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| Name | Class |
|---|---|
| Medical University of South Carolina | OTHER |
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Crisis Response Planning is an efficacious, one-session intervention that increases positive affect, decreases negative affect and psychiatric hospitalizations, and reduces suicide attempts by 76% among Servicemembers. Crisis Response Planning is hypothesized to reduce suicidality by identifying a variety of personalized strategies that are designed to strengthen and/or promote emotion regulation processes.Research in nonmilitary samples suggests the effectiveness of emotion regulation strategies varies across situations. The applicability of these findings to suicidality among Servicemembers is unknown. Improved understanding of what strategies work under which circumstances and for whom will significantly advance our ability to prevent suicide among Servicemembers. Hypotheses include:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Crisis Response Plan and Lethal Means Counseling | Experimental | All participants will complete a narrative suicide risk assessment, collaboratively develop a Crisis Response Plan, and receive lethal means counseling. The Crisis Response Plan will include the following sections: (1) identifying personal warning signs for suicide; (2) identifying self-regulation strategies for reducing emotional distress; (3) identifying reasons for living; (4) identifying sources of social support; and (5) accessing professional crisis services. Participants will handwrite the plan on an index card, sheet of paper, or another similar medium. After completing the Crisis Response Planning, researchers will conduct lethal means counseling to develop a plan for restricting or limiting access to potentially lethal methods of suicide. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Crisis Response Planning and Lethal Means Safety Counseling | Behavioral | Crisis Response Planning is an efficacious, one-session intervention that increases positive affect, decreases negative affect and psychiatric hospitalizations, and reduces suicide attempts by 76% among Servicemembers |
| Measure | Description | Time Frame |
|---|---|---|
| Suicidal Ideation - Ecological Momentary Assessment | Participants are asked a series of six questions assessing current suicidal ideation. Scores range from 0 to 24, with higher scores indicative of more severe suicidal ideation. | Change over 28 consecutive days |
| Measure | Description | Time Frame |
|---|---|---|
| Scale for Suicide Ideation | The Scale for Suicide Ideation is a 21-item self-report measure of past-week or worse-points suicidal ideation. The minimum score is 0, and the maximum score is 42. Higher scores are indicative of more severe suicidal ideation. | baseline, 1,2,3,6,9, and 12 months after baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lauren Khazem, PhD | Contact | 614-366-2294 | lauren.khazem@osumc.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ohio State University Wexner Medical Center | Recruiting | Columbus | Ohio | 43214 | United States |
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D016312 | Treatment Refusal |
| D000080103 | Emotional Regulation |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| D000074822 |
| Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D000068356 | Self-Control |
| D012919 | Social Behavior |