Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

NCT01771965 | Completed Results

• 1 other identifier: IIR 11-298
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 2

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.

Conditions

Suicide

Outcome Measures

Primary Outcomes (1)

• Change in Treatment Engagement (Number of Participants Entering Treatment)

  The investigators will be asking about service utilization since baseline interview. Zero = no mental health treatment and 1 = received mental health treatment.

  30 days after baseline

Study Arms (2)

Usual care

NO INTERVENTION

No intervention.

CB Intervention

EXPERIMENTAL

Cognitive Behavioral one-on-one single session administered by phone

Behavioral: CB Intervention

Interventions

CB Intervention BEHAVIORAL

The Cognitive Behavioral (CB) intervention is a brief, manualized, tailored one-on-one single session lasting 45-60 minutes and administered by phone. An individual format was chosen to reduce the potential discomfort of stigma of individual concerns in the presence of others. The intervention targets a change in the beliefs that influence whether or not someone enters mental health or substance use treatment. During the session, participants will be given a brief introduction to CBT and informed that CBT is based on the theory that cognitions (i.e., thoughts/beliefs), feelings and behaviors all interact with each other;101, 102 therefore, thoughts about certain situations or things influence behavior. Since thoughts are modifiable, changing thoughts about situations may change behavior.

CB Intervention

Eligibility Criteria

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

You may qualify if:

• 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.

You may not qualify if:

• debilitating cognitive impairment
• active psychosis or mania
• acute alcohol or drug intoxication

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (2)

Canandaigua VA Medical Center, Canandaigua, NY

Canandaigua, New York, 14424, United States

Location

White River Junction VA Medical Center, White River Junction, VT

White River Junction, Vermont, 05009-0001, United States

Location

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Tracy Stecker, PhD
• Organization: MUSC

stecker@musc.edu

843.792.7287

Study Officials

• Tracy A. Stecker, PhD

  White River Junction VA Medical Center, White River Junction, VT

  PRINCIPAL INVESTIGATOR

Publication Agreements

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 21, 2012
• First Posted: January 18, 2013
• Study Start: October 1, 2014
• Primary Completion: January 1, 2016
• Study Completion: January 1, 2016
• Last Updated: July 26, 2017
• Results First Posted: July 26, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)