NCT04276779

Brief Summary

Acute use of alcohol is related to increased risk for suicide. However, our understanding of this problem is hindered by the lack of experimental tests of conditions underlying the alcohol use-suicide relationship. The attention allocation model (AAM) proposes that alcohol intoxication limits individuals' focus to salient cues in their environment. Thus, acute use of alcohol (AUA) during negative mood states may cause people to focus their attention towards suicide-related cues in their environment, thus increasing their risk for suicide while intoxicated. The proposed pilot study tests the AAM by exploring the combined effects of AUA, mood, and alcohol expectancies on attentional bias towards suicide-related cues. The proposed study will explore the combined impact of AUA and negative mood on attentional bias towards suicide in a sample of community adults. The investigators will further explore whether individual differences in alcohol expectancies influence these associations. The investigators will conduct a 2 by 2 (alcohol/placebo by negative mood/positive mood), between-subjects experiment involving alcohol administration, a well-established mood induction paradigm, and a performance-based dependent measure of attention towards suicide-related cues. The investigators expect that individuals in the negative mood-alcohol condition to show the greatest suicide-related attentional bias. The investigators expect that alcohol expectancies related to suicide will strengthen this association, and that positive mood alcohol expectancies will weaken this association. This pilot study will provide an initial test of the feasibility of this project and the hypotheses. This study will form the basis for a larger scale study able to test the effects.

Trial Health

57
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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2022

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 14, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

February 19, 2020

Completed
2.1 years until next milestone

Study Start

First participant enrolled

March 10, 2022

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 8, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 8, 2023

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

March 11, 2025

Completed
Last Updated

March 11, 2025

Status Verified

March 1, 2025

Enrollment Period

1.7 years

First QC Date

February 14, 2020

Results QC Date

December 8, 2024

Last Update Submit

March 5, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Modified Suicide Stroop Task

    A computer-based task that assesses reaction time to naming colors of words presented sequentially. Words are suicide, depressive, positive, and neutral-related. Reaction times that are higher indicate that the content of the word interfered with naming the color (i.e., attentional bias). A score is computed that subtracts reaction time to neutral words from that to suicide words, creating a measure of suicide-related attentional bias. Minimum total score within sample: -113.00 Maximum total score within the sample: 145.92 Higher values indicate more attentional bias (worse outcome).

    10 minutes

Secondary Outcomes (1)

  • Brief Hopelessness Measure (Brief-H-Neg)

    5 minutes

Study Arms (4)

Negative Mood

EXPERIMENTAL
Other: Alcohol administrationBehavioral: Negative mood induction

Placebo

PLACEBO COMPARATOR
Other: Placebo administrationBehavioral: Negative mood induction

Positive Mood

ACTIVE COMPARATOR
Other: Alcohol administrationBehavioral: Positive mood induction

Alcohol

EXPERIMENTAL
Other: Placebo administrationBehavioral: Positive mood induction

Interventions

Participants in the alcoholic beverage group will be provided a dose of 95% alcohol (0.99g/kg for males and 0.90 g/kg for females body weight) distributed in two equally spaced beverages (mixed with orange juice 1:5 ratio). This dose will produce a breath alcohol content ranging between .08-.10.

Negative MoodPositive Mood

Individuals in the placebo condition will receive orange juice with 4 ml of alcohol layered on top of the juice. Ethanol will be sprayed on the rims of the glasses.

AlcoholPlacebo

Participants will be randomized to either positive mood induction procedure. Both conditions involve listening to music that reliably induces positive mood, while simultaneously reading self-referent statements that also induce either positive mood. This procedure lasts about 10 minutes and produces a transient mood state that passes by the end of the study.

AlcoholPositive Mood

Participants will be randomized to either negative mood induction procedure. Both conditions involve listening to music that reliably induces sad mood, while simultaneously reading self-referent statements that also induce either sad mood. This procedure lasts about 10 minutes and produces a transient mood state that passes by the end of the study.

Negative MoodPlacebo

Eligibility Criteria

Age21 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • be between the ages of 21 and 65
  • have consumed an average of at least five or more (four or more for females) standard alcoholic drinks per occasion once over the past year
  • have self-administered a quantity of alcohol that is equal to or greater than the dose that will be administered in the lab on at least three occasions in the past year
  • be able to read and write in English fluently.

You may not qualify if:

  • active psychosis, suicidal ideation/intent, or mania; currently receiving psychiatric treatment; have received psychiatric treatment in past year or currently experiencing significant psychiatric distress
  • in treatment or recovery from drug or alcohol use disorders or abstaining from alcohol
  • any suicide attempt history
  • pregnant/breast-feeding or immediate plans to become pregnant
  • any chronic health problems or medications that would preclude the use of alcohol
  • (to minimize adverse reactions to alcohol/inappropriate alcohol dose) \< 6 feet tall and over 230 lbs., or \> 6 feet tall and over 250 lbs.
  • color-blind or sight-impaired
  • knowing someone who has participated in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Caitlin Clevenger

Birmingham, Alabama, 35233, United States

Location

MeSH Terms

Interventions

Ethanol

Intervention Hierarchy (Ancestors)

AlcoholsOrganic Chemicals

Limitations and Caveats

Please note that this study was terminated. Data collection ended prematurely due to the PI leaving the institution. Preliminary data are reported on the sample collected.

Results Point of Contact

Title
Dr. Caitlin Clevenger
Organization
University of Alabama at Birmingham

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

February 14, 2020

First Posted

February 19, 2020

Study Start

March 10, 2022

Primary Completion

December 8, 2023

Study Completion

December 8, 2023

Last Updated

March 11, 2025

Results First Posted

March 11, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will share
Shared Documents
STUDY PROTOCOL, ICF

Locations