Skip to content

Life Skills Training for Soldiers Arriving at Their First Duty Location

SAFEGUARD: Life Skills Training for Soldiers Arriving at Their First Duty Location

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07286955
Enrollment
5000
Registered
2025-12-16
Start date
2025-12-10
Completion date
2029-07-01
Last updated
2026-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Risk Reduction Behavior, Suicide Prevention, Risky Behavior, Mental Health, Resilience, Performance at Work

Keywords

Military Health, Suicide Prevention, Harmful Behaviors, Life Skills Training, First Duty Location, Active-duty Military, Risk Reduction, Prevention, Level Up

Brief summary

This project will evaluate the effectiveness of Level Up: Boost Your Life Skills (Level Up), a strengths based, military-specific life skills training program. The goal is to determine whether Level Up can decrease suicidal-related behaviors (SRBs) and other harmful behaviors, improve mental health, enhance job performance, and reduce early military separation. The Level Up program components will be made available to participants through an online platform or mobile app that can be downloaded onto their personal mobile devices. These training materials will help Soldiers learn and practice skills. The Level Up program will also involve personalized messages from a Level Up trainer and virtual booster sessions. Soldiers arriving at their first duty location will be randomized to receive either Level Up or a single session Army bystander intervention program. Participants will complete baseline and follow up surveys 1, 3, and 6 months post-baseline.

Detailed description

Suicide remains a leading cause of death among Soldiers, especially those 17-24 years old in their first year of military service. This time is also marked by high rates of other harmful behaviors and of early separation from the Army. The Army invests billions of dollars in recruiting and training, yet many new Soldiers leave the service early or experience serious events like suicidal behaviors. Exposure to situational stressors involving such areas of life as romantic relationships and finances increases risk for suicide and other harmful behaviors. Implementing universal training programs to prevent these types of negative outcomes before they arise have enormous potential to bolster the mental toughness of new Soldiers during this difficult transition. The proposed project aims to prevent suicide-related behaviors (SRBs) and other behaviors qualifying for a Serious Incident Report (SIR) through an innovative, universal life skills program delivered at a critical transition point in Soldiers' careers-their first duty assignment. By focusing on this particularly high-risk period, this project seeks to reduce SRBs and related harmful behaviors among U.S. Army Soldiers. The proposed project will test the effectiveness of a recently developed, evidence-based training program designed to build life skills and coping strategies that can protect against suicide, other harmful behaviors, poor work performance, and premature separation during a Soldier's first duty assignment. This project will evaluate the effectiveness of Level Up, a strengths based, military-specific life skills training program. The goal is to determine whether Level Up can decrease suicidal thoughts and behaviors, improve mental health, enhance job performance, and reduce early military separation. Previous studies show that building skills like stress management, problem-solving, and healthy communication can protect against SRBs and related problem behaviors. However, many of these programs failed to show long-term impact, partly due to limited engagement. Level Up is designed to overcome these limitations by combining interactive learning, mobile technology, personalized coaching, and on-demand virtual booster sessions. This hybrid format is intended to help Soldiers refresh their skills and engage with content at their preferred pace and rhythm. The Level Up program components include: 1) a 90-minute live group session during Soldiers' in-processing week at their first duty station, 2) a mobile app/online platform/workbook with brief, interactive self-guided exercises in core skill areas (e.g., managing stress, tactical thinking, healthy relationships), 3) personalized coaching via messages from trained staff during the first month of app use, and 4) virtual booster sessions over one year, focused on practical domains like finances, leadership, promotion tips, and personal relationships. Soldiers will be randomized to receive either Level Up or Engage, an existing single session Army bystander intervention program that will serve as a comparison training. The Level Up program content draws from evidence-based psychological methods such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and motivational coaching adapted to fit military culture and tailored to be relevant, accessible, and engaging for newly assigned junior-ranking Soldiers, a group at high risk for suicide and other serious behavioral issues. By equipping them with essential life skills and support during their first year of service, the program aims to reduce SRBs and other behaviors qualifying for SIRs, develop psychosocial skills, and increase career success and satisfaction. If effective, Level Up could be implemented Army-wide as a universal prevention program to improve mental health, readiness, and retention. There are minimal risks as the interventions are educational, although some participants may experience brief emotional discomfort during skill practice or reflection. All participants can opt out at any time, and all are provided with resources and additional support as needed. This study could have a transformative impact on military suicide prevention efforts, especially during early service when Soldiers are most vulnerable. By evaluating this scalable program in a large, real-world setting, the research will provide clear evidence about its benefits for reducing suicide and improving readiness. Results will also support development of predictive tools to identify which Soldiers may benefit most from added support. Findings will be shared across the Department of Defense to inform policy, training, and future resilience-building programs-ultimately improving the health, performance, and quality of life of Soldiers across the Force.

Interventions

BEHAVIORALLevel Up

The Level Up program components include: * A 90-minute live group session during Soldiers' in-processing week at their first duty station * A mobile app/online platform/workbook with brief, interactive self-guided exercises in core skill areas (e.g., managing stress, tactical thinking, healthy relationships) * Personalized coaching via messages from trained Level Up staff during the first month of app use * Virtual booster sessions over one year, focused on practical domains like finances, leadership, promotion tips, and personal relationships

BEHAVIORALENGAGE

ENGAGE training is a single 90-minute workshop aimed at developing leadership skills and confidence in handling professional and personal confrontations.

Sponsors

Defense Health Agency
CollaboratorFED
Harvard University
CollaboratorOTHER
Henry M. Jackson Foundation for the Advancement of Military Medicine
CollaboratorOTHER
Beth Israel Deaconess Medical Center
CollaboratorOTHER
Massachusetts General Hospital
CollaboratorOTHER
Walter Reed Army Institute of Research (WRAIR)
CollaboratorFED
University of Michigan
CollaboratorOTHER
Uniformed Services University of the Health Sciences
Lead SponsorFED

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Active duty Soldiers arriving at a military installation located in the South Central U.S. for their first duty location who are attending reception center activities

Exclusion criteria

* Soldiers who are not available to attend the in-person training * Soldiers who are under the age of 18 years old * Soldiers who do not have a smart phone that supports installation of the mobile app

Design outcomes

Primary

MeasureTime frameDescription
The occurrence of any harmful behaviorWithin the 12 months after intervention randomizationThe occurrence of any harmful behavior, either self-reported in follow up surveys or administratively reported
The occurrence of any suicide-related behaviorWithin the 12 months after intervention randomizationThe occurrence of any suicide-related behavior, either self-reported in follow up surveys or administratively reported

Secondary

MeasureTime frameDescription
Personal deployment readinessWithin the 6 months after intervention randomizationWalter Reed Army Institute of Research Land Combat Survey; Scale ranges from 4-20; Higher scores indicate higher perceived readiness
EmotionalityWithin the 6 months after intervention randomizationEmotion Reactivity Scale (ERS) ; Scale ranges from0-4; Higher scores indicate higher of each maladaptive trait
Job satisfactionWithin the 6 months after intervention randomization3-item Job Satisfaction Scale; Scale ranges from 3-15; Higher scores indicate higher perceived job satisfaction
Depression symptom severityWithin the 6 months after intervention randomizationPatient Health Questionnaire-2 (PHQ-2); Scale ranges from 0-8; Higher scores indicate more severe symptoms
Anxiety symptom severityWithin the 6 months after intervention randomizationGeneralized Anxiety Disorder-2 (GAD-2); Scale ranges from 0-8; Higher scores indicate more severe symptoms
Incidence of traumatic brain injuriesWithin the 6 months after intervention randomizationNumber of traumatic brain injuries; based on the Army STARRS Surveys; No scale range; number indicates greater number of traumatic brain injuries
Lifetime history of various mental/emotional health problemsWithin the 6 months after intervention randomizationFamily History Screen (FHS); Scale ranges from 0-1; 0=No; 1=Yes
Chronic stress severityWithin the 6 months after intervention randomizationPersonal Life Stress Scale (PLS); Scale ranges from 0-50; Higher scores indicate greater chronic stress severity
Mental toughnessWithin the 6 months after intervention randomizationSports Mental Toughness Questionnaire (SMTQ); Scale ranges from 5-25; Higher scores indicate higher confidence & constancy
History of suicidal ideation, plan, & attemptWithin the 6 months after intervention randomizationColumbia-Suicide Severity Rating Scale (C-SSRS) Full scale Baseline/Screening; Scale ranges from 0-1 0=No; 1=Yes
Positive social networksWithin the 6 months after intervention randomizationSupportive & Negative Social Interaction Scale (SIS); Scale ranges from 0-8; Higher scores indicate more positive/negative social support
Negative social networksWithin the 6 months after intervention randomizationSupportive & Negative Social Interaction Scale (SIS); Scale ranges from 0-8; Higher scores indicate more positive/negative social support
Mattering/belongingWithin the 6 months after intervention randomizationGeneral Mattering Scale; Scale ranges from 0-20; Higher scores indicate higher perceived mattering to others
LonelinessWithin the 6 months after intervention randomization3-Item Loneliness Screener; Scale ranges from 0-16; Higher scores indicate more frequency-severity of loneliness
Adverse childhood events & traumaWithin the 6 months after intervention randomizationChildhood Trauma Questionnaire - Short Form (CTQ-SF) ; Scale ranges from 0-44; Higher scores indicate more childhood maltreatment
The occurrence of any premature separations from serviceWithin the 12 months after intervention randomization
MasteryWithin the 6 months after intervention randomizationPearlin & Schooler's Psychological Coping Resources Measure; Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait
OpennessWithin the 6 months after intervention randomization120-item International Personality Item Pool (IPIP); Scale ranges from 0-4; Higher scores indicate lower of each adaptive trait
Problem-solving abilityWithin the 6 months after intervention randomizationSocial Problem Solving Inventory-Revised (SPSI-R); Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait
Psychological well-beingWithin the 6 months after intervention randomizationFlourishing Scale; Scale ranges from 0-12; Higher scores indicate lower of each adaptive trait
ResilienceWithin the 6 months after intervention randomizationArmy STARRS Resilience Scale; Scale ranges from 0-16; Higher scores indicate lower of each adaptive trait
Self-esteemWithin the 6 months after intervention randomizationRosenberg Self-Esteem Scale; Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait
Anxious, Cyclothymic, Depressive, & Hyperthymic temperamentWithin the 6 months after intervention randomizationRevised NEO Personality Inventory (NEO-PI-R) & the Temperament Evaluation of Memphis, Pisa, Paris & San Diego-autoquestionnaire version (TEMPS-A); Scale ranges from 0-8 for each temperament; Higher scores indicate higher of each maladaptive trait
Borderline personalityWithin the 6 months after intervention randomizationMcLean Screening Instrument for Borderline Personality Disorder; Scale ranges from 0-16; Higher scores indicate higher of each maladaptive trait
Anger-hostilityWithin the 6 months after intervention randomizationBig Five Inventory (BFI)16 & Personality Inventory for DSM-5 Brief Form (PID-5-BF); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait
Impulsivity/negative urgencyWithin the 6 months after intervention randomizationImpulsive Behavior Scale - Short Form (SUPPS-P); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait
IntroversionWithin the 6 months after intervention randomizationEysenck Personality Questionnaire - Brief Version (EPQ-BV)28 & Revised NEO Personality Inventory (NEO-PI-R); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait
Fearlessness about deathWithin the 6 months after intervention randomizationAcquired Capability for Suicide Scale; Scale ranges from 0-4; Higher scores indicate higher of each maladaptive trait
Self-consciousWithin the 6 months after intervention randomizationWidiger Five-Factor Rating Form - Revised31 & NEO Five-Factor Inventory (NEO-FFI); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait
VulnerabilityWithin the 6 months after intervention randomizationNEO Five-Factor Inventory (NEO-FFI); Scale ranges from 0-4; Higher scores indicate higher of each maladaptive trait
Frequency of risky behaviorsWithin the 6 months after intervention randomizationUnit Risk Inventory (URI); Scale ranges from 0-1; 0=Never; 1=At least less than once a month
ConscientiousnessWithin the 6 months after intervention randomizationBig Five Inventory (BFI)16 & Personality Inventory for DSM-5 Brief Form (PID-5-BF); Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait
Poor performance as indicated either by written reprimands, designations in the NCOER, a corrective action plan, remedial training, flagging actions, demotion, Article 15, or barred reenlistmentWithin the 12 months after intervention randomization

Countries

United States

Contacts

Primary ContactLife Skills Study Team
life-skills-study-ggg@usuhs.edu301-295-9711

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026