Suicidal and Self-injurious Behavior, Suicidal Ideation Active
Conditions
Keywords
Suicide, Assessment, Intervention, CAMS
Brief summary
This is a randomized controlled trial comparing the use of new clinical intervention (the Collaborative Assessment and Management of Suicidality--CAMS) versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA.
Detailed description
This is a randomized controlled clinical trial of 148 suicidal active-duty US Army Soldiers. Participants were randomized to on-site providers who were trained in the Collaborative Assessment and Management of Suicidality (CAMS) vs. providers doing their own routine care--referred to as Enhanced Care as Usual (E-CAU) within an outpatient military treatment center. The CAMS Rating Scale (CRS) was used to reliably verify fidelity between treatment conditions and the adherence by CAMS providers to the model. Participants received informed consent to be randomly assigned to treatment arm and were ask to complete study assessments at baseline, 3 months, 6 months, and 12 months after the start of treatment. Recruitment is complete and all study assessments were completed as of March 2016. The study is in a second year of no cost extension; outcome data analyses and moderator analyses are currently underway to develop manuscripts for submission to peer-review scientific journals.
Interventions
BEHAVIORALThe Collaborative Assessment and Management of Suicidality
Intensive outpatient, suicide-focused, psychotherapy designed to target and treat the drivers of suicidal ideation and behaviors.
BEHAVIORALEnhanced Care as Usual
This is just standard outpatient mental health care that is routinely provided in the study site outpatient clinic
Sponsors
University of Washington
VA Office of Research and Development
The Catholic University of America
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Active duty Army personnel at FSGA * Significant suicidal ideation * Soldier is appropriate under FSGA policies * Consent at baseline and follow up * Consent to randomization and being digitally recorded
Exclusion criteria
* Significant psychosis, cognitive or physical impairment to not give consent * Judicially ordered treatments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scale for Suicidal Ideation | Baseline, post-treatment, 1, 3, 6, 12 months | Industry standard for self-report suicidal ideation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall symptom distress | Baseline, post treatment, 1, 3, 6, 12 months | Outcome Questionnaire-45 |
Outcome results
None listed