Clinical trial NCT04881903: Developing a Mobile Intervention to Reduce Suicidal Cognitions in Veterans
Official title: Developing a Mobile Intervention to Reduce Suicidal Cognitions in Veterans (COR 19-490)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicide
Keywords: Suicide
Suicide cognitions
Anger
Mobile intervention
Lead sponsor: VA Office of Research and Development
Sponsor class: FED
First posted: 2021-05-11
Enrollment: 10
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Participants will use the Mobile Intervention for Suicidal Thoughts (MIST) intervention for 4 weeks, followed by the Mobile Intervention for Reducing Anger (MIRA) for another 4 weeks.
Primary purpose: TREATMENT

Brief summary: Suicide cognitions are conceptualized as enduring, chronic vulnerability factors that predispose individuals to suicidal crises. Therefore, modification of these beliefs may reduce suicidal thoughts and behaviors. The goal of this research is to develop, refine, and pilot-test a mobile intervention to reduce cognitions that contribute to elevated suicide risk and to assess the impact of reductions in suicide cognitions and anger cognitions on suicide risk and functioning.

Detailed description: Suicide cognitions are conceptualized as enduring, chronic vulnerability factors that predispose individuals to suicidal crises. Therefore, modification of these beliefs may reduce suicidal thoughts and behaviors. In addition to suicide cognitions, another potentially modifiable risk factor for suicide is anger. The goal of this research is to develop, refine, and pilot-test a mobile interpretation bias modification intervention to reduce cognitions that contribute to elevated suicide risk and to assess the impact of reductions in suicide cognitions and hostile interpretation bias (a cognitive bias that is associated with anger) on suicide risk and functioning.

Eligibility criteria: Inclusion Criteria:

* Veterans 18 years or older
* Diagnosed with PTSD, established via the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5)
* Report a score of 12 on the 5-item Dimensions of Anger Reactions Scale
* Can read at least 6th grade level material
* Report a score of 1-3 (indicating ideation without intent) on the Columbia-Suicide Severity Rating Scale (C-SSRS)
* Have attended a mental health appointment within the past month, with another scheduled in the following month (i.e., be engaged in treatment with a mental health provider)

Exclusion Criteria:

* Diagnosed with bipolar or psychotic disorder.
* Current substance use disorder.
* Current imminent suicide risk or homicidal ideation requiring immediate intervention.

Primary outcomes:
measure: Number of Participants Recruited
timeFrame: Through study completion (approximately 10 months)
measure: Number of Enrolled Participants Who Complete the MIST Intervention
timeFrame: Post-MIST assessment visit (approximately one month after enrollment)
measure: Number of Participants Reporting Satisfaction With MIST App: Client Satisfaction Questionnaire
timeFrame: Post-MIST assessment visit (approximately one month after enrollment)
measure: MIST App Utilization
timeFrame: Post-MIST assessment visit (approximately one month after enrollment)
Secondary outcomes:
Other outcomes:
Locations:
city: Durham
country: United States
facility: Durham VA Medical Center, Durham, NC
state: North Carolina
Study officials:
affiliation: Durham VA Medical Center, Durham, NC
name: Kirsten H Dillon, PhD
role: PRINCIPAL_INVESTIGATOR
References: