Veterans Coping Long-term With Active Suicide

NCT01894841 | Completed Results

• 1 other identifier: IIR 13-026
• Study Type: interventional
• Target: 107
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study seeks to test the efficacy of an intervention to reduce suicide behaviors in Veterans. The Veterans Coping Long Term with Active Suicide Program (CLASP-VA) is an innovative, telephone-based intervention that combines elements of individual therapy, case management, and significant other/family therapy and is designed to be integrated into a VA system.

Conditions

Suicide

Keywords

depression; prevention; Veterans health

Outcome Measures

Primary Outcomes (1)

• Changes in Columbia Suicide Severity Rating Scale (C-SSRS) - Behavior

  Items measuring attempt behavior (number of Actual Attempts, number of Aborted Attempts, number of Interrupted Attempts) From the Columbia Suicide Severity Rating Scale were summed to create a composite variable indexing attempt behavior. Higher scores indicate more attempt behavior. We log transformed this variable at all time points to meet assumptions of normality.

  baseline, 3, 6, 9, & 12 month post-hospitalization

Secondary Outcomes (5)

• Changes in Beck Hopelessness Scale

  Baseline, 3, 6, 9, & 12 month follow up

• Brief Symptom Inventory

  Baseline, 3, 6, 9, & 12 month follow up

• World Health Organization Disability Assessment Schedule (WHODAS) II

  Baseline, 3, 6, 9, & 12 month follow ups

• Treatment History Interview

  3, 6, 9, & 12 month follow up

• Changes in Columbia Suicide Severity Rating Scale (C-SSRS) - Ideation Severity

  baseline, 3, 6, 9, & 12 month post-hospitalization

Study Arms (2)

CLASP Intervention

EXPERIMENTAL

A 6 month adjunctive intervention consisting of 3 individual meetings, one family session, and 11 brief phone contacts with patient and identified significant other.

Behavioral: Coping Long Term with Active Suicide (CLASP); Other: Safety Assessment and Follow Up Evaluation

Safety Assessment and follow up Evaluation

OTHER

Treatment as usual plus enhanced monitoring.

Other: Safety Assessment and Follow Up Evaluation

Interventions

Coping Long Term with Active Suicide (CLASP) BEHAVIORAL

6 month behavioral telephone-based intervention. Calls assess risk, problem solve any immediate issues, and case management

CLASP Intervention

Safety Assessment and Follow Up Evaluation OTHER

enhanced risk monitoring with full assessment protocol at 3, 6, 9, and 12 month follow up. Results sent as a note to the patient's VA mental health provider

CLASP Intervention; Safety Assessment and follow up Evaluation

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• suicide attempt or suicidal ideation with any methods, plan, and/or intent to make a suicide attempt within 1 week of hospitalization
• age greater than 18
• have a telephone
• ability to speak, read, and understand spoken English sufficiently well to complete the procedures of the study

You may not qualify if:

• long-term psychiatric disorder
• diagnosis of borderline personality disorder
• cognitive impairment which would interfere with adequate participation in the project (MMSE \<20)

Sponsors & Collaborators

• VA Office of Research and Development: lead
• Butler Hospital: collaborator

Study Sites (1)

Providence VA Medical Center, Providence, RI

Providence, Rhode Island, 02908, United States

Location

Related Publications (1)

• Primack JM, Thompson MF, Peters A, Quinn M, Kelsey M, Miller IW, Bozzay M. Suicide Characteristics of Veterans Hospitalized for Suicide Ideation or Attempt. Mil Med. 2023 Nov 3;188(11-12):e3371-e3376. doi: 10.1093/milmed/usad196.

  PMID: 37294816 DERIVED

MeSH Terms

Conditions

Suicide; Depression

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Limitations and Caveats

The dropout rate from baseline to the final timepoint (12 months) led to small numbers of subjects analyzed per group. Some completers had missing data for interim follow-up assessments.

Results Point of Contact

• Title: Jennifer Primack
• Organization: Providence VAMC

jennifer.primack@va.gov

401 273-7100

Study Officials

• Jennifer Marie Primack, PhD MA

  Providence VA Medical Center, Providence, RI

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

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

Study Record Dates

• First Submitted: July 3, 2013
• First Posted: July 10, 2013
• Study Start: February 24, 2014
• Primary Completion: August 29, 2018
• Study Completion: August 29, 2018
• Last Updated: February 10, 2020
• Results First Posted: February 10, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)