Clinical trial NCT06547008: Army-SPRING Army-Suicide Prevention Research
Official title: Army-Suicide Prevention Research on Implementation in the National Guard (Army-SPRING)
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: PHASE1
Conditions: Suicide
Keywords: suicide
military
Lead sponsor: University of Pennsylvania
Sponsor class: OTHER
Collaborators: name: Yale University
First posted: 2024-08-09
Enrollment: 57
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Every unit in the Connecticut Army National Guard has a Suicide Intervention Officer to provide suicide intervention education awareness for their unit, monitor for soldiers in crisis and connect soldiers with helping resources and agencies. Suicide Intervention Officers need support in this difficult role, yet there is limited guidance on how to help them. This study will shed light on how to support Suicide Intervention Officers and whether this support results in reduced suicide risk in their units.

Detailed description: Attachment 4: Lay Abstract Objective 1: The first objective is to spend 6 months collecting feedback from Army National Guard Soldiers and their family, Chaplains and leadership on how best to reduce risk for suicide. We will also collect feedback from Suicide Intervention Officers, who are appointed to reduce risk for suicide in their unit, about how to support these officers in their important work.

Objective 2: The second objective is to compare two strategies to support Suicide Intervention Officers as they work closely with soldiers to reduce their risk for suicide. The 47 Suicide Intervention Officers in the Connecticut Army National Guard will be randomly assigned (like the flip of a coin) to one of two groups. The first group will attend an extra training (Control Group). The second group will become part of a community focused on reducing suicide risk, including access to online forums to support them in their work, support in leading Battle Drills focused on suicide prevention, and additional training and consultation (Army-SPRING Group). Chaplains will also receive the Army-SPRING group training, but will not be randomized since there are only 5 total Chaplains.

Objective 3: The third objective is to study whether soldiers with Suicide Intervention Officers in the Army-SPRING Group (described in objective 2) report lower rates of suicide ideation and attempts than the Control Group.

Rationale: Every unit in the Connecticut Army National Guard has a Suicide Intervention Officer to provide suicide intervention education awareness for their unit, monitor for soldiers in crisis and connect soldiers with helping resources and agencies. Suicide Intervention Officers need support in this difficult role, yet there is limited guidance on how to help them. This study will shed light on how to support Suicide Intervention Officers and whether this support results in reduced suicide risk in their units.

CBPR Approach and Implementation: We have formed a community advisory board that includes Veterans of Army National Guard units in other states (Pennsylvania); Veterans of the Army with employment as a civilian in the Marines, Chaplains in the Connecticut National Guard on the Air Force (who are intimately familiar with the needs at CT but who are not employees of the Army National Guard), and members of the Suicide Prevention Task force. We have asked for their feedback on the design of the study and will meet with them monthly for the three months and then quarterly thereafter.

FY23 TBIPHRP HSRA Focus Area: This project relates to the Prevent and Assess area of encouragement namely: "Development, evaluation, and implementation of crosscutting prevention approaches targeting upstream factors or leveraging communities and peers to address multiple adverse outcomes such as suicide." Types of Patients Helped by the Research and How it will Help Them: This research will help Army National Guard Soldiers, who are at higher risk for suicide than Active Duty service members. It will help them by supporting Suicide Intervention Officers as they work to reduce risk for suicide among soldiers.

Potential clinical applications, Benefits and Risks: The clinical application is a strategy to support Suicide Intervention Officers, which could benefit soldiers in reducing their suicide risk.

Projected timeline: 4 years, including 6 months of preparatory work with our community advisory board, who will also provide input throughout.

Health and well-being of Service Members: This will help the health and well-being of service members by reducing their risk for suicide. It will help Suicide Intervention Officers by improving their confidence in supporting soldiers who are struggling with suicide risk. It will help Chaplains who regularly desire more training in suicide prevention and who are a well-used source of support for soldiers at risk.

Eligibility criteria: Inclusion Criteria:

* Serving as an SIO or chaplain/religious affairs specialist for a unit of the CTARNG
* Willing to provide informed consent.

Exclusion Criteria:

* None

Primary outcomes:
measure: Reach - Self
timeFrame: Year 1
measure: Reach - Buddy
timeFrame: Year 1
measure: Reach - Interactions with soldiers involving discussions about suicide risk
timeFrame: Weekly for 1 year
Secondary outcomes:
measure: Suicidal ideation
timeFrame: Year 1
measure: Suicide plans:
timeFrame: Year 1
measure: Suicide attempts
timeFrame: Year 1
measure: Adoption
timeFrame: Up to 24 weeks
measure: Implementation
timeFrame: Up to 24 weeks
measure: Acceptability
timeFrame: Up to 24 weeks
measure: Appropriateness
timeFrame: Up to 24 weeks
measure: Qualitative Interviews
timeFrame: Up to 24 weeks
Other outcomes:
measure: Intentions, attitudes, norms
timeFrame: Baseline, quarterly, year 1, year 2
measure: Organizational culture
timeFrame: Baseline, quarterly, year 1, year 2
Locations:
city: Hartford
country: United States
facility: Connecticut Army National Guard
state: Connecticut
city: New Haven
country: United States
facility: Yale University
state: Connecticut
city: Philadelphia
country: United States
facility: Center for the Treatment and Study of Anxiety, University of Pennsylvania
state: Pennsylvania
Study officials:
affiliation: University of Pennsylvania
name: Lily Brown, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Yale University
name: Ashley Hagaman, PhD
role: PRINCIPAL_INVESTIGATOR
References: