Self-Injury Treatment and Recovery in Veterans

Официальное название

A Brief Intervention to Reduce Nonsuicidal Self-Injury and Improve Functioning in Veterans

Обзор

Nonsuicidal self-injury (NSSI) refers to the intentional destruction of one's own body tissue without suicidal intent and for purposes that are not socially sanctioned. While NSSI has been understudied among Veterans, the lifetime prevalence rate of NSSI in Veterans is approximately three times higher than the general population. Moreover, NSSI is associated with increased risk for violence, psychiatric distress, and marked impairment in psychosocial functioning. Even though NSSI is distinct from suicidal behaviors in several important ways, NSSI remains a strong predictor of a future suicide attempt. The primary goal of this project is to evaluate the treatment and acceptability of a brief intervention for NSSI that aims to reduce psychosocial impairment and NSSI behaviors in Veterans.

Подробное описание

Nonsuicidal self-injury (NSSI) refers to the intentional destruction of one's own body tissue without suicidal intent and for purposes that are not socially sanctioned. While NSSI has been understudied among Veterans, the lifetime prevalence rate of NSSI in Veterans is approximately three times higher than the general population. Moreover, NSSI is associated with increased risk for violence, psychiatric distress, and marked impairment in psychosocial functioning. Even though NSSI is distinct from suicidal behaviors in several important ways, NSSI remains a strong predictor of a future suicide attempt. The primary goal of this project is to evaluate the treatment and acceptability of a brief intervention for NSSI that aims to reduce psychosocial impairment and NSSI behaviors in Veterans. This treatment, known as the Treatment for Self-Injurious Behaviors (T-SIB) incorporates evidence-based approaches to replace NSSI with behaviors that improve psychoso ial functioning. A core component of T-SIB is functional assessment that identifies the antecedents and consequences of NSSI. This project will enhance T-SIB by using ecological momentary assessment (EMA) to conduct NSSI functional assessment in-vivo. EMA reduces retrospective recall bias and can increase engagement with therapeutic goals.

Вмешательства

• Поведенческое Treatment for Self-Injurious Behaviors
  Treatment for Self-Injurious Behaviors (T-SIB) incorporates evidence-based approaches to replace NSSI with behaviors that improve psychosocial functioning.
• Другое Treatment As Usual
  Participants randomized to the TAU condition will be provided with referrals to both Durham VA and local community mental health resources and offered a consult for Durham VA mental health services.

Первичные конечные точки

• Feasibility as measured by number of participants enrolled [Срок оценки: 2 years after study enrollment begins]
• Feasibility as measured rate of retention [Срок оценки: End of treatment, about nine weeks after beginning the study]

Вторичные конечные точки (1)

• Number of participants who report satisfaction with the T-SIB treatment [Срок оценки: End of treatment, about nine weeks after beginning the study]

Критерии участия

Критерии включения

• 18 years of age or older
• Past service in the United States military
• Nonsuicidal self-injury engagement on 2 occasions in past 30 days
• Fluent in English
• Able to provide voluntary informed consent

Критерии исключения

• Lifetime history of psychosis, mania, or hypomania
• Imminent risk for suicide/homicide warranting immediate intervention
• Unable/unwilling to complete study procedures

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 1 центр

• Durham VA Medical Center, Durham, NC — Durham

Идентификаторы

NCT: NCT05969080 · D4803-W · 1745432

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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