Crisis Intervention for Reducing Crises and Suicide in the Idaho Army National Guard

AS
Overseen ByAlicia Study Coordinator, BS
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Rochester
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 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.12345

Why 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?

TB

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

Enlistment or commission in the Idaho ARNG at the time of enrollment
Ability to complete all study questionnaires and interview procedures
Has at least one year remaining on National Guard contract
See 1 more

Exclusion Criteria

Less than one year remaining on their contract with the National Guard

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Initial 1-day training session for FLL and FLL + TAP groups, followed by 12 leadership meetings during monthly drill weekends

12 months
Monthly drill weekends

Assessment

Quarterly assessments to evaluate fidelity, satisfaction, and TAP usage

12 months
Quarterly assessments

Follow-up

Participants are monitored for safety and effectiveness after training

3 months

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?
3Treatment groups
Active Control
Group I: No FLLActive Control1 Intervention
Group II: FLL + TAPActive Control1 Intervention
Group III: FLLActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Rochester

Lead Sponsor

Trials
883
Recruited
555,000+

Idaho Army National Guard

Collaborator

Citations

The Effectiveness of Crisis Line Services: A Systematic ReviewClinical aims include reducing individuals' crisis states, psychological distress, and risk of suicide. Efforts may also include enhancing ...
National Strategy for Suicide Prevention Federal Action PlanThe plan presents priority actions to advance the 2024 National Strategy, including goals for community-based prevention, treatment, research, ...
988 Lifeline Performance MetricsThe data below represents the 988 Lifeline performance of the overall national network, which includes data from all 988 Lifeline network centers.
Framework | Zero SuicideThe 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 FrameworkThe 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, ...
Annual Assessment of the Army Safety ProgramFY22 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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