Clinical trial NCT01408654: Social Connections and Healthy Aging (The Senior Connection)
Official title: Social Connections and Healthy Aging (The Senior Connection)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Suicidal Ideation
Depression
Keywords: Suicidal Ideation
Loneliness
Social Support
Voluntary Workers
Friends/Companions
Prevention
Aged
Lead sponsor: University of Rochester
Sponsor class: OTHER
Collaborators: name: Centers for Disease Control and Prevention
First posted: 2011-08-03
Enrollment: 368
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This randomized trial compares peer companionship to care-as-usual in primary care on the outcome of risk for suicidal behavior in late life. The investigators hypothesize that older adults assigned to receive peer companionship will report greater social connectedness and less death and suicidal ideation compared to older adults assigned to care as usual.

Detailed description: There is a pressing need for interventions that reduce risk for suicide in later life. Older adults in the U.S. have the highest rate of suicide and are the fastest growing segment of the population. The investigators can anticipate a large rise in the number of older adults who die by suicide in coming decades. This application is in response to RFA-CE-10-006. Consistent with the CDC's key strategy of reducing suicide by promoting connectedness, our long-term goal is to reduce late life suicide-related morbidity and mortality by leveraging the resources and expertise of the aging services provider network (ASPN) to address unmet social needs of community-dwelling older adults. Our objectives with this proposal are (1) to examine whether linking socially disconnected seniors with peer supports through the Retired and Senior Volunteer Program (RSVP) is effective in reducing risk for suicide, and (2) to test an hypothesized mechanism for the association of social disconnectedness and suicidal ideation and behavior informed by the Interpersonal Theory of Suicide.

The investigators will recruit 400 primary care patients (200 men and 200 women) over age 60 years who endorse feeling lonely and/or as if they are a burden on others. They will be randomly assigned to either of two conditions. Those assigned to The Senior Connection (TSC) will either be paired with a peer companion or, if they prefer and are eligible, be trained and placed as a peer companion for others by RSVP. The comparison group will receive no further intervention ("care-as-usual" \[CAU\]). Subjects will be followed for up to 24 months with repeated in-home (baseline, 12, and 24 months) and telephone assessments (3, 6, and 18 months).

Eligibility criteria: Inclusion Criteria:

* Age 60 or older
* Primary Care Patient
* Endorses feeling lonely and/or like a burden in the the past two weeks

Exclusion Criteria:

* Positive dementia screen
* Current alcohol abuse
* Psychosis
* Suicidal ideation with intent to act (current or past month.)

Primary outcomes:
measure: Suicidal Ideation
timeFrame: Baseline, 3,6,12,18,24 months
Secondary outcomes:
measure: Social Connectedness
timeFrame: Baseline, 3,6,12,18,24 months
measure: Connectedness
timeFrame: Baseline, 3,6,12,18,24 months
measure: Depression
timeFrame: Baseline, 3,6,12,18,24 months
Other outcomes:
Locations:
city: Rochester
country: United States
facility: University of Rochester School of Medicine and Dentistry
state: New York
Study officials:
References:
citation: Van Orden KA, Stone DM, Rowe J, McIntosh WL, Podgorski C, Conwell Y. The Senior Connection: design and rationale of a randomized trial of peer companionship to reduce suicide risk in later life. Contemp Clin Trials. 2013 May;35(1):117-26. doi: 10.1016/j.cct.2013.03.003. Epub 2013 Mar 16.
citation: Parkhurst KA, Daks JS, Conwell Y, Podgorski CA, Van Orden KA. Social network subtypes among socially disconnected older adults at risk for suicide: A latent class analysis. Suicide Life Threat Behav. 2022 Oct;52(5):963-974. doi: 10.1111/sltb.12893. Epub 2022 Jun 23.