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N/A N=70 Randomized Single-blind Treatment

ACT for Life: a Brief Intervention for Maximizing Recovery After Suicidal Crises

Suicide · Psychiatric Rehabilitation

Enrolled (actual)
70
Serious AEs
0.0%
Results posted
Nov 2019
Primary outcome: Primary: Client Satisfaction Questionnaire - 8 — 28 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
ACT for Life (Behavioral); Treatment as usual (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
VA Office of Research and Development
Primary completion
Aug 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Client Satisfaction Questionnaire - 8
28
PRIMARY
Narrative Evaluation of Intervention Interview
30
PRIMARY
Reasons for Termination (Client and Therapist Versions)
2
SECONDARY
Outcome Questionnaire 45.2 (OQ-45)
95.20; 105.14; 68.10; 88.55; 72.05; 89.11
SECONDARY
Valued Living Questionnaire (Used to Assess Change)
34.3; 30.38; 46.10; 37.72; 41.94; 38.03
SECONDARY
Inventory of Psychosocial Functioning (Used to Assess Change)
2.89; 2.96; 2.02; 2.39; 2.01; 2.69
SECONDARY
PROMIS Global Short Form v1.1 (Used to Assess Change)
9.41; 9.47; 11.20; 10.00; 10.75; 10.53
SECONDARY
PROMIS Short Form v2.0- Satisfaction With Social Roles and Activities 8a (Used to Assess Change)
18.15; 17.85; 22.90; 20.48; 23.10; 20.63
SECONDARY
Columbia Suicide-Severity Rating Scale (Used to Assess Change)
15.37; 16.12; 6.75; 6.22; 3.52; 8.11

Summary

An estimated 20 Veterans kill themselves every day. Suicide prevention literature and public health policy both call for treatment targeting high-risk populations, such as Veterans hospitalized due to suicidal intent and/or attempts. Psychiatric hospitalization is a critical opportunity to provide treatment to reduce the risk of suicide and lay the groundwork for functional recovery. Yet, there are no interventions specifically for suicide prevention that meet Veterans Health Affairs' quality recommendations requiring the provision of evidence-based, recovery-oriented psychotherapy, which are also feasible to use during a typical inpatient stay. The proposed study seeks to take a first step toward filling this gap. In consultation with experts in the field, the authors have developed a protocol applying a recovery-oriented, evidence-based treatment approach to Veteran inpatient care. The proposed pilot study will provide critical information to inform final revisions of the treatment manual and research design for a future study evaluating the efficacy of the intervention.

Eligibility Criteria

Inclusion Criteria

  • Eligible for Veterans Health Administration care
  • Age 18-89
  • Currently hospitalized due to suicide risk
  • Willing to be randomized and participate in the two conditions

Exclusion Criteria

  • Inability to provide informed consent
  • Inability to complete study measures, e.g.:
  • due to significant acute intoxication/withdrawal symptoms
  • mania
  • psychosis
  • aggression
  • catatonia
  • cognitive impairment
  • membership in vulnerable population, e.g.:
  • prisoners
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02751983). 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.

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