Military Continuity Project

Completed · Not applicable

Conditions studied: Suicidal Ideation Active, Suicidal and Self-injurious Behavior

In brief

The investigators propose to utilize text messaging to create and investigate the efficacy of a Continuing Contacts via Text (CCVT) intervention that extends the continuity of care for Service Members with a recent suicide attempt and/or reported suicidal ideation by sending them non-demanding caring text messages at regular intervals over a 12-month period. Participants will be randomly assigned to receive Continuing Contacts via Text (CCVT) in addition to Treatment as Usual (TAU) or TAU alone. Aim 1: To determine if the addition of 12 months of CCVT to TAU (CCVT+TAU) results in lower rates of suicidal ideation and behavior relative to TAU alone. * Hypothesis 1a: Participants assigned to CCVT+TAU compared to TAU alone will experience reduced suicidal ideation at 12-month follow-up. * Hypothesis 1b: Over the 12 months following study enrollment, a smaller proportion of participants assigned to CCVT+TAU vs. TAU alone will have suicide risk incidents (i.e., those requiring medical evacuation or hospital admission). * Hypothesis 1c: Over the 12 months following study enrollment, CCVT+TAU vs. TAU alone will have fewer total number of suicide risk incidents requiring medical evacuation or hospital admission. Aim 2: To test two proposed mechanisms of action of CCVT outcome: 1) reduced "thwarted belongingness" and 2) increased engagement in behavioral health services. * Hypothesis 2a: The effect of CCVT+TAU compared to TAU alone will be mediated by reductions in "thwarted belongingness" from pre to post-study. * Hypothesis 2b: The effect of CCVT+TAU compared to TAU alone will be mediated by increased use of outpatient behavioral health services in the CCVT+TAU condition.

Key facts

Study ID

NCT01829620

Run by

University of Washington

People needed

658

Starts

2013-04-01

Expected to finish

2018-04-01

Last updated by the study team

2020-07-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Active duty, Reserve, National Guard
• 18 or more years of age
• Identification to a behavioral health, counseling, or medical service (inpatient, outpatient, or emergency) with suicidal ideation or a suicide attempt
• Has current suicidal ideation as defined by the Scale for Suicidal Ideation-Current (SSI-C)
• Has mobile phone or pager where he or she can receive 11 text messages in a year free of cost or at a fee he or she does not consider burdensome

You may not qualify if…

• Does not speak and read English well enough to consent and to understand texts in English
• Too cognitively impaired at best mental status during treatment to consent to participate (i.e., brain damage, psychosis, dementia, or other cause)
• Treating clinician evaluates the intervention as contra-indicated (e.g., paranoia exacerbated by being contacted)
• Prisoner or otherwise under judicial order where study participation could not be considered to be truly voluntary

Where it is running

• Marine Corps Air Ground Combat Center Twentynine Palms — Twentynine Palms, California, United States
• Womack Army Medical Center — Fort Bragg, North Carolina, United States
• Marine Corps Base Camp Lejeune — Marine Corps Base Camp Lejeune, North Carolina, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.