Health TrialsbyHealthPanel

IDEAS for Hope to Reduce Suicide Risk and Improve HIV Care Engagement in Tanzania

ConditionsHIV - Human Immunodeficiency VirusSuicide Prevention
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDuke University

About this trial

In this project, the investigators will conduct a clinical trial to test the effectiveness and implementation of IDEAS for Hope, a 3-session telehealth counseling intervention delivered by nurses, to reduce suicidality and improve HIV care engagement among PLWH in Tanzania. The investigators will also examine mechanisms of change and implementation outcomes of the intervention, including cost-effectiveness, to disseminate a feasible, scalable, and sustainable intervention and implementation package to address a critical mental health comorbidity in HIV care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adult

Living with HIV

Attending HIV care appointments

Self-report experiencing thoughts of suicide in the last 30 days

Disqualifiers

Physically or cognitively unable to provide informed consent or complete study procedures

Trial design

Design model

Parallel

Treatments tested in this trial

  • IDEAS for Hope

    Behavioral

    The IDEAS for Hope framework integrates Joiner's Interpersonal Theory to address stigma, burdensomeness, and other drivers of suicide risk and improve HIV care engagement. This includes theoretical grounding in Motivational Interviewing-enhanced safety planning (MI-SafeCope), stigma reduction, cognitive-behavioral therapy with adherence counseling (CBT-AD), and problem-solving therapy. MI-SafeCope improves coping for suicide risk by developing an individualized safety plan and facilitating social support. The integration of MI into standard safety planning goes beyond identifying coping strategies to facilitate values-driven improvement in health behavior and address the unique drivers of suicide risk among PLWH in Tanzania.

  • Safety Planning Intervention

    Behavioral

    The single-session safety planning intervention (SPI) will be provided according to protocols developed by Stanley \& Brown. The SPI involves collaboratively creating a personalized, step-by-step plan to help individuals recognize warning signs, use coping strategies, seek support, and reduce access to means during a suicidal crisis.

Treatment groups

600 Participants
are divided into 2 treatment groups
Group A: IDEAS for HopeExperimental treatment 1 intervention
Group B: Brief Safety PlanningActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with Suicidal thinking

Self-report of actual thoughts of suicide in the last 30 days

Time frame
6 months
2

Number of participants with a Suicidal plan

Self-report of plan to attempt suicide

Time frame
6 months
3

Number of participants with Suicidal intent

Self-report of intent to attempt suicide

Time frame
6 months
4

Number of participants with Suicide preparatory behavior

Self-report of preparatory behavior such as writing a suicide note or preparing materials to attempt suicide

Time frame
6 months

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Duke University

Lead sponsor

RTI International

Collaborator

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: