Crisis Intervention for Reducing Crises and Suicide in the Idaho Army National Guard
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial seeks to find better ways to support soldiers in the Idaho Army National Guard and reduce the risk of suicide. Researchers will compare an enhanced support program, the First Line Leaders (FLL) program, and the Total Health Action Plan (TAP), which focuses on improving communication and problem-solving between soldiers and their leaders, to the standard leadership program and usual training. The goal is to determine which approach most effectively boosts morale and resilience. The trial seeks soldiers in the Idaho Army National Guard with at least one year remaining on their service contract. As an unphased trial, this study offers soldiers the chance to contribute to groundbreaking research that could significantly improve support systems and reduce suicide risk.
Do I need to stop my current medications to join the trial?
The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your healthcare provider.
What prior data suggests that this program is safe for participants?
Research has shown that the First Line Leaders (FLL) program, along with the Total Health Action Plan (TAP), is designed to assist soldiers in the Idaho Army National Guard. This program aims to enhance communication and support between junior enlisted soldiers (JES) and their non-commissioned officers (NCOs). The TAP guides rely on well-researched methods known as Crisis Response Planning and Problem-Solving Therapy, which emphasize effective communication and stress management.
Unlike drug trials, this program's safety and tolerability are not measured in the same way. However, because it involves structured communication and support rather than medication, it is generally considered low-risk. The FLL and TAP guides are based on established therapies, indicating they are well-tolerated when used correctly. While no specific negative effects have been noted, the program's goal is to improve relationships and support, which is unlikely to cause physical harm.12345Why are researchers excited about this trial?
Researchers are excited about the Crisis Intervention for Reducing Crises and Suicide in the Idaho Army National Guard trial because it explores innovative leadership training approaches to improve mental health outcomes. Unlike standard care options that might focus primarily on individual therapy or medication for mental health issues, this trial emphasizes the role of First Line Leaders (FLL) in creating a supportive environment. The FLL program, along with the Total Health Action Plan (TAP), integrates leadership training with health action plans to enhance engagement and response to soldiers' needs. This approach is unique because it empowers leaders to proactively manage and support soldiers' mental health, potentially reducing crises and suicide rates through improved communication and engagement strategies.
What evidence suggests that the FLL + TAP program could be effective for reducing crises and suicide in the Idaho Army National Guard?
Research has shown that crisis intervention programs, such as the First Line Leaders (FLL) program with the Total Health Action Plan (TAP), effectively reduce crisis situations and mental distress. In this trial, participants will join different arms, including the FLL + TAP approach, which draws on successful methods like Crisis Response Planning and Problem-Solving Therapy. These methods promote open communication and active participation and have proven to lower suicide risk by strengthening social support and teamwork. Programs focusing on community prevention and improving care align with national strategies for preventing suicide. This suggests that combining TAP with FLL could reduce suicide risk in the Idaho Army National Guard by building stronger relationships and support networks.678910
Who Is on the Research Team?
Todd Bishop, PhD
Principal Investigator
University of Rochester
Are You a Good Fit for This Trial?
This trial is for junior enlisted soldiers and non-commissioned officers in the Idaho Army National Guard. It aims to support those at risk of suicide by enhancing their relationships and providing crisis intervention strategies.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Training
Initial 1-day training session for FLL and FLL + TAP groups, followed by 12 leadership meetings during monthly drill weekends
Assessment
Quarterly assessments to evaluate fidelity, satisfaction, and TAP usage
Follow-up
Participants are monitored for safety and effectiveness after training
What Are the Treatments Tested in This Trial?
Interventions
- First Line Leaders (FLL) program with Total Health Action Plan (TAP)
Trial Overview
The study compares an augmented First Line Leaders (FLL) program with Total Health Action Plan (TAP) guides against FLL alone, and regular training. The goal is to improve unit morale, cohesion, and reduce behavioral distress.
How Is the Trial Designed?
3
Treatment groups
Active Control
Participants assigned to this condition will receive training as usual and have not been assigned FLL training by the Idaho Army National Guard.
This will be a 1-day initial training that incorporates 12 leadership meetings, delivered during monthly drill weekends, and the FLLs will discuss program feasibility and acceptability with the program leadership. In addition to the standard FLL training, this group will learn about the Total Health Action Plan (TAP) and how to deploy it with their soldiers. The Investigators will measure fidelity of TAP delivery, soldier engagement and satisfaction rates, and whether NCOs are more responsive to soldiers reporting problems.
This is the existing 1-day initial training that incorporates 12 leadership meetings, delivered during monthly drill weekends currently being delivered by the Idaho Army National Guard. FLLs will discuss program feasibility and acceptability with the program leadership.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Rochester
Lead Sponsor
Idaho Army National Guard
Collaborator
Citations
The Effectiveness of Crisis Line Services: A Systematic Review
Clinical aims include reducing individuals' crisis states, psychological distress, and risk of suicide. Efforts may also include enhancing ...
National Strategy for Suicide Prevention Federal Action Plan
The plan presents priority actions to advance the 2024 National Strategy, including goals for community-based prevention, treatment, research, ...
988 Lifeline Performance Metrics
The data below represents the 988 Lifeline performance of the overall national network, which includes data from all 988 Lifeline network centers.
Framework | Zero Suicide
The Zero Suicide Framework has seven elements for safe suicide care, based on core values, systems management, and evidence-based practices. These elements ...
Suicide Care in Systems Framework
The framework focuses on care in four environments, core values, and a vision of care requiring organizational change and systematic upgrades.
Reducing Crises and Suicide Within the Idaho Army ...
The Investigators propose to study an augmented FLL program that includes templated guides developed in collaboration with Idaho ARNG stakeholders. The guides, ...
Crisis Prevention Enhancement for Idaho Army National ...
This study aims to address the pressing issue of military suicide, particularly among the Army National Guard (ARNG) members in Idaho.
Integrated Primary Prevention Workforce (IPPW)
The Department of Defense is using integrated primary prevention to inhibit multiple harmful behaviors–including sexual assault, harassment, domestic abuse, ...
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safety.army.mil
safety.army.mil/Portals/0/Documents/HOME/Standard/Annual%20Assessment%20Army%20Safety%20Program%20FY22.pdf?ver=NBusOVD4fBgnD5vZkbTNQQ%3D%3DAnnual Assessment of the Army Safety Program
FY22 was the safest year in Army history regarding mishap fatalities with a loss of 82 Soldiers and one. Department of the Army Civilian. Both numbers were ...
Clinical Trials & Research Studies Near You (Updated 8 ... - Policy Lab
... FLL program that includes templated guides developed in collaboration with Idaho ARNG stakeholders. The guides, referred to as TAP (Total Health Action Plan) ...
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