SUPERCEDE for Suicide Prevention in Veterans
This study is testing an intensive case management program called SUPERCEDE. It aims to help veterans who are receiving care from both the VA and community providers, and who are experiencing suicidal thoughts or other mental health issues. Researchers want to see if SUPERCEDE can improve access to care, coordinate services better, and help prevent suicide. You would either receive SUPERCEDE or a control therapy called present centered therapy, which focuses on current problems. The study will measure changes in your functioning and suicidal thoughts over time. They are looking for 100 veterans aged 18-80 who are enrolled in the VA Eastern Colorado Health Care System and receiving VA-authorized community care.
- Study design
- This is a randomized clinical trial with 100 participants. You would be randomly assigned to receive either the SUPERCEDE intervention or present centered therapy.
- What's involved
- You would complete online questionnaires at the start, 5 weeks, 9 weeks (after treatment), and at a 6-month follow-up. The control group will receive 3 therapy sessions, with an option for 3 additional sessions.
- Compensation
- Not stated in the trial record.
- Follow-up
- Your functioning and suicidal ideation will be measured at a 6-month follow-up after treatment.
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Intensive Case Management Between VA and Community Care for Suicide Prevention
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Bryann B DeBeer, PhD · PRINCIPAL_INVESTIGATOR · Eastern Colorado Healthcare System
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Functioning: Brief Inventory of Psychosocial Functioning (B-IPF)Baseline (Time 1), 5 weeks, 9 weeks (post-treatment), 6-month follow-up
B-IPF is a 7-item measure of interpersonal functioning. Scores range from 0 (not at all) to 6 (very much), with higher scores indicating worse functioning. Investigators will fit linear mixed models for the outcome variable of functioning with the between-subject factor of treatment (SUPERCEDE vs. PCT), the within- subject factor of time, and the interaction between two factors (treatment X time). Several correlation structures will be considered for repeated measures within individuals, and the best fitting structure based on Akaike Information Criterion (AIC) will be selected. Significant treatment by time interaction, with significant differences at follow-up on the B-IPF, will be considered supportive of our hypothesis.
- Suicidal Ideation: Brief Beck Scale for Suicidal Ideation (BSSI)Baseline (Time 1), 5 weeks (Time 2), 9 weeks (post-treatment; Time 3), 6-month follow-up (Time 4)
The BSSI is a 21-item self report measure assessing suicidal ideation and behaviors. Scores range from 0 (no suicidal risk ideation/behaviors) to 2 (suicidal ideation/behaviors). Greater scores indicate greater suicidal ideation and behaviors. Responses will be dichotomized. The dichotomous variable (e.g., no suicidal ideation vs. suicidal ideation), and the continuous variable of suicidal ideation, when endorsed. To analyze the dichotomous outcome, a logistic regression for zero vs. nonzero values will be conducted. For the continuous variable, a zero-inflated negative binomial regression will be performed.
- Formative evaluation of SUPERCEDE9 weeks (post-treatment; Time 3), 6-month follow-up (Time 4)
A formative evaluation will be conducted to understand optimal conditions of implementing the intervention both within the VA and in VA community care agencies. Qualitative interviews will be conducted with stakeholders (n = 20) in VA and VA community care agencies. The formative evaluation will be focused on the following: 1) understand how the intervention could further be developed for both VA and community context; 2) improve understanding of the recipients (e.g., social workers, psychologists, etc.) and their needs; 3) gain perspectives from stakeholders regarding the innovation itself to improve implementation; 4) identify facilitators and barriers to wide-spread implementation.