Assessment of Emotion Regulation Strategies Used When Suicidal

NCT05722197 | Recruiting

• 1 other identifier: 2022H0155
• Study Type: interventional
• Target: 334
• Locations: 1 country
• Sites: 1

Brief Summary

Crisis Response Planning is an efficacious, one-session intervention that increases positive affect, decreases negative affect and psychiatric hospitalizations, and reduces suicide attempts by 76% among Servicemembers. Crisis Response Planning is hypothesized to reduce suicidality by identifying a variety of personalized strategies that are designed to strengthen and/or promote emotion regulation processes.Research in nonmilitary samples suggests the effectiveness of emotion regulation strategies varies across situations. The applicability of these findings to suicidality among Servicemembers is unknown. Improved understanding of what strategies work under which circumstances and for whom will significantly advance our ability to prevent suicide among Servicemembers. Hypotheses include:

1. 1.Use of self-management strategies, thinking about reasons for living, and seeking social support at time t will be associated with significant reductions in suicidal ideation at time t+1.
2. 2.Use of distraction, reappraisal, and interpersonal emotion regulation strategies at time t will be associated with significant reductions in suicidal ideation at time t+1.
3. 3.Affect intensity and social context will significantly moderate the time-lagged effects of Crisis Response Planning and emotion regulation strategy use on suicidal ideation.
4. 4.Distinct profiles of demographic (e.g., gender, age), historical (e.g., prior suicide attempts), and psychological characteristics (e.g., emotion dysregulation, symptom severity) will predict who experiences a decrease in suicidal ideation following the use of Crisis Response Planning and emotion regulation strategies.
5. 5.(Exploratory): Individuals who utilize their Crisis Response Planning more frequently and perceive Crisis Response Planning as more effective will be more likely to engage in mental health treatment at follow-up.

Conditions

Suicidal Ideation; Treatment Refusal; Emotion Regulation

Outcome Measures

Primary Outcomes (1)

• Suicidal Ideation - Ecological Momentary Assessment

  Participants are asked a series of six questions assessing current suicidal ideation. Scores range from 0 to 24, with higher scores indicative of more severe suicidal ideation.

  Change over 28 consecutive days

Secondary Outcomes (1)

• Scale for Suicide Ideation

  baseline, 1,2,3,6,9, and 12 months after baseline

Study Arms (1)

Crisis Response Plan and Lethal Means Counseling

EXPERIMENTAL

All participants will complete a narrative suicide risk assessment, collaboratively develop a Crisis Response Plan, and receive lethal means counseling. The Crisis Response Plan will include the following sections: (1) identifying personal warning signs for suicide; (2) identifying self-regulation strategies for reducing emotional distress; (3) identifying reasons for living; (4) identifying sources of social support; and (5) accessing professional crisis services. Participants will handwrite the plan on an index card, sheet of paper, or another similar medium. After completing the Crisis Response Planning, researchers will conduct lethal means counseling to develop a plan for restricting or limiting access to potentially lethal methods of suicide.

Behavioral: Crisis Response Planning and Lethal Means Safety Counseling

Interventions

Crisis Response Planning and Lethal Means Safety Counseling BEHAVIORAL

Crisis Response Planning is an efficacious, one-session intervention that increases positive affect, decreases negative affect and psychiatric hospitalizations, and reduces suicide attempts by 76% among Servicemembers

Crisis Response Plan and Lethal Means Counseling

Eligibility Criteria

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

You may qualify if:

• Currently serving in any Branch or Component of the U.S. military
• \>18 years old;
• Score ≥ 5 on the Scale for Suicidal Ideation and/or endorse a suicide attempt, aborted attempt, or interrupted attempt within the past month on the Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R)
• Ability and willingness to complete research-related activities remotely
• Regular access to an Android or Apple smartphone that is compatible with the ecological momentary assessment application

You may not qualify if:

• Engagement in mental health treatment within the past year (including taking psychotropic medications)
• A psychiatric or medical condition that preventing providing informed consent or from participating in the treatments (e.g., psychosis, mania, acute intoxication); or - Expecting to separate from the military within 90 days

Sponsors & Collaborators

• Ohio State University: lead
• Medical University of South Carolina: collaborator

Study Sites (1)

The Ohio State University Wexner Medical Center

Columbus, Ohio, 43214, United States

RECRUITING

MeSH Terms

Conditions

Suicidal Ideation; Treatment Refusal; Emotional Regulation

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior; Treatment Adherence and Compliance; Health Behavior; Self-Control; Social Behavior

Central Study Contacts

Lauren Khazem, PhD

CONTACT

614-366-2294; lauren.khazem@osumc.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant Professor

Study Record Dates

• First Submitted: January 30, 2023
• First Posted: February 10, 2023
• Study Start: January 23, 2022
• Primary Completion (Estimated): January 23, 2027
• Study Completion (Estimated): January 23, 2027
• Last Updated: February 19, 2026

Record last verified: 2026-02

Locations

US (1)