- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04099173
A Brief Mindfulness-Based Intervention for Suicidal Ideation (MB-SI)
May 9, 2023 updated by: VA Salt Lake City Health Care System
A Randomized Pilot Study of a Brief Mindfulness-Based Intervention for Suicidal Ideation
The primary aim of this study is to determine whether a Brief Mindfulness-Based Intervention for Suicidal Ideation (MB-SI) is feasible and safe to implement.
The secondary aims are short and longer-term reduction in suicidal ideation (SI) and/or suicide-related behaviors (SRBs) as well as improvements in mindfulness and emotional regulation measures compared to Treatment as Usual (TAU).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The study feasibility will be assessed through participant enrollment and retention numbers.
The safety be monitored by the study personnel and include reporting any adverse effects.
The intervention fidelity will be aided by standardizing the intervention and ensuring study personnel has the appropriate trainings.
Participants will completed questionnaires assessing their SI and SRB as well as mindfulness and emotional regulation measures at three time points (preintervention, immediately postintervention, and 1-month postintervention) and their results will be compared between MB-SI and TAU groups.
Additionally, the comparisons will also be conducted for the Emergency Department (ED) admissions, Inpatient Psychiatric Unit (IPU) admissions, and psychiatric ED admissions.
Study Type
Interventional
Enrollment (Actual)
25
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Utah
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Salt Lake City, Utah, United States, 84148
- VA Salt Lake City Health Care System
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 70 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Admitted with suicidal ideation and any active psychiatric or addictive disorder diagnosis.
Exclusion Criteria:
- Diagnosis of psychotic spectrum illness and current psychotic symptoms or significant cognitive impairment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Brief Mindfulness Based Intervention
Some participants, as a result of random selection, will be asked to participate in four, 45-minute sessions that will occur on four separate days while on the Inpatient Psychiatric Unit (IPU).
These four sessions are in addition to the standard IPU treatment and are experimental.
These four sessions will include mindfulness meditation practice and education, creating a Crisis Response Plan, and a brief introduction into self-compassion.
As stated above, practicing mindfulness means focusing attention on what is occurring in the present moment in a non-judgmental way.
The focus may be on what one is seeing or hearing or physical sensations, such as touch, as well as thoughts and emotions.
Meditation is just sitting quietly and practicing mindful awareness.
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This intervention will consist of four, 45 minute individual mindfulness training sessions (one session per day, over a range of 12 subsequent days) provided by a trained mindfulness facilitator.
Other Names:
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No Intervention: Treatment as Usual
Participants will be asked to fill out several short paper and pencil tests to assess your response to the treatment (10 to 15 minutes) pre-intervention and immediately post-intervention while on the Inpatient Psychiatric Unit (IPU), as well as a follow-up phone call or mail one month after discharge from the IPU.
All participants will receive the IPU's normal standard of care treatment (for study purposes this called treatment as usual).
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Measure P1: Change in Columbia Suicide Severity Rating Scale among the MB-SI + TAU cohort compared to the TAU only cohort
Time Frame: pre-intervention and one month post-intervention
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Determine if there is a significant difference in the Columbia Suicide Severity Rating Scale, among the MB-SI + TAU cohort compared to the TAU only cohort.
The total Columbia Suicide Severity Rating Scale score can range from 0 to 25, with higher values indicating greater intensity.
Longitudinal generalized linear mixed models will be used for the primary analyses.
We estimate a total of two time points (baseline and one month follow-up) for the primary outcome.
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pre-intervention and one month post-intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Measure S1: Number or category of patient and intervention characteristics
Time Frame: throughout the study
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Demographic data extraction will include gender, age, race, ethnicity, religious preferences, service branch, service connection, percent of service connection, diagnosis of psychiatric disorders, substance abuse disorder (SUD) diagnosis, medical diagnosis, and medical diagnosis.
In addition, the following factors will also be tracked: the group the participant has been placed in, admission date, consent date, the four intervention dates ( if participant is placed in the treatment group), post-intervention date, and one-month post-intervention date.
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throughout the study
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Measure S2: Change in psychiatric hospitalizations, emergency room visits for psychiatric illness, and emergency room visits
Time Frame: before the Inpatient Psychiatric Unit (IPU) admission, one-month before the IPU admission, and one-month after the discharge from the IPU
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The change in psychiatric hospitalizations, emergency room visits for psychiatric illness, and emergency room visits, as measured by retrospective review of the electronic medical record, among the MB-SI + TAU cohort will be compared to the TAU only cohort.
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before the Inpatient Psychiatric Unit (IPU) admission, one-month before the IPU admission, and one-month after the discharge from the IPU
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Measure S3: Change in TMS among the MB-SI + TAU cohort compared to the TAU only cohort
Time Frame: Pre-intervention, immediately post-intervention, and one month post-intervention
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Determine if there is a significant difference in state or trait mindfulness, as measured by the Toronto Mindfulness Scale (TMS), among the MB-SI + TAU cohort compared to the TAU only cohort.
The TMS consists of 2 subscales: curiosity and decentering.
Altogether, the TMS includes 13 statements rated on a scale from 0 = not at all, to 4 = very much.
Higher values represent higher state of mindfulness.
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Pre-intervention, immediately post-intervention, and one month post-intervention
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Measure S4: Change in ERQ among the MB-SI + TAU cohort compared to the TAU only cohort
Time Frame: Pre-intervention and immediately post-intervention
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Determine if there is a significant difference in the Emotional Regulation Questionnaire (ERQ), among the MB-SI + TAU cohort compared to the TAU only cohort.
ERQ is a 10-likert-type items designed to measure respondents' tendency to regulate emotions in two ways: cognitive reappraisal and expressive suppression.
Scoring is kept continuous and each facet's scoring is kept separate.
Higher scores indicate greater capacity for emotional regulation.
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Pre-intervention and immediately post-intervention
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Measure S5: Change in Five Facet Mindfulness among the MB-SI + TAU cohort compared to the TAU only cohort
Time Frame: Pre-intervention, immediately post-intervention, and one month post-intervention
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Determine if there is a significant difference in Five Facet Mindfulness among the MB-SI + TAU cohort compared to the TAU only cohort.
Five Facet Mindfulness is a scale of 15 items, scores can range from 15 - 75, and higher scores indicate a greater capacity for mindfulness.
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Pre-intervention, immediately post-intervention, and one month post-intervention
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: William R Marchand, MD, LFAPA, Salt Lake City Veterans' Administration Medical Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 1, 2019
Primary Completion (Actual)
January 5, 2023
Study Completion (Actual)
January 5, 2023
Study Registration Dates
First Submitted
July 16, 2019
First Submitted That Met QC Criteria
September 18, 2019
First Posted (Actual)
September 23, 2019
Study Record Updates
Last Update Posted (Estimate)
May 11, 2023
Last Update Submitted That Met QC Criteria
May 9, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB_00108786
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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