Facilitating Use of the National Suicide Prevention Lifeline in Alcohol Patients (Reach Out)

Study Overview
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Brief Summary
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The purpose of this research study is to learn about people who use the National Suicide Prevention (NSP) Lifeline during a suicidal crisis and those who don't. The researchers would also like to learn whether people who have experienced a suicidal crisis could benefit from participating in a therapy session about their thoughts and perceptions of the NSP Lifeline.

Official Title
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Facilitating Use of the National Suicide Prevention Lifeline in Alcohol Patients

Conditions
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Suicide, Alcohol Use Disorder

Intervention / Treatment
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* Behavioral: Crisis Line Facilitation (CLF)
* Behavioral: Enhanced Usual Care (EUC)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Probable alcohol use disorder within the past year based on an Alcohol Use Disorders Identification Test (AUDIT) score of 16 or greater Report of a suicide attempt within the past year OR a lifetime suicide attempt more than a year ago and current suicide ideation within the past month based on a score of 5 or greater on the Beck Scale for Suicidal Ideation (BSS) or depression in the past month as measured by the Beck Depression Inventory with a of 20 or higher. Exclusion Criteria: Patients who do not understand English Prisoners Patients with profound psychotic symptoms and/or cognitive deficits that would prevent patients from understanding the content of the intervention and/or assessments.

Ages Eligible for Study
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Minimum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Crisis Line Facilitation (CLF)<br>This single-session intervention addresses the individuals' perceived barriers and facilitators of crisis line use during periods of suicidal crisis. | Behavioral: Crisis Line Facilitation (CLF)<br>* CLF is a motivational interviewing-based intervention<br>|
| Active Comparator: Enhanced Usual Care (EUC)<br>Participants randomized to the EUC condition will receive a brochure (in-person, via email, or via text message) with the NSP Lifeline and a list of outpatient mental health and substance use resources and encouraged to schedule an appointment with a clinical provider if they would like to discuss any current or past symptoms. | Behavioral: Enhanced Usual Care (EUC)<br>* In addition to receiving the brochure, EUC condition participants will meet with a therapist (in-person or remotely) for approximately 15 minutes for a descriptive overview of the brochure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Crisis line utilization | The Time Line Follow Back (TLFB) assessment will be used as the primary measure of crisis line utilization. Participants will report days of utilization. | Up to 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Suicidal behavior | The Time Line Follow Back (TLFB) assessment will be the primary measure of suicidal behavior. Participants will report days with suicidal behavior. | Up to 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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National Suicide Prevention Lifeline