"Building Stronger Allies": Development and Evaluation of a Web Application Targeting Interpersonal Risk Factors for Suicide in Active Duty Service Members
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 233
- 试验地点
- 2
- 主要终点
- Acquired Capability for Suicide Scale - Fearlessness About Death (ACSS-FAD)
研究概览
简要总结
BSA is a novel, computerized intervention specifically designed for active military personnel with the intent to reduce two risk factors known to be associated with suicide outcomes.
详细描述
The investigators have focused on the identification of malleable risk factors for preventative intervention in a number of types of psychopathology including suicidality. In the case of Perceived Burdensomeness (PB) and Thwarted Belongingness (TB), theory suggests that they may be malleable, though this has received little empirical attention. Taken together, the Interpersonal Theory of Suicide and related empirical literature suggest that targeting PB/TB should offer a novel and important avenue to reduce suicidality. This inspired the investigators' efforts to create and evaluate an intervention - called Building Stronger Allies (BSA) - designed to reduce these factors.
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
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Must show at least some suicide risk based on scoring > 0 on the Columbia-Suicide Severity Rating Scale (C-SSRS).
- •Must also own a Smartphone.
排除标准
- •No evidence of such serious suicidal risk that would indicate a need for immediate hospitalization or emergency intervention.
- •No planned moves/deployments for the next 3 months.
结局指标
主要结局
Acquired Capability for Suicide Scale - Fearlessness About Death (ACSS-FAD)
时间窗: Up to year three of the study
7-item measure that assesses the degree to which individuals feel fearless or unafraid about death (Ribeiro et al., 2014).
Suicide Bereavement (ASF)
时间窗: Up to year three of the study
1 item created by the MSRC to obtain information regarding the experience of knowing someone who died by suicide.
Beck Suicide Scale (BSS)
时间窗: Up to year three of the study
21-item measure assessing a broad spectrum of behaviors and attitudes related to suicide risk, including suicidal ideation and past suicide attempts (Beck et al.,1979)
Depression Symptom Index - Suicidality Subscale (DSI-SS)
时间窗: Up to year three of the study
4-item measure to assess the frequency and intensity of suicidal ideation and impulses (Joiner et al., 2002).
Reasons for Living Inventory (RFL)
时间窗: Up to year three of the study
current study will use 18 items (3 from each of the 6 subscales) from the 48-item measure of how important, to each respective participant, are common reasons individuals give for not committing suicide (Linehan et al., 1983).
Suicidal Behaviors Questionnaire - Revised (SBQ-R)
时间窗: Up to year three of the study
4-item measure assessing four dimensions of suicide (lifetime ideation and attempts, 12 month frequency of ideation, threat of suicidal behavior, and likelihood of suicidal behavior; Osman et al., 2001).
Suicide Attempt History (SHF)
时间窗: Up to year three of the study
6 items created by the MSRC to assess history of suicide attempts, most lethal attempt, and non-suicidal self-injury.
Suicide Intensity Ratings (SIR)
时间窗: Up to year three of the study
3 items to assess current intent and desire to die by suicide, as well as current intensity of suicidal ideation.
Suicide Intent Questions (SIS)
时间窗: Up to year three of the study
4 items picked by the MSRC to assess thoughts and feelings during most recent engagement in self-injury with intent to die.
Columbia-Suicide Severity Rating Scale (C-SSRS)
时间窗: Up to year three of the study
a structured clinical interview that measures the presence, frequency, and characteristics of various types of suicidal thoughts and behaviors.
Implicit Association Task (IAT) for Suicide
时间窗: Up to year three of the study
We will use Nock's IAT for suicide as a behavioral index of suicide risk. This procedure has demonstrated that implicit associations for death /self are stronger among those with a suicide attempt history relative to psychiatric controls without a history of suicide attempts.
Affect Misattribution Procedure (AMP) for Suicide
时间窗: Up to year three of the study
We will use a modified version of the AMP task using suicide-relevant stimuli as an additional implicit measure of suicide risk. A variant of this task has been found to predict suicidal behavior
次要结局
- Attentional Control Scale (ACS)(Up to year three of the study)
- Anxiety Sensitivity Index - 3 (ASI-3)(Up to year three of the study)
- Anxiety and Stress Sensitivity (ASS)(Up to year three of the study)
- Alcohol Use Disorders Identification Test (AUDIT)(Up to year three of the study)
- Beck Anxiety Inventory (BAI)(Up to year three of the study)
- Beck Depression Inventory (BDI-II)(Up to year three of the study)
- Beck Hopelessness Scale (BHS)(Up to year three of the study)
- Buss-Perry Aggression Questionnaire - Anger Subscale (BPAQ)(Up to year three of the study)
- Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System State (BRFSS)(Up to year three of the study)
- Client Expectancy Questionnaire (CEQ)(Up to year three of the study)
- Client Satisfaction Questionnaire (CSQ)(Up to year three of the study)
- DARTS Quiz(Up to year three of the study)
- Disturbing Dream and Nightmare Severity Index (DDNSI)(Up to year three of the study)
- Demographics(Up to year three of the study)
- Drug Use Questions (DUQ)(Up to year three of the study)
- Engagement in Behavioral Health Treatment (EBHT)(Up to year three of the study)
- Interpersonal Needs Questionnaire (INQ-R)(Up to year three of the study)
- *Insomnia Severity Index (ISI)(Up to year three of the study)
- Dyadic Adjustment Scale (DAS)(Up to year three of the study)
- Positive and Negative Affect Scale - Negative Affect Subscale (PANAS-NA)(Up to year three of the study)
- PTSD Checklist for DSM-5 (PCL-5)(Up to year three of the study)
- Relationship Closeness Inventory (RCI)(Up to year three of the study)
- Sheehan Disability Scale (SDS)(Up to year three of the study)
- Social Interaction Anxiety Scale (SIAS)(Up to year three of the study)
- Traumatic Brain Injury - 4 (TBI-4)(Up to year three of the study)
- Use of Behavioral Health Services (UBHS)(Up to year three of the study)
研究者
Norman Schmidt
Principal Investigator
Florida State University