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Mobile Intervention for Suicidal Thoughts

ConditionSuicide
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

One of the factors that contributes to suicide risk is what is known as a "suicidal belief system." This belief system is made up of several cognitions that been associated with suicide risk among military personnel. Modification of these cognitions may reduce suicidal thoughts and behaviors. The study team has developed a brief mobile intervention entitled the Mobile Intervention for Suicidal Thoughts (MIST) that uses evidence-based interpretation bias modification techniques to reduce these suicide cognitions. The goal of this project is to is to conduct a pilot trial of the MIST intervention to evaluate whether it is feasible an acceptable as an adjunct treatment for Veterans with suicidal ideation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Veterans using the Durham VA Health Care System

Endorsing suicidal ideation without intent in the last 30 days, established via Columbia-Suicide Severity Rating Scale (C-SSRS)

Meet at least every 4 months with a mental health provider, established via chart review chart

Can read at least 6th grade level material, established by their demonstrated ability to read the consent form and answer basic questions about it

Disqualifiers

Currently in a period of active psychosis or mania, established via the Structured Clinical Interview for DSM-5 (SCID-5)

Currently meeting criteria for a moderate or severe alcohol or substance use disorder, established via the SCID-5

Endorsing suicidal intent, established via Columbia-Suicide Severity Rating Scale (C-SSRS)

Exhibit current prominent suicidal or homicidal ideation requiring immediate intervention

Trial design

Design model

Parallel

Treatments tested in this trial

  • Safety planning

    Behavioral

    Safety planning (SP) is a single-session intervention that consists of developing a written list of individualized coping strategies and sources of support that can be used during a suicidal crisis.

  • Treatment as usual

    Behavioral

    This will include continued care with any of the Veterans' current providers. Study staff will also place appropriate referrals for Veterans, as needed (e.g., Trauma Recovery Program referrals for Veterans with PTSD, Sleep Psychology referrals for Veterans with insomnia). Participants will be encouraged to follow up with their providers' recommendations and treatment plans

  • MIST Intervention

    Behavioral

    This is a mobile intervention designed to target and modify suicidal cognitions. Veteran in this condition will be asked to use the intervention 5 times a week for 4 weeks.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Safety planning, treatment as usual, and Mobile Intervention for Suicidal Thoughts (MIST)Experimental treatment 3 interventions
Group B: Safety planning and treatment as usualActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Number of participants recruited

Participant feasibility goal will be met if recruitment is 75% or greater of recruitment expectation.

Time frame
Through study completion (approximately 18 months)
2

Percentage of enrolled participants who complete the study intervention

Treatment retention feasibility goal will be met if attrition is no more than 25%.

Time frame
Post-treatment visit (approximately one month after enrollment)
3

Patient satisfaction for MIST app: Client Satisfaction Questionnaire

Patient satisfaction will be assessed with item #7 from the Client Satisfaction Questionnaire. This item is scored on a scale of 1 to 4, with one indicating lower satisfaction and 4 indicating greater satisfaction. The patient satisfaction goal will be met if 80% or greater of participants indicate score a 3 or 4 on this item.

Time frame
Post-treatment visit (approximately one month after enrollment)
4

MIST intervention utilization

MIST utilization goal will be met if MIST app utilization rates are greater than 50% of expected use.

Time frame
Post-MIST assessment visit (approximately one month after enrollment)

Secondary outcomes

Other outcomes

Sponsors and contacts

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

VA Office of Research and Development

Lead sponsor

Source ClinicalTrials.gov
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