Motivational Interviewing to Prevent Suicide in High Risk Veterans

NCT01544127 | Completed Results DMC

• 2 other identifiers: MHBA-20-11SIK2CX00064
• Study Type: interventional
• Target: 132
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of study is to test the efficacy of an adaptation of Motivational Interviewing to Address Suicidal Ideation (MI-SI) on the severity of suicidal ideation in psychiatrically hospitalized Veterans at high risk for suicide.

Conditions

Suicidal Ideation; Treatment Engagement

Keywords

Veterans; Motivational Interviewing; Inpatients; Suicide, Attempted

Outcome Measures

Primary Outcomes (2)

• Number of Participants With Suicidal Ideation

  The number of participants with suicidal ideation and severity of suicidal ideation was measured using the Scale for Suicidal Ideation (SSI) at 1, 3, and 6 months after discharge. Scores range from 0-38, with scores of 1 or greater indicating the presence of suicidal ideation.

  6 months

• Severity of Suicidal Ideation Among Those With It

  Severity of suicidal ideation was measured by the Scale for Suicidal Ideation at 1, 3, and 6 months after discharge. Scores range from 0 to 38, with higher scores indicating more severe suicidal ideation.

  6 months

Secondary Outcomes (1)

• Number of Participants With Two Outpatient Mental Health or Substance Treatment Sessions

  1 month

Other Outcomes (1)

• Number of Participants With a Suicide Attempt

  1, 3, and 6 months

Study Arms (3)

MI-SI+TAU

EXPERIMENTAL

Motivational Interviewing to Address Suicidal Ideation

Behavioral: MI-SI+TAU

MI-SI-R+TAU

EXPERIMENTAL

Motivational Interviewing to Address Suicidal Ideation Revised

Behavioral: MI-SI-R+TAU

TAU Alone

OTHER

Treatment as usual

Other: TAU Alone

Interventions

MI-SI+TAU BEHAVIORAL

MI-SI focuses on exploring and resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)

Also known as: Motivational Interviewing to Address Suicidal Ideation

MI-SI+TAU

MI-SI-R+TAU BEHAVIORAL

MI-SI-R focuses on resolving ambivalence about living. It consists of 1 or 2 in-person MI-SI sessions (50 mins.) on an inpatient unit, plus a telephone follow-up MI-SI session (30-50 mins)

Also known as: MI-SI Revised

MI-SI-R+TAU

TAU Alone OTHER

Inpatient treatment includes medication management, case management, meals and a bed, milieu therapy consisting of creative and social activities, and a safety plan. Some families of veterans also received education to create a supportive home environment. As part of Veterans Health Administration (VHA) suicide prevention policy, the care of suicidal patients is also overseen by a local Suicide Prevention Coordinator and case managers.

Also known as: Treatment as usual

TAU Alone

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Veteran status,
• admitted to psychiatric inpatient unit,
• age 18 and over,
• English speaking,
• able to understand the study and provide informed consent,
• clinically cleared to participate by unit staff,
• receive health care from a VHA facility in upstate New York
• at increased risk for suicide (Scale for Suicidal Ideation \[SSI\] \> 2)

You may not qualify if:

• current psychosis,
• current mania,
• dementia,
• prisoner status,
• being inaccessible
• being discharged from the unit less than 48 hours after being identified by study staff

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Syracuse VA Medical Center, Syracuse, NY

Syracuse, New York, 13210, United States

Location

Related Publications (1)

• Britton PC, Conner KR, Chapman BP, Maisto SA. Motivational Interviewing to Address Suicidal Ideation: A Randomized Controlled Trial in Veterans. Suicide Life Threat Behav. 2020 Feb;50(1):233-248. doi: 10.1111/sltb.12581. Epub 2019 Aug 8.

  PMID: 31393029 DERIVED

MeSH Terms

Conditions

Suicidal Ideation; Suicide, Attempted

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Limitations and Caveats

Due to theoretical and empirically supported changes to motivational interviewing that were published during the trial, we changed the intervention mid-trial leading to small numbers of participants in the experimental conditions.

Results Point of Contact

• Title: Dr. Peter Britton
• Organization: Canandaigu VA Medical Center

peter.britton@va.gov

585-393-7926

Study Officials

• Peter C. Britton, PhD MS

  Syracuse VA Medical Center, Syracuse, NY

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 28, 2012
• First Posted: March 5, 2012
• Study Start: July 30, 2012
• Primary Completion: December 5, 2017
• Study Completion: December 5, 2017
• Last Updated: February 25, 2022
• Results First Posted: September 11, 2019

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)