Pilot Study: RAMP Intervention for Suicide Prevention in Veterans

This study is testing a new way to help prevent suicide in Veterans, especially those who have access to firearms. It's called RAMP (Raise the subject, Assess current storage, Motivate change, and Plan next steps) and uses a counseling method called motivational interviewing. You would either receive the RAMP counseling during your primary care visit or a brief review of a suicide prevention pamphlet. The study wants to see if RAMP is practical and acceptable to Veterans and clinicians. To join, you need to be a Veteran aged 18 or older, have access to a firearm, and be referred to mental health care in primary care (PCMHI). The study aims to enroll up to 50 Veterans and will look at how well they can screen, recruit, and keep participants in the study.

Study design
This is a pilot randomized controlled trial, meaning participants are randomly assigned to one of two groups. The study plans to enroll up to 50 Veterans.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will track screening and recruitment through its completion, which is approximately 2 years. Retention will be measured at around 30 days.

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NCT07247916

Developing and Piloting an Implementation Strategy for a Brief, Motivational Interviewing-based Lethal Means Safety Counseling Intervention in Primary Care Settings

Not Yet Recruiting
NAAges 18+InterventionalPrevention
VA Office of Research and Development
~50 participants
Updated 2025-11-25 on ClinicalTrials.gov
What's tested:RAMPActive control

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Screening
Measured over through study completion, approximately 2 years
+7 more outcomes measured
Suicide Prevention
1 sites across 1 states
Connecticut1
  • Frances Aunon, PhD MS · PRINCIPAL_INVESTIGATOR · VA Connecticut Healthcare System West Haven Campus, West Haven, CT

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Eligibility criteria

Inclusion

Has access to a firearm
Referred to PCMHI care
deliver care in PCMHI
trained in RAMP and study procedures

Exclusion

Unable to consent due to cognitive impairment, severity of illness (including psychiatric symptoms), intoxication with drugs and/or alcohol
Unreliable telephone access
Inability to read English or communicate in spoken and written English
  • Screeningthrough study completion, approximately 2 years

    Investigators will assess the number of new PCMHI patients seen in PCMHI and the number who were approached about potential study participation per month

  • Recruitmentthrough study completion, approximately 2 years

    Investigators will track the number of eligible Veterans who enrolled in the study per month

  • Retentionapproximately 30 days

    Investigators will calculate the number of Veterans who received RAMP who were willing to complete immediate and one-month follow up assessments.

  • Assessment of behavioral outcomesapproximately 30 days

    Investigators will assess the percentage of participants who completed behavioral outcome measures within the time allotted at each timepoint

  • Veteran acceptability - Theoretical Framework of AcceptabilityAt immediate follow up, within approximately 2 weeks of intervention

    Investigators will assess Veteran acceptability using the eight Likert-style items from the Theoretical Framework of Acceptability questionnaire, which assess seven component constructs of acceptability including Veteran's experience of the lethal means safety intervention. Each item has 5 answer options (1-5) on a Likert Scale. Score range is 8 to 40, with a higher score indicating more higher reported acceptability.

  • Veteran acceptability - Experience and Satisfaction with interventionAt immediate follow up, within approximately 2 weeks of intervention

    Investigators will conduct qualitative evaluation of the participant's experience and satisfaction receiving the intervention.

  • Clinician acceptability - Theoretical Framework of Acceptabilityat 50% enrollment (approximately 1 year) and 100% enrollment (approximately 2 years)

    Investigators will invite clinicians to respond to the eight-item Theoretical Framework of Acceptability questionnaire eliciting clinician acceptability of the lethal means safety intervention. Each item has 5 answer options (1-5) on a Likert Scale. Score range is 8 to 40, with a higher score indicating more higher reported acceptability.

  • Clinician acceptability - Negative impactat 50% enrollment (approximately 1 year) and 100% enrollment (approximately 2 years)

    Investigators will assess to what extent PCMHI clinicians agree that study recruitment negatively impacted clinical care, using Likert-type items where '1' indicates "strongly disagree" and '5' indicates "strongly agree." For those responding \>3 ("don't know"), an open-ended question will elicit detailed information (e.g., interfered with delivery of clinical care, led to Veteran frustration).