Adapting a Telehealth Intervention for Suicide Prevention Among Patients With Alcohol Use Disorder in Tanzania

NCT07475988 | Not Yet Recruiting DMC

• 1 other identifier: Pro00118645
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

Together, alcohol use and suicide account for approximately 4 million deaths per year, with a considerable burden on low and middle-income countries. Tanzania is among the world's most underserved nations for mental health treatment, with very little capacity to treat suicidality or alcohol use disorders. In this study, the researchers will adapt an evidence-based intervention for suicide prevention to address the unique needs of people with alcohol use disorders in Tanzania, and rigorously pilot test the intervention to assess its feasibility and acceptability in a Tanzanian emergency department.

Conditions

Alcohol Use Disorder; Suicide Prevention

Keywords

Telehealth; Nurse-delivered interventions; Stigma reduction; Care engagement; Suicide prevention; Health behavior; Alcohol use disorder; Harm reduction

Outcome Measures

Primary Outcomes (5)

• Acceptability of intervention

  Acceptability of Intervention Measure (AIM). Four items scored from 1-Completely disagree to 5-Completely agree. Scores are summed for a total score of 4 to 20, with higher scores indicating greater acceptability.

  3 months

• Enrollment feasibility as measured by the percentage of ED patients with documented screening for study eligibility

  up to 1 year

• Enrollment feasibility as measured by the number of eligible participants who declined enrollment

  up to 1 year

• Enrollment feasibility as measured by the time needed to enroll 30 eligible participants

  up to 1 year

• Retention feasibility as measured by the number of participants retained for follow-up

  session 2 (2 weeks), session 3 (4 weeks), and 3 months

Study Arms (1)

IDEAS-AUD

EXPERIMENTAL

3 sessions of telehealth-delivered counseling

Behavioral: IDEAS-AUD

Interventions

IDEAS-AUD BEHAVIORAL

Telehealth-delivered counseling to reduce suicide risk among people with Alcohol Use Disorder (AUD) who are presenting for care in the KCMC Emergency Department (ED).

IDEAS-AUD

Eligibility Criteria

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

You may qualify if:

• years of age or older
• screen positive for alcohol use disorder (AUDIT \>=8)
• have had suicidal thinking (C-SSRS item indicating "actual thoughts of suicide") in last 30 days
• clinically sober
• medically stable
• have the physical and cognitive capacity to provide consent and complete study procedures
• able to communicate in Swahili or English

You may not qualify if:

• prisoners
• decline or unable to complete informed consent

Sponsors & Collaborators

• Duke University: lead
• Kilimanjaro Christian Medical Centre, Tanzania: collaborator

MeSH Terms

Conditions

Alcoholism; Suicide Prevention; Health Behavior; Harm Reduction

Condition Hierarchy (Ancestors)

Alcohol-Related Disorders; Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders; Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Brandon Knettel, PhD

  Duke University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Brandon Knettel, PhD

CONTACT

9196601218; brandon.knettel@duke.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 12, 2026
• First Posted: March 17, 2026
• Study Start (Estimated): August 1, 2027
• Primary Completion (Estimated): March 1, 2029
• Study Completion (Estimated): March 1, 2029
• Last Updated: March 17, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share