Crisis Line Facilitation

NCT02459587 | Completed Results DMC

• 1 other identifier: IIR 14-103
• Study Type: interventional
• Target: 307
• Locations: 1 country
• Sites: 2

Brief Summary

This study is a randomized controlled trial (n = 301) of a new single-session intervention, called Crisis Line Facilitation (CLF), compared to an enhanced usual care condition on utilization of the Veterans Crisis Line and other mental health services as well as suicide attempt(s). All participants were recruited during an inpatient psychiatric stay for the treatment of a recent suicidal crisis and will be re-assessed at 3-, 6- and 12-months post baseline. If successful, the proposed study will provide key data on the potential efficacy of a brief tool to improve the utilization of an existing resource, the Veterans Crisis Line, to reduce suicidal behaviors in VHA patients.

Conditions

Suicide; Suicide, Attempted; Hospitals, Psychiatric

Keywords

Self-Injurious Behavior; suicide prevention

Outcome Measures

Primary Outcomes (1)

• Number of Veterans Crisis Line (VCL) Contact Events Per Days at Risk

  The primary data source for information regarding use of the VCL was collected via researcher-administered interview questions during the TimeLine Follow Back assessment. Participants were asked to recall how many times since the last assessment in which they contacted the VCL for any reason. For contacts that occurred, participants were asked to recall the date of these contacts and the type of contact that was made (e.g. phone call, text, or chat).

  1 year

Secondary Outcomes (2)

• Number of Suicide Behavior Events Per Days at Risk

  1 year

• Outpatient General Mental Health Clinic Visit

  1 year

Study Arms (2)

Crisis Line Facilitation (CLF)

EXPERIMENTAL

Crisis Line Facilitation

Behavioral: Crisis Line Facilitation (CLF)

Enhanced Usual Care (EUC)

PLACEBO COMPARATOR

Enhanced Usual Care

Behavioral: Enhanced Usual Care (EUC)

Interventions

Crisis Line Facilitation (CLF) BEHAVIORAL

This single session therapist-delivered intervention addresses Veterans' perceived barriers and facilitators of crisis line use during periods of suicidal crisis. The CLF session culminates with the Veteran calling the Crisis Line with the therapist in the room as a way for the Veteran to practice the logistics of making the call and to have direct experiences that may counter any negative beliefs about Crisis Line use.

Crisis Line Facilitation (CLF)

Enhanced Usual Care (EUC) BEHAVIORAL

Those in the EUC condition received the same promotional items and information about the Veterans Crisis Line (VCL) as the CLF condition. Participants were encouraged to seek help via a provider or the VCL if they felt suicidal in the future. Research staff briefly explained key information about the VCL to those in the EUC condition (e.g., the links between the VCL and the VA, the 24/7/365 availability, etc.).

Enhanced Usual Care (EUC)

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• adults age 18 years of age or older receiving care in an inpatient psychiatric unit at either the BC VAMC or AA VAMC;
• mention of a significant suicidal crisis within the intake note;
• medically stable and able to provide informed consent; and
• Mini-Mental State Examination (MMSE) score greater than or equal to 21.
• no reported use of the Veterans Crisis Line within the past 12-months;
• report current suicidal ideation (BSS greater than or equals 5 during the week prior to hospitalization) as reported during the screening interview.

You may not qualify if:

• patients who do not understand English;
• prisoners;
• patients deemed unable to provide informed consent as stated above;
• patients who recently received or are scheduled to receive electroconvulsive therapy (ECT); and
• profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments.

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (2)

VA Ann Arbor Healthcare System, Ann Arbor, MI

Ann Arbor, Michigan, 48105-2303, United States

Location

Battle Creek VA Medical Center, Battle Creek, MI

Battle Creek, Michigan, 49037, United States

Location

MeSH Terms

Conditions

Suicide; Suicide, Attempted; Self-Injurious Behavior; Suicide Prevention

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Results Point of Contact

• Title: Dr. Mark Ilgen
• Organization: Veterans Health Administration

mark.ilgen@va.gov

7349366266

Study Officials

• Mark A. Ilgen, PhD

  VA Ann Arbor Healthcare System, Ann Arbor, MI

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

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

Study Record Dates

• First Submitted: May 29, 2015
• First Posted: June 2, 2015
• Study Start: March 24, 2016
• Primary Completion: October 7, 2019
• Study Completion: December 11, 2019
• Last Updated: July 28, 2023
• Results First Posted: April 22, 2021

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)