N/A
N=59
Suicide Prevention in Rural Veterans During High-risk Care Transition Scenarios
Suicidal and Self-injurious Behavior
Bottom Line
View on ClinicalTrials.gov: NCT04054947 ↗Enrolled (actual)
59
Serious AEs
0.0%
Results posted
Jun 2024
Primary outcome: Primary: The Beck Scale for Suicidal Ideation (BSS) — -2.5; -6.0; -2.6; -5.7 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Suicide Prevention Program (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- White River Junction Veterans Affairs Medical Center
- Primary completion
- Jul 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Beck Scale for Suicidal Ideation (BSS) |
-2.5; -6.0; -2.6; -5.7; 1.4; -5.3 | — |
| SECONDARY The Beck Scale for Hopelessness (BHS) |
-2.1; -3.2; -3.0; -4.0; -0.1; -2.7 | — |
| SECONDARY The Partners in Health Scale (PIH) (Self Management) |
8.1; 10.4; 6.8; 8.1; 6.2; 4.8 | — |
| SECONDARY The Interpersonal Needs Questionnaire-15: Thwarted Belongingness (INQ-15 TB) |
-4.0; -8.2; -6.4; -8.7; 3.4; -5.6 | — |
| SECONDARY Interpersonal Needs Questionnaire 15: Perceived Burdensomeness (INQ-15 PB) |
-1.8; -4.9; -4.4; -5.6; 3.2; -5.9 | — |
| SECONDARY Columbia Suicide Severity Rating Scale (C-SSRS) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Multidimensional Scale of Perceived Social Support (MSPSS) |
0.6; 0.5; 0.7; 1.1; 0.4; -0.1 | — |
| SECONDARY Suicide-Related Coping Scale (SRCS) |
4.3; 4.7; 5.0; 7.9; -2.9; 4.4 | — |
| SECONDARY App Engagement Scale (AES) - for Mobile Applications |
— | — |
Summary
In the United States (U.S.), suicide is a major public health concern. U.S. Veterans who live in rural areas may be at even higher risk for suicide than their urban counterparts. Available evidence indicates that suicide risk in rural U.S. Veterans is most concentrated during high-risk care transition scenarios such as discharge from an emergency room. There is limited knowledge about effective interventions to address suicide risk. There is a critical need to develop targeted interventions that address suicide risk during high-risk care transition periods. To be effective, these interventions should address key contributors to suicide risk such as reduced engagement in treatment. This clinical trial evaluates the effect of a suicide prevention intervention to support treatment engagement during high risk transition periods such as discharge from an emergency room.
Eligibility Criteria
Inclusion Criteria
Inpatient psychiatric unit:
- Per the unit psychiatrist, hospitalization was due to concerns about acute risk for self-harm including suicidal ideation, suicide attempt, and/or admitting provider deemed the patient was at imminent risk for self-harm
- Be a Veteran eligible to receive VA services
- Be able to speak English
Inpatient medical-surgical unit:
- Received a mental health consultation during admission on the medical-surgical unit
- Per the consult-liaison psychiatrist, patient was recently (within past three months of hospitalization) or is currently at risk for self-harm including suicidal ideation, suicide attempt, or self-harm
- Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English
Residential Rehabilitation Center (RRC) program:
- Per the RRC treatment team, patient was recently (within past three months of hospitalization) or is currently at risk for self-harm including suicidal ideation, suicide attempt, or self-harm
- Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English
Primary Mental Health Clinic (PMHC):
- The patient was recently seen for a new evaluation in the WRJ PMHC clinic or a local integrated care clinic that are part of the White River Junction VA Medical Center Catchment Area (i.e., Burlington, Littleton, Rutland, Bennington, Brattleboro, or Keene) by either the mental health nurse practitioner, the psychologist, the psychiatry resident or a psychiatric attending
- The patient is currently at risk for self-harm including suicidal ideation of any severity, suicide attempt, or self-harm; This could have been identified based on a formal suicide assessment scale such as the Columbia Suicide Severity Rating Scale or by clinician assessment as documented in the intake note
- Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English
Exclusion Criteria
- Unable to provide informed consent
- Potentially vulnerable populations including prisoners, institutionalized patients, or involuntarily committed patients
Data sourced from ClinicalTrials.gov (NCT04054947). 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.