Pilot Study of a Brief, Recovery-focused Intervention for Crisis Stabilization Centers

NCT05558891 | Completed DMC

• 2 other identifiers: CenterstoneRIYIG-0-113-20
• Study Type: interventional
• Target: 137
• Locations: 1 country
• Sites: 1

Brief Summary

Crisis Stabilization Centers (CSCs) have a unique role to play in Emergency Department diversion and suicide-specific care. However, brief interventions tailored for CSC settings are needed. This study will examine a new, 60-minute, narrative, technology-based, recovery-oriented intervention called THRIVE. THRIVE may help people make meaning of their suicide crisis, reduce suicidal ideation, and increase their recovery compared to usual care. If effective, THRIVE will help CSCs deliver better recovery-focused care.

Conditions

Suicide

Outcome Measures

Primary Outcomes (3)

• Meaning made of stress

  Integration of Stressful Life Experiences Scale (ISLES; Holland et al., 2010). Subscale scores range from 11 to 55 (Footing in the World subscale), 5 to 25 (Comprehensibility subscale) and 16 to 80 (Total ISLES score). Higher scores on each ISLES subscale and the ISLES total score represent greater meaning reconstruction.

  3 months

• Hopefulness

  Adult State Hope Scale (ASHS; Snyder et al., 1996). Subscale scores range from 3 to 34 (Pathways subscale), from 3 to 24 (Agency subscale), and from 6 to 48 (Total Hope Score). Higher scores on each ASHS subscale and the ASHS total score represent higher levels of hope.

  3 months

• Self-efficacy to avoid suicidal action

  Self-Efficacy to Avoid Suicidal Action Scale (SEASA; Czyz et al., 2014). The total score on the SEASA ranges from 0 to 54, with higher levels presenting higher self-efficacy to avoid suicidal action.

  3 months

Study Arms (2)

Experimental: THRIVE + Usual Care

EXPERIMENTAL

Individuals presenting to a community-based crisis stabilization center who are age 18-plus and screen positive for suicide risk

Behavioral: THRIVE; Behavioral: Usual Care

Usual Care

ACTIVE COMPARATOR

Individuals presenting to a community-based crisis stabilization center who are age 18-plus and screen positive for suicide risk

Behavioral: Usual Care

Interventions

THRIVE BEHAVIORAL

Toward Hope, Recovery, Interpersonal Relationships, Values and Engagement (THRIVE), is a brief, suicide-specific, narrative, recovery-focused, 60 minute intervention. THRIVE includes three components: 1) Sharing the suicide narrative; 2) Completing the Lifeline and Meaning Reconstruction; 3) Completing the Meaningful Living Plan (MLP).

Experimental: THRIVE + Usual Care

Usual Care BEHAVIORAL

Care as Usual in this Crisis Stabilization Unit includes medication management, medication management, safety planning Intervention, group psychoeducation, discharge planning, and community linkages

Experimental: THRIVE + Usual Care; Usual Care

Eligibility Criteria

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

You may qualify if:

• Admitted to the crisis stabilization center (CSC)
• Davidson county resident
• English-speaking
• Able to provide informed consent
• Willing to complete a locator form for follow-up assessments
• Willing to complete two emergency contacts
• Medically and clinically cleared by onsite psychiatrist/nurse practitioner
• Increased risk for suicide (Patient safety screener-3, Item 2 and/or 3 is "Yes")
• Willing and able to discuss their experiences around suicidal thoughts and/or attempts

You may not qualify if:

• Individuals who are acutely psychotic
• Individuals unable to communicate with the research team

Sponsors & Collaborators

• Centerstone Research Institute: lead
• University of Rochester: collaborator

Study Sites (1)

Mental Health Cooperative

Nashville, Tennessee, 37228, United States

Location

Related Publications (1)

• Lockman JD, Pisani AR, Angerer BP, Graham AC, Henry J, Lloyd F. THRIVE: Feasibility, Acceptability, and Social Validity of a Brief Recovery-Focused Intervention in Crisis Stabilization Centers. Suicide Life Threat Behav. 2025 Jun;55(3):e70021. doi: 10.1111/sltb.70021.

  PMID: 40401321 DERIVED

MeSH Terms

Conditions

Suicide

Interventions

Nicotine

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Solanaceous Alkaloids; Alkaloids; Heterocyclic Compounds; Pyridines; Heterocyclic Compounds, 1-Ring

Study Officials

• Jennifer Lockman, PhD

  Centerstone Research Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Evaluation Science

Study Record Dates

• First Submitted: June 30, 2022
• First Posted: September 28, 2022
• Study Start: June 22, 2022
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2024
• Last Updated: July 3, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)