Crisis Response Planning for Suicide Prevention

HT
Overseen ByHannah Tyler, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: The University of Texas Health Science Center at San Antonio
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new method to assist military service members at risk for suicide due to mild traumatic brain injury (mTBI). It compares Crisis Response Planning (CRP)—a 30 to 60-minute one-on-one session with a provider, either in-person or online—to the usual care they receive. The researchers aim to determine if CRP can more effectively prevent suicide. Active duty military members with an mTBI who regularly use a smartphone might be suitable participants. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could enhance mental health support for service members.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that Crisis Response Planning is safe for military service members with mild traumatic brain injury?

Research has shown that Crisis Response Planning (CRP) is a promising method to reduce suicide risk. Studies have found that CRP can decrease the likelihood of suicide attempts by up to 76% compared to traditional methods. It leads to a rapid reduction in suicidal thoughts and behaviors.

CRP involves creating a personalized plan to help individuals manage crisis situations. This approach has been successfully used in various settings, both face-to-face and online, and has proven effective in reducing suicidal thoughts.

Regarding safety, CRP is well-tolerated. Reviewed studies have not reported any significant negative effects, making it a safe option for those considering joining a trial involving CRP.12345

Why are researchers excited about this trial?

Crisis Response Planning (CRP) is unique because it offers a personalized approach to suicide prevention through a one-on-one session, either in person or via telehealth, delivered by a trained behavioral health provider. Unlike standard treatments, which often involve medication or group therapy, CRP focuses on creating a tailored plan that empowers individuals to manage their crises proactively. Researchers are excited about CRP because it emphasizes immediate, personalized intervention, which could lead to faster and more effective prevention outcomes.

What evidence suggests that Crisis Response Planning is effective for suicide prevention in military service members with mild traumatic brain injury?

Research has shown that Crisis Response Planning (CRP), which participants in this trial may receive, can quickly reduce suicidal thoughts and attempts. For example, soldiers who used CRP were 76% less likely to harm themselves within six months compared to those who received standard care. In this trial, some participants will receive CRP, while others will receive Treatment as Usual (TAU). More frequent use of CRP is linked to a lower risk of suicidal thoughts and an increase in positive feelings. This suggests that CRP could be a powerful tool to help those at risk, such as military members with mild traumatic brain injury (mTBI), manage their suicidal thoughts and behaviors.12467

Who Is on the Research Team?

HT

Hannah Tyler, PhD

Principal Investigator

The University of Texas Health Science Center at San Antonio

Are You a Good Fit for This Trial?

This trial is for adult male and female active duty military service members who are 18 or older, have had at least one mild traumatic brain injury (mTBI), regularly use a smartphone, and can read, write, and speak English.

Inclusion Criteria

I can read, write, and speak English.
I own and regularly use a smartphone.
I am an active duty military member over 18.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 30-60 minute session of Crisis Response Planning (CRP) or Treatment as Usual (TAU) delivered individually in-person or via telehealth

1 session
1 visit (in-person or virtual)

Follow-up

Participants are monitored for changes in impulsivity, cognitive-affective states, and other psychological measures

3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Crisis Response Planning

Trial Overview

The study tests Crisis Response Planning (CRP) as an additional suicide prevention method in military personnel with mTBI. CRP involves a personalized session lasting 30 to 60 minutes that can be conducted in-person or via telehealth.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Arm 1: Crisis Response Planning (CRP)Experimental Treatment1 Intervention
Group II: Arm 2: Treatment as Usual (TAU)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center at San Antonio

Lead Sponsor

Trials
486
Recruited
92,500+

Citations

Comparing the Impacts of Crisis Response Plan and Self ...

More frequent CRP use was linked with lower risk of suicidal ideation and greater positive affect. This may reflect better plan use due to ...

Crisis response planning rapidly reduces suicidal ideation ...

Crisis response planning (CRP), a brief safety planning-type intervention, has been shown to rapidly reduce suicidal ideation and suicide attempts.

Effectiveness of Suicide Safety Planning Interventions

Evidence across a range of studies indicates that SSP is effective for reducing suicide behavior (SB) and ideation (SI).

Crisis Response Plan (CRP)

Results indicated Soldiers who received a CRP were 76% less likely to attempt suicide during the next six months as compared to Soldiers who received standard ...

The Effectiveness of Crisis Line Services: A Systematic ...

Monitors identified a mean 43% decreased caller distress from beginning to end of call (range 28–64%), with decreased distress associated with the crisis center ...

Crisis Response Planning (CRP) - Suicide Prevention Therapy

CRP is a specific kind of safety planning-type intervention that has been shown to reduce suicide attempts by up to 76% as compared to traditional crisis ...

Chat-based Crisis Response Planning may help prevent ...

There is a strong body of research demonstrating that CRP reduces suicidal thoughts and behaviors in adults and can be delivered successfully in ...