Clinical trial NCT01300169: Operation Worth Living Project With Suicidal Soldiers at Ft. Stewart
Official title: A Randomized Clinical Trial of the Collaborative Assessment and Management of Suicidality Versus Enhanced Care as Usual for Suicidal Soldiers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicidal Ideation Active
Suicidal and Self-injurious Behavior
Keywords: Suicide
Assessment
Intervention
CAMS
Lead sponsor: The Catholic University of America
Sponsor class: OTHER
Collaborators: name: University of Washington
name: VA Office of Research and Development
First posted: 2011-02-21
Enrollment: 150
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This is a randomized controlled trial comparing the use of new clinical intervention (the "Collaborative Assessment and Management of Suicidality--CAMS") versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA.

Detailed description: This is a randomized controlled clinical trial of 148 suicidal active-duty US Army Soldiers. Participants were randomized to on-site providers who were trained in the Collaborative Assessment and Management of Suicidality (CAMS) vs. providers doing their own routine care--referred to as Enhanced Care as Usual (E-CAU) within an outpatient military treatment center. The CAMS Rating Scale (CRS) was used to reliably verify fidelity between treatment conditions and the adherence by CAMS providers to the model. Participants received informed consent to be randomly assigned to treatment arm and were ask to complete study assessments at baseline, 3 months, 6 months, and 12 months after the start of treatment. Recruitment is complete and all study assessments were completed as of March 2016. The study is in a second year of no cost extension; outcome data analyses and moderator analyses are currently underway to develop manuscripts for submission to peer-review scientific journals.

Eligibility criteria: Inclusion Criteria:

* Active duty Army personnel at FSGA
* Significant suicidal ideation
* Soldier is appropriate under FSGA policies
* Consent at baseline and follow up
* Consent to randomization and being digitally recorded

Exclusion Criteria:

* Significant psychosis, cognitive or physical impairment to not give consent
* Judicially ordered treatments

Primary outcomes:
measure: Scale for Suicidal Ideation
timeFrame: Baseline, post-treatment, 1, 3, 6, 12 months
Secondary outcomes:
measure: Overall symptom distress
timeFrame: Baseline, post treatment, 1, 3, 6, 12 months
Other outcomes:
Locations:
Study officials:
affiliation: The Catholic University of America
name: David A. Jobes, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Corona CD, Gutierrez PM, Wagner BM, Jobes DA. The psychometric properties of the Collaborative Assessment and Management of Suicidality rating scale. J Clin Psychol. 2019 Jan;75(1):190-201. doi: 10.1002/jclp.22699. Epub 2018 Oct 6.
citation: Jobes DA, Comtois KA, Gutierrez PM, Brenner LA, Huh D, Chalker SA, Ruhe G, Kerbrat AH, Atkins DC, Jennings K, Crumlish J, Corona CD, Connor SO, Hendricks KE, Schembari B, Singer B, Crow B. A Randomized Controlled Trial of the Collaborative Assessment and Management of Suicidality versus Enhanced Care as Usual With Suicidal Soldiers. Psychiatry. 2017 Winter;80(4):339-356. doi: 10.1080/00332747.2017.1354607.