators define "event" broadly as a range of suicidal behaviors defined according to the VA's Self-Directed Violence Classification System (SDVCS). Based on the SDVCS, an event may include self-directed violence, with or without injury, in which evidence of suicidal intent is clear or undetermined; or suicidal preparatory behaviors. The study definition of a suicide event also includes suicidal ideation resulting in the need for emergency care or psychiatric hospitalization.
次要结局
- Hopelessness(Baseline, 4 weeks (mid-treatment), 8 weeks (treatment-completion), 6 months and 12-months post-baseline)
- Suicidal Ideation(Baseline, 4 weeks (mid-treatment), 8 weeks (treatment-completion), 6 months and 12-months post-baseline)
- Suicide Attempt(12 months post-baseline)