Suicide Prevention in Rural Veterans During High-risk Care Transition Scenarios

Completed · Not applicable

Conditions studied: Suicidal and Self-injurious Behavior

In brief

In the United States (U.S.), suicide is a major public health concern. U.S. Veterans who live in rural areas may be at even higher risk for suicide than their urban counterparts. Available evidence indicates that suicide risk in rural U.S. Veterans is most concentrated during high-risk care transition scenarios such as discharge from an emergency room. There is limited knowledge about effective interventions to address suicide risk. There is a critical need to develop targeted interventions that address suicide risk during high-risk care transition periods. To be effective, these interventions should address key contributors to suicide risk such as reduced engagement in treatment. This clinical trial evaluates the effect of a suicide prevention intervention to support treatment engagement during high risk transition periods such as discharge from an emergency room.

Key facts

Study ID

NCT04054947

Run by

White River Junction Veterans Affairs Medical Center

People needed

60

Starts

2019-10-01

Expected to finish

2022-07-31

Last updated by the study team

2024-06-26

Who can join

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

You may qualify if…

• Inpatient psychiatric unit:
• Per the unit psychiatrist, hospitalization was due to concerns about acute risk for self-harm including suicidal ideation, suicide attempt, and/or admitting provider deemed the patient was at imminent risk for self-harm
• Be a Veteran eligible to receive VA services
• Be able to speak English
• Inpatient medical-surgical unit:
• Received a mental health consultation during admission on the medical-surgical unit
• Per the consult-liaison psychiatrist, patient was recently (within past three months of hospitalization) or is currently at risk for self-harm including suicidal ideation, suicide attempt, or self-harm
• Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English
• Residential Rehabilitation Center (RRC) program:
• Per the RRC treatment team, patient was recently (within past three months of hospitalization) or is currently at risk for self-harm including suicidal ideation, suicide attempt, or self-harm
• Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English
• Primary Mental Health Clinic (PMHC):
• The patient was recently seen for a new evaluation in the WRJ PMHC clinic or a local integrated care clinic that are part of the White River Junction VA Medical Center Catchment Area (i.e., Burlington, Littleton, Rutland, Bennington, Brattleboro, or Keene) by either the mental health nurse practitioner, the psychologist, the psychiatry resident or a psychiatric attending
• The patient is currently at risk for self-harm including suicidal ideation of any severity, suicide attempt, or self-harm; This could have been identified based on a formal suicide assessment scale such as the Columbia Suicide Severity Rating Scale or by clinician assessment as documented in the intake note
• Be a Veteran eligible to receive VA services; be 18 years or older; be able to speak English

You may not qualify if…

• Unable to provide informed consent
• Potentially vulnerable populations including prisoners, institutionalized patients, or involuntarily committed patients

Where it is running

• White River Junction VA Medical Center — White River Junction, Vermont, United States

Full record on ClinicalTrials.gov

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