Crisis Response Planning for Military Personnel
ASPIS/CRP
Moderators of the Effectiveness of Crisis Response Planning (CRP) for Military Personnel
1 other identifier
interventional
700
1 country
1
Brief Summary
The study is a randomized trial comparing outcomes of active duty service members who present to the emergency department at risk for suicide and receive care from providers trained in crisis response planning versus those providing treatment as usual.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2023
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 10, 2023
CompletedFirst Posted
Study publicly available on registry
April 3, 2023
CompletedStudy Start
First participant enrolled
June 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2027
November 15, 2024
November 1, 2024
4.3 years
March 10, 2023
November 13, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Self-Injurious Thoughts and Behaviors Interview (SITBI-R)
Assessment of suicide attempts
Through study completion, an average of 1 year
Scale for Suicidal Ideation (SSI)
Assessment of suicidal ideation; 19 items rated on a scale 0-2, higher scores indicate greater suicidal ideation severity
Through study completion, an average of 1 year
Study Arms (2)
Crisis Response Planning
EXPERIMENTALCRP is a brief psychotherapeutic intervention that can be provided to patients at risk of suicidal behavior. When using the intervention, a provider works with the patient (1) to conduct a narrative assessment of the events preceding suicidal thoughts or behavior, and (2) to develop a personalized plan for identifying and managing distress that could escalate to a suicide attempt. The CRP, which is typically handwritten by the patient on an index card, includes personal warning signs of distress, emotion regulation strategies, reasons for living, and contact information for friends/family as well as professional (psychological/medical) and emergency resources.
Treatment as Usual
ACTIVE COMPARATORExisting clinical practices in the emergency department include the following elements recommended by the VA/DoD Clinical Practice Guidelines: (1) all patients are screened for suicidal ideation at every visit; (2) for those with positive screens, a suicide risk assessment interview is conducted by a mental health professional; (3) a safety planning form with means restriction (such as the Stanley-Brown; Stanley \& Brown, 2012) is completed; and (4) patients are referred for follow-up mental health treatment as needed. Other elements of TAU could include behavioral and psychotropic interventions, referrals to specialty mental healthcare, and admission for psychiatric inpatient care.
Interventions
Crisis Response Planning (CRP) is a brief psychotherapeutic intervention.
Standard care provided for patients at risk for suicide
Eligibility Criteria
You may qualify if:
- Active duty service members
- \>18 years old
- Present to the emergency department at NMCSD with a primary concern related to suicidal ideation, plan, intention, or attempt, or are assessed as being at elevated risk of suicidal behavior
- Able to understand and speak English
- Able to provide consent
You may not qualify if:
- Unable to provide informed consent due to impaired mental status (e.g., acute intoxication, psychosis, mania, altered consciousness)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- United States Naval Medical Center, San Diegolead
- Naval Health Research Centercollaborator
- Ohio State Universitycollaborator
Study Sites (1)
Naval Medical Center San Diego
San Diego, California, 92134, United States
Related Publications (1)
Walter KH, Khandekar PR, Kline AC, Miggantz EL, Otis NP, Glassman LH, Thomsen CJ, Brock G, Bryan CJ. Comparison of crisis response planning and treatment as usual for active duty service members at risk for suicide: Study protocol for a stepped-wedge cluster randomized trial in a military treatment facility. Contemp Clin Trials Commun. 2024 Dec 6;42:101407. doi: 10.1016/j.conctc.2024.101407. eCollection 2024 Dec.
PMID: 39735169DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kristen H Walter, PhD
Naval Health Research Center
Central Study Contacts
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 10, 2023
First Posted
April 3, 2023
Study Start
June 21, 2023
Primary Completion (Estimated)
September 30, 2027
Study Completion (Estimated)
December 31, 2027
Last Updated
November 15, 2024
Record last verified: 2024-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, ICF
This study is one of five studies part of a consortium, referred to as ASPIS. All de-identified demographic and clinical data collected as part of the ASPIS projects will be available as raw individual-level data for sharing with external researchers working at an institution with a Federalwide Assurance (FWA) for the Protection of Human Subjects. ASPIS data will therefore be available for secondary analytic purposes. Names and institutions of persons either given or denied access to data will be tracked by our Administrative Core and will be available upon request from the sponsor. ASPIS data will not be available for data sharing until after all ASPIS projects are complete and the primary outcomes for each project are published.