Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

Not Applicable

Completed

• Conditions: Suicide
• Interventions: Behavioral: CB Intervention

• Registration Number: NCT01771965
• Lead Sponsor: VA Office of Research and Development

Brief Summary

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.

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).

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2012-12-21
• Study First Submitted QC: 2013-01-16
• Study First Posted: 2013-01-18
• Study Start: 2014-10
• Primary Completion: 2016-01
• Study Completion: 2016-01
• Status Verified: 2017-07
• Results First Submitted: 2017-07-14
• Results First Submitted QC: 2017-07-14
• Last Update Submitted: 2017-07-14
• Results First Posted: 2017-07-26
• Last Update Posted: 2017-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 19

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.

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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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CB Intervention	CB Intervention	Cognitive Behavioral one-on-one single session administered by phone

Primary Outcome Measures

Name	Time	Method
Change in Treatment Engagement (Number of Participants Entering Treatment)	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.

Trial Locations

Locations (2)

White River Junction VA Medical Center, White River Junction, VT; 🇺🇸 White River Junction, Vermont, United States

Canandaigua VA Medical Center, Canandaigua, NY; 🇺🇸 Canandaigua, New York, United States