protocolSection identificationModule nctId: NCT06378541, orgStudyIdInfo id: SDR 21-267, briefTitle: Smartphone App Enhanced Facilitation Among Veterans in a Mental Health Inpatient Setting (Project HOPE), acronym: Project HOPE, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-11-01, primaryCompletionDateStruct date: 2028-10-31, completionDateStruct date: 2028-10-31, studyFirstPostDateStruct date: 2024-04-22, lastUpdatePostDateStruct date: 2024-04-22, sponsorCollaboratorsModule leadSponsor name: VA Office of Research and Development, class: FED, descriptionModule briefSummary: This study will test whether a new intervention, Virtual Hope Box Enhanced Facilitation (VHB-EF), reduces suicide risk in Veterans after discharge from inpatient psychiatric hospitalization. Additionally, this study will also conduct interviews with Veterans and healthcare providers to explore barriers and facilitators to future adoption of the VHB-EF intervention in healthcare settings., conditionsModule conditions: Suicide Prevention, conditions: Suicide Attempt, conditions: Suicidal Ideation, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: NONE, enrollmentInfo count: 928, type: ESTIMATED, armsInterventionsModule interventions name: Virtual Hope Box Enhanced Facilitation, interventions name: Enhanced Usual Care, outcomesModule primaryOutcomes measure: Suicide attempts (measured by the Columbia Suicide Severity Rating Scale [C-SSRS] and medical chart review), secondaryOutcomes measure: Suicidal ideation (measured by the Scale for Suicidal Ideation [SSI]), otherOutcomes measure: Self-efficacy to resist a future suicide attempt (measured by the Self-Efficacy to Avoid Suicidal Action [SEASA] scale), otherOutcomes measure: Ability to cope with stressful situations (measured by the Coping Self-Efficacy [CSE] scale), otherOutcomes measure: Reasons to live (measured by the Brief Reasons for Living Inventory [BRFL]), otherOutcomes measure: Depression symptoms (measured by the Patient Health Questionnaire [PHQ-9]), otherOutcomes measure: Mental Health Treatment Utilization (measured by the Treatment Services Review [TSR]), otherOutcomes measure: Demographics, otherOutcomes measure: Borderline personality disorder features (measured by the Personality Assessment Inventory-Borderline Features Scale [PAI-BOR]), otherOutcomes measure: Alcohol misuse (measured by the Alcohol Use Identification Test [AUDIT]), otherOutcomes measure: Drug use (measured by the Drug Abuse Screening Test [DAST-10]), otherOutcomes measure: Anxiety (measured by the Generalized Anxiety Disorder 7 [GAD-7]), otherOutcomes measure: Coping strategies (measured by the Brief-COPE scale), otherOutcomes measure: Virtual Hope Box (VHB) frequency, otherOutcomes measure: VHB app beliefs, usage, and treatment satisfaction, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: VA Ann Arbor Healthcare System, Ann Arbor, MI, city: Ann Arbor, state: Michigan, zip: 48105-2303, country: United States, contacts name: Fatima Makki, MPH MSW, role: CONTACT, phone: 734-845-3623, email: fatima.makki@va.gov, contacts name: Courtney L Bagge, PhD MA, role: PRINCIPAL_INVESTIGATOR, geoPoint lat: 42.27756, lon: -83.74088, locations facility: VA Puget Sound Health Care System Seattle Division, Seattle, WA, city: Seattle, state: Washington, zip: 98108-1532, country: United States, contacts name: Mark Reger, PhD, role: CONTACT, phone: 253-583-3295, email: Mark.Reger@va.gov, geoPoint lat: 47.60621, lon: -122.33207, hasResults: False