Personalized Safety Plans for Veterans at High-Risk for Suicide

This study is testing a new approach called Personalized Safety Plans (PSP) to help Veterans who are hospitalized for suicide risk. PSP is a single session that helps you create a safety plan tailored to your specific needs, followed by two coaching calls each month for three months after you leave the hospital. This is compared to the usual safety plan you would receive, plus some phone calls. The study wants to see if PSP can reduce how often and how long Veterans experience suicidal thoughts. You can join if you are a Veteran, at least 18 years old, admitted to a VA hospital for suicide risk, and can understand the study. The current status of this study is unclear.

Study design
This interventional study plans to enroll 111 participants. It will compare Personalized Safety Plans (PSP) to Safety Plans as Usual + Calls in a randomized controlled trial.
What's involved
You would participate in a single session (up to 90 minutes) to create a Personalized Safety Plan, followed by twice-monthly coaching sessions (up to 30 minutes each) for three months. You will also complete assessments at baseline, post-treatment, and at 1, 3, and 6 months after discharge.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for an average of 6 months after treatment, with assessments at 1, 3, and 6 months post-discharge.

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NCT07507786

Rapid Personalization of Safety Plans for Psychiatrically Hospitalized Veterans at High-Risk for Suicide

Not Yet Recruiting
NAAges 18+InterventionalTreatment
VA Office of Research and Development
~111 participants
Updated 2026-05-06 on ClinicalTrials.gov
What's tested:Personalized Safety PlansSafety Plans as Usual + Calls

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Columbia-Suicide Severity Rating Scale - Suicide Ideation Duration
Measured over Baseline and 1, 3, and 6-month follow-up, an average of 6 months
+5 more outcomes measured
Suicide
1 sites across 1 states
Massachusetts1
  • Jaclyn Kearns, PhD · PRINCIPAL_INVESTIGATOR · VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

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Eligibility criteria

Inclusion

admitted to VABHS inpatient psychiatry for suicide risk
display sufficient English comprehension and cognitive capacity to understand the study and provide informed consent
have been medically cleared by attending physician

Exclusion

current psychosis
current mania
dementia or other significant cognitive impairment
being inaccessible and discharged from the unit less than 48 hours after being identified by study staff
prisoner status
  • Columbia-Suicide Severity Rating Scale - Suicide Ideation DurationBaseline and 1, 3, and 6-month follow-up, an average of 6 months

    In Part 2 (pilot RCT), suicide ideation duration will be measured using the Columbia-Suicide Severity Rating Scale. Suicide ideation duration is measured on a 1 to 5 scale, with higher scores meaning longer suicide ideation duration. The Columbia-Suicide Severity Rating Scale is a widely used interview measure in suicide prevention clinical trials. Longitudinal mixed-effects models with random effects will examine the effect of treatment condition (Personalized Safety Plans, Safety Plans as Usual + Calls) on the primary outcome of suicide ideation duration. A time by treatment condition (Personalized Safety Plans, Safety Plans as Usual + Calls) interaction will be used to examine if Personalized Safety Plans is associated with greater reductions in suicide ideation duration relative to Safety Plans as Usual + Calls. The investigators will examine if these differences are immediately present at the 1-month follow-up and maintained through the 6-month follow-up.

  • Columbia-Suicide Severity Rating Scale - Suicide Ideation FrequencyBaseline and 1, 3, and 6-month follow-up, an average of 6 months

    In Part 2 (pilot RCT), suicide ideation frequency will be measured using the Columbia-Suicide Severity Rating Scale. Suicide ideation frequency is measured on a 1 to 5 scale, with higher scores meaning greater suicide ideation frequency. The Columbia-Suicide Severity Rating Scale is a widely used interview measure in suicide prevention clinical trials. Longitudinal mixed-effects models with random effects will examine the effect of treatment condition (Personalized Safety Plans, Safety Plans as Usual + Calls) on the primary outcome of suicide ideation frequency. A time by treatment condition (Personalized Safety Plans, Safety Plans as Usual + Calls) interaction will be used to examine if Personalized Safety Plans is associated with greater reductions in suicide ideation frequency relative to Safety Plans as Usual + Calls. The investigators will examine if these differences are immediately present at the 1-month follow-up and maintained through the 6-month follow-up.

  • Feasibility of PSP InterventionThroughout Part 1 of study completion, an average of 1 month

    In Part 1 (case series), Personalized Safety Plans feasibility will be assessed in the following way: Percent of patients approached and who agree to enroll Given that Part 1 (case series) is focused on iterative refinement of Personalized Safety Plans, there are no hypotheses related to feasibility. This information will inform Personalized Safety Plans refinement and finalization.

  • Acceptability of PSP Intervention - Patient SatisfactionThroughout Part 1 of study completion, an average of 1 month

    In Part 1 (case series), Personalized Safety Plans acceptability will be assessed in the following way: Client Satisfaction Questionnaire-8 will assess patient satisfaction Given that Part 1 (case series) is focused on iterative refinement of Personalized Safety Plans, there are no hypotheses related to acceptability. This information will inform Personalized Safety Plans refinement and finalization.

  • Acceptability of PSP InterventionThroughout Part 1 of study completion, an average of 1 month

    In Part 1 (case series), Personalized Safety Plans acceptability will be assessed in the following ways: Percent of patients who complete Personalized Safety Plans Percent of patients who drop out of Personalized Safety Plans Given that Part 1 (case series) is focused on iterative refinement of Personalized Safety Plans, there are no hypotheses related to acceptability. This information will inform Personalized Safety Plans refinement and finalization.

  • Beck Scale for Suicide IdeationBaseline and 1, 3, and 6-month follow-up

    In Part 2 (pilot RCT), suicide ideation severity will be measured with the Beck Scale for Suicide Ideation. The Beck Scale for Suicide Ideation has a minimum score of 0 and a maximum of 38. Higher total scores indicate greater suicide ideation severity. Longitudinal mixed-effects models with random effects will examine the effect of treatment condition (Personalized Safety Plans, Safey Plans as Usual + Calls) on the primary outcome of suicide ideation severity. A time by treatment condition (Personalized Safety Plans, Safety Plans as Usual + Calls) interaction will be used to examine if Personalized Safety Plans is associated with greater reductions in suicide ideation severity relative to Safety Plans as Usual + Calls. The investigators will examine if these differences are immediately present at the 1-month follow-up and maintained through the 6-month follow-up.