- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05275101
Neural Mechanisms and Predictors of an Ultra-Brief Suicide Prevention Strategy
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Stephanie Gorka, PhD
- Phone Number: 614-366-1027
- Email: stephanie.gorka@osumc.edu
Study Locations
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Ohio
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Columbus, Ohio, United States, 43210
- Recruiting
- The Ohio State Univeristy
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Contact:
- Stephanie Gorka, PhD
- Phone Number: 614-366-1027
- Email: stephanie.gorka@osumc.edu
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Generally medically and neurologically healthy
- Age 18 years or older at the time of consent
- Willing and able to give informed consent
- Individuals in the acutely suicidal group: endorse current suicide intent as indicated by a total score of 5 or greater on the Beck's Scale for Suicidal Ideation.
Exclusion Criteria:
- Medical or neurologic condition or neurocognitive dysfunction that would interfere with the study
- Current or past manic/hypomanic episode, schizophrenia, or psychotic symptoms
- Deafness in either ear
- Currently pregnant or trying to become pregnant
- Electroconvulsive therapy (ECT) within the past 6 months
- Current moderate to severe substance use disorder
- Lack of fluency in English
- Positive alcohol breathalyzer test and/or acute drug intoxication the day of the fMRI scans
- Unwilling or unable to sign the informed consent document
- Under 18 years old at the time of enrollment
- Traumatic brain injury from a suicide attempt or another event
- Presence of ferrous-containing metals within the body
- Inability to tolerate small, enclosed spaces without significant anxiety
- Individuals enrolled as controls: no lifetime history of any DSM-5 disorder
- Individuals enrolled as controls: no lifetime history of suicide ideation or intent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control
Individuals who have not experienced suicidal ideation will not complete a suicide intervention.
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Experimental: Crisis Response Planning (CRP)
The crisis response planning (CRP) session will last between 30 minutes to 1-hour.
It will occur face-to-face with a trained study therapist.
The CRP session involves the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established).
The CRP active component involves a collaborative process in which the therapist invites the patient to share the events, symptoms, and contextual factors leading up to and surrounding the participant's suicidal crisis.
Next, the patient and therapist identify the patient's personal warning signs for an emotional crisis, self-management coping skills, patient's reasons for living, and sources of social support.
These components are written, by the patient, on an index card.
The index card serves as a concrete reference for patients in the real-world.
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Individuals complete an experimental collaborative suicide intervention.
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Active Comparator: Crisis Risk Counseling
The crisis risk counseling session will last between 30 minutes to 1-hour.
It will occur face-to-face with a trained study therapist.
It will include the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established).
The therapist will conduct a semi-structured suicide risk assessment interview, after which subjects will complete a self-guided safety plan worksheet.
The worksheet takes approximately 10-minutes to complete and will be done independently.
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Individuals complete a standard crisis risk management intervention.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Frontolimbic neural circuit activation and connectivity
Time Frame: Pre-treatment, Post-treatment, and 6-months follow-up.
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Task-induced activity in frontolimbic neural circuits measured with fMRI.
Core regions of interest are: ventral prefrontal cortex, dorsal prefrontal cortex, inferior frontal gyrus, insula, and dorsal anterior cingulate cortex.
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Pre-treatment, Post-treatment, and 6-months follow-up.
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Suicidality
Time Frame: Pre-treatment, Post-treatment, 1-week post-intervention, monthly post-intervention, and 6-months post-intervention.
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Self-reported suicide ideation, intent, behaviors and urges will be repeatedly assessed throughout the protocol using the Self-Injurious Thoughts and Behaviors Interview-Revised (SITBI-R), Beck's Scale for Suicidal Ideation (SSI), Lethality Rating Scale, and Suicide Cognitions Scale - Revised (SCS-R).
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Pre-treatment, Post-treatment, 1-week post-intervention, monthly post-intervention, and 6-months post-intervention.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Markers of negative affectivity
Time Frame: Pre-treatment, Post-treatment, and 6-months follow-up.
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Acoustic startle electromyographic (EMG) response, behavioral data (i.e., reaction times and self-report scales) during lab tasks.
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Pre-treatment, Post-treatment, and 6-months follow-up.
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Mood and psychiatric symptoms
Time Frame: Pre-treatment, Post-treatment, 1-week post-intervention, monthly post-intervention, and 6-months post-intervention.
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Mood states and general depression and anxiety symptoms are repeatedly assessed throughout the protocol using the Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI), Beck Hopelessness Scale, Snaith-Hamilton Pleasure Scale (SHAPS), UPPS-P Impulsive Behavior Scale, and Validated Visual Mood Analog Scales (VMAS).
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Pre-treatment, Post-treatment, 1-week post-intervention, monthly post-intervention, and 6-months post-intervention.
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Stephanie Gorka, PhD, Ohio State University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2021H0039
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
De-identified data, including fMRI, startle eyeblink, and behavior, from this project will be submitted to the NIMH Data Archive (NDA) at the subject level along with appropriate supporting documentation to enable efficient use of the data by the research community. We will follow instructions as discussed in the NIMH Data Archive Data Sharing Terms and Conditions.
We will follow the two-tier procedure described in the guidelines:
- Raw continuous fMRI recordings will be submitted in standard formats (Matlab mat format, DICOM format and NIFTI format). Experimental condition information will be supplied in text format along with other critical information.
- Analyzed data (BOLD data, BOLD-startle eyeblink data) associated with a manuscript will be shared as soon as possible, and at the latest, at the time of publication of the manuscript. These data may be accompanied, if applicable, by other data such as behavioral data, supplied in text format.
IPD Sharing Time Frame
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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