Mobile Intervention for Suicidal Thoughts
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Safety planning, Treatment as usual, MIST Intervention.
- Who it may be relevant to
- Registry conditions: Suicide. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Pilot Randomized Controlled Trial of the Mobile Intervention for Suicidal Thoughts
Overview
One of the factors that contributes to suicide risk is what is known as a "suicidal belief system." This belief system is made up of several cognitions that been associated with suicide risk among military personnel. Modification of these cognitions may reduce suicidal thoughts and behaviors. The study team has developed a brief mobile intervention entitled the Mobile Intervention for Suicidal Thoughts (MIST) that uses evidence-based interpretation bias modification techniques to reduce these suicide cognitions. The goal of this project is to is to conduct a pilot trial of the MIST intervention to evaluate whether it is feasible an acceptable as an adjunct treatment for Veterans with suicidal ideation.
Detailed description
One of the factors that contributes to suicide risk is what is known as a "suicidal belief system." This belief system is made up of several cognitions, including hopelessness, thwarted belongingness, perceived burdensomeness, unlovability, unbearability, and unsolvability. These cognitions have all been associated with suicide risk among military personnel. Modification of these cognitions may reduce suicidal thoughts and behaviors. The study team has developed a brief mobile intervention entitled the Mobile Intervention for Suicidal Thoughts (MIST) that uses evidence-based interpretation bias modification techniques to reduce these suicide cognitions. The goal of this project is to is to conduct a pilot trial of the MIST intervention to evaluate whether it is feasible an acceptable as an adjunct treatment for Veterans with suicidal ideation.
The investigators will conduct a pilot randomized controlled trial (RCT), in which 50 Veterans with suicidal ideation will be randomized to either MIST plus Treatment as Usual and Safety Planning versus Treatment as Usual and Safety Planning. The central hypothesis is that Veterans will find MIST acceptable and will be willing to use it to reduce their suicidal thoughts.
Interventions
- Behavioral Safety planning
Safety planning (SP) is a single-session intervention that consists of developing a written list of individualized coping strategies and sources of support that can be used during a suicidal crisis. - Behavioral Treatment as usual
This will include continued care with any of the Veterans' current providers. Study staff will also place appropriate referrals for Veterans, as needed (e.g., Trauma Recovery Program referrals for Veterans with PTSD, Sleep Psychology referrals for Veterans with insomnia). Participants will be encouraged to follow up with their providers' recommendations and treatment plans - Behavioral MIST Intervention
This is a mobile intervention designed to target and modify suicidal cognitions. Veteran in this condition will be asked to use the intervention 5 times a week for 4 weeks.
Primary outcome measures
- Number of participants recruited [Time frame: Through study completion (approximately 18 months)]
- Percentage of enrolled participants who complete the study intervention [Time frame: Post-treatment visit (approximately one month after enrollment)]
- Patient satisfaction for MIST app: Client Satisfaction Questionnaire [Time frame: Post-treatment visit (approximately one month after enrollment)]
- MIST intervention utilization [Time frame: Post-MIST assessment visit (approximately one month after enrollment)]
Eligibility criteria
Inclusion criteria
- Veterans using the Durham VA Health Care System
- Endorsing suicidal ideation without intent in the last 30 days, established via C-SSRS
- Meet at least every 4 months with a mental health provider, established via chart review chart
- Can read at least 6th grade level material, established by their demonstrated ability to read the consent form and answer basic questions about it
Exclusion criteria
- Currently in a period of active psychosis or mania, established via the SCID-5
- Currently meeting criteria for a moderate or severe alcohol or substance use disorder, established via the SCID-5
- Endorsing suicidal intent, established via C-SSRS
- Exhibit current prominent suicidal or homicidal ideation requiring immediate intervention
- Have used the MIST intervention before as part of another research study
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Durham VA Medical Center, Durham, NC — Durham
Identifiers
NCT: NCT06593379 · D5137-P