- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05256940
Motivational Interviewing to Address Suicidal Ideation for Veterans at High Risk for Suicide (MI-SI)
January 3, 2024 updated by: VA Office of Research and Development
Motivational Interviewing to Address Suicidal Ideation: A Randomized Controlled Trial With Suicidal Veterans
The purpose of this project is to conduct a randomized control trial with 470 Veterans to examine the impact of a revised version of Motivational Interviewing to Address Suicidal Ideation (MI-SI-R) on risk for suicide attempts and suicidal ideation when compared to high quality usual care.
Study Overview
Status
Recruiting
Conditions
Detailed Description
Research suggests that treatments to reduce suicidal behavior may need to focus on both the motivation to live and the motivation to die to obtain optimal effects.
The PI developed a revised version of Motivational Interviewing to Address Suicidal Ideation (MI-SI-R) to help Veterans resolve ambivalence about living by increasing the motivation to live, that consists of three sessions delivered in-person, virtually, or by telephone.
Enhanced usual care (EUC) for high-risk Veterans includes safety plans administered or reviewed by research therapists, care coordination, and access to a 24-hour crisis hotline.
In a preliminary randomized controlled trial (RCT) in psychiatrically hospitalized Veterans, MI-SI-R plus EUC was associated with 50% fewer suicide attempts and 41% lower likelihood of suicidal ideation compared to EUC alone.
The investigators are proposing an RCT comparing MI-SI-R plus EUC (MI-SI-R+EUC) to EUC alone in a sample of 470 high-risk Veterans with recent suicidal crises from three VHA Medical Centers, with "high-risk" defined as a suicide attempt within a month or suicidal ideation > 5 on the Beck Scale for Suicidal Ideation.
Half (n = 235) will be randomized to MI-SI-R+EUC (three sessions in-person, via Video Connect, or telephone) and the remaining participants (n = 235) will receive EUC alone.
All participants will be asked to complete telephone follow-up assessments at 1, 3, 6, and 12-months after randomization.
This will allow the investigators to determine the efficacy of MI-SI-R+EUC in reducing risk for suicide attempts (Aim 1) and reducing overall suicidal ideation (Aim 2) when compared to EUC alone.
Study Type
Interventional
Enrollment (Estimated)
470
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 Contact
- Name: Dorian L Savino, MPA
- Phone Number: (585) 463-2673
- Email: dorian.savino@va.gov
Study Contact Backup
- Name: Richard J Servatius, PhD
- Phone Number: (315) 744-3370
- Email: Richard.Servatius@va.gov
Study Locations
-
-
New York
-
Canandaigua, New York, United States, 14424-1159
- Recruiting
- VA Finger Lakes Healthcare System, Canandaigua, NY
-
Contact:
- Dorian L Savino, MPA
- Phone Number: (585) 463-2673
- Email: dorian.savino@va.gov
-
Principal Investigator:
- Peter C. Britton, PhD MS
-
Contact:
- Richard J Servatius, PhD
- Phone Number: 315-744-3370
- Email: Richard.Servatius@va.gov
-
-
Oregon
-
Portland, Oregon, United States, 97207-2964
- Recruiting
- VA Portland Health Care System, Portland, OR
-
Contact:
- David Cohen, MD
- Email: david.cohen2@va.gov
-
Contact:
- Sonemany Salinthone, PhD
- Email: Sonemany.Salinthone@va.gov
-
-
South Carolina
-
Charleston, South Carolina, United States, 29401-5703
- Recruiting
- Ralph H. Johnson VA Medical Center, Charleston, SC
-
Contact:
- Rutha Larue, PhD
- Email: Rutha.LaRue@va.gov
-
Contact:
- Jesus Garcia, MS
- Email: jesus.garcia@va.gov
-
-
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Veteran status,
- admitted to an inpatient unit, referred by a suicide prevention coordinator, or identified as high-risk via data extraction,
- age 18 and over,
- English speaking and reading, and
- ability to understand the study and provide informed consent,
- high-risk status confirmed by suicide attempt within a month on the Columbia- Suicide Severity Rating Scale or a score > 5 on the Scale for Suicidal Ideation
Exclusion Criteria:
- current psychosis,
- active mania,
- dementia,
- impaired decision making capacity, and
- institutionalization due to hospitalization in a non-VA facility, jail, or prison.
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: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Motivational Interviewing to Address Suicidal Ideation- Revised (MI-SI-R)
Motivational Interviewing to Address Suicidal Ideation (MI-SI-R) was developed to help Veterans resolve ambivalence about living by increasing the motivation to live, and is delivered in three sessions in person, virtually, or by telephone.
|
Motivational Interviewing to Address Suicidal Ideation (MI-SI-R) was developed to help Veterans resolve ambivalence about living by increasing the motivation to live, that is delivered in three sessions in person, virtually, or by telephone.
Enhanced usual care (EUC) includes safety plans administered or reviewed by research therapists, care coordination, and access to a 24-hour crisis hotline.
|
Active Comparator: Enhanced usual care (EUC)
Enhanced usual care (EUC) includes safety plans administered or reviewed by research therapists, care coordination, and access to a 24-hour crisis hotline.
|
Enhanced usual care (EUC) includes safety plans administered or reviewed by research therapists, care coordination, and access to a 24-hour crisis hotline.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Columbia-Suicide Severity Rating Scale
Time Frame: 12-months
|
The first primary outcome is the presence (vs.
absence) of non-fatal suicide attempts as reported on the Columbia-Suicide Severity Rating Scale.
|
12-months
|
Beck Scale for Suicidal Ideation
Time Frame: 12-month
|
The second primary outcome is suicidal ideation as reported on the Beck Scale for Suicidal Ideation, which has a range from 0-38, with higher scores indicating more severe suicidal ideation.
|
12-month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Peter C. Britton, PhD MS, VA Finger Lakes Healthcare System, Canandaigua, NY
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)
November 30, 2022
Primary Completion (Estimated)
November 30, 2025
Study Completion (Estimated)
June 29, 2027
Study Registration Dates
First Submitted
February 16, 2022
First Submitted That Met QC Criteria
February 16, 2022
First Posted (Actual)
February 25, 2022
Study Record Updates
Last Update Posted (Actual)
January 5, 2024
Last Update Submitted That Met QC Criteria
January 3, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MHBC-001-21S
- I01CX002359 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Members of the scientific community who would like a copy of limited data sets (i.e., data sets underlying any publication) from this study can request a copy by e-mailing the PI at Peter.Britton@va.gov.
They should state their reason for requesting the data, their plans for analyzing the data, and agree not to attempt to re-identify participants.
Limited data sets will be encrypted uploaded to a protected share-point; and the password will be sent to the requestor via a separate e-mail.
IPD Sharing Time Frame
Limited data sets will be available per a Data Use Agreement (DUA), which will determine the time frame.
IPD Sharing Access Criteria
Limited data will be provided after requestors sign a Data Use Agreement (DUA).
IPD Sharing Supporting Information Type
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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