N/A
N=307
Crisis Line Facilitation
Suicide · Suicide, Attempted · Hospitals, Psychiatric
Bottom Line
View on ClinicalTrials.gov: NCT02459587 ↗Enrolled (actual)
307
Serious AEs
3.6%
Results posted
Apr 2021
Primary outcome: Primary: Number of Veterans Crisis Line (VCL) Contact Events Per Days at Risk — 48; 35 VCL Contact Events — p=0.33
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Crisis Line Facilitation (CLF) (Behavioral); Enhanced Usual Care (EUC) (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Oct 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Veterans Crisis Line (VCL) Contact Events Per Days at Risk |
48; 35 | 0.33 |
| SECONDARY Number of Suicide Behavior Events Per Days at Risk |
67; 116 | <0.0001 sig |
| SECONDARY Outpatient General Mental Health Clinic Visit |
24.5; 21.2 | 0.66 |
Summary
This study is a randomized controlled trial (n = 301) of a new single-session intervention, called Crisis Line Facilitation (CLF), compared to an enhanced usual care condition on utilization of the Veterans Crisis Line and other mental health services as well as suicide attempt(s). All participants were recruited during an inpatient psychiatric stay for the treatment of a recent suicidal crisis and will be re-assessed at 3-, 6- and 12-months post baseline. If successful, the proposed study will provide key data on the potential efficacy of a brief tool to improve the utilization of an existing resource, the Veterans Crisis Line, to reduce suicidal behaviors in VHA patients.
Eligibility Criteria
Inclusion Criteria
Inclusion criteria for screening (Part 1).
- adults age 18 years of age or older receiving care in an inpatient psychiatric unit at either the BC VAMC or AA VAMC;
- mention of a significant suicidal crisis within the intake note;
- medically stable and able to provide informed consent; and
- Mini-Mental State Examination (MMSE) score greater than or equal to 21.
Additional inclusion criteria for the full randomized study (Part 2):
- no reported use of the Veterans Crisis Line within the past 12-months;
- report current suicidal ideation (BSS greater than or equals 5 during the week prior to hospitalization) as reported during the screening interview.
Exclusion Criteria
Exclusion criteria for screening and full study:
- patients who do not understand English;
- prisoners;
- patients deemed unable to provide informed consent as stated above;
- patients who recently received or are scheduled to receive electroconvulsive therapy (ECT); and
- profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments.
Data sourced from ClinicalTrials.gov (NCT02459587). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.