2970 Participants Needed

Career Enhancement Training for Suicide Prevention

PA
BY
Overseen ByBryan Yates, BS
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Rochester
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

This trial tests the effectiveness of the Wingman-Connect Program delivered by USAF personnel on individual suicide risk. Randomization will be among classes at Initial Technical Training, in which 396 classes of USAF personnel will be randomized to Wingman-Connect or to an active control training (N=2,970 Airmen) and followed for one year. These classes send a proportion of graduates to Air Force Global Strike Command (AFGSC) \& Air Mobility Command (AMC) operational bases.

Do I need to stop my current medications for this trial?

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

What data supports the effectiveness of the treatment Stress Management, Stress Reduction, Anxiety Management, Prenatal Stress Intervention, Wingman-Connect for suicide prevention?

Research shows that the Wingman-Connect Program, part of the treatment, improved social connections among Air Force personnel at risk of suicide, reducing isolation and increasing valued connections. Additionally, gatekeeper training, which is similar to some components of the treatment, has been shown to improve knowledge and confidence in suicide prevention.12345

Is the Career Enhancement Training for Suicide Prevention generally safe for humans?

The Wingman-Connect Program, which is similar to Career Enhancement Training, was tested with Air Force personnel and showed no safety concerns, indicating it is generally safe for humans. Participants reported increased social connections and no adverse effects were noted in the studies.26789

How is the Wingman-Connect treatment different from other suicide prevention treatments?

Wingman-Connect is unique because it focuses on career enhancement training as a method for suicide prevention, which is different from the widely used gatekeeper training that primarily aims to identify and refer individuals at risk of suicide. This approach may offer a novel way to address underlying factors contributing to suicidal thoughts by enhancing career skills and opportunities.410111213

Eligibility Criteria

This trial is for Airmen-in-Training within their first year of enlistment in the USAF, specifically from classes that support AFGSC & AMC missions. Classes must last between 37-91 days. It excludes foreign airmen and those not in their initial enlistment year.

Inclusion Criteria

Eligible classes must be between 37-91 class days in length
Airmen-in-Training (AiT) recruited from technical training classes that train Airmen in jobs that support the mission and aircraft of AFGSC & AMC MajComs

Exclusion Criteria

Airmen from other countries receiving training in US
Airmen who are not in their first year of enlistment

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Baseline assessments are conducted prior to randomization of classes

1 week

Intervention

Participants receive either the Wingman-Connect Program or an active control training

36 months

Follow-up

Participants are monitored for outcomes related to suicide risk, depression, and occupational problems

12 months
2 assessments at 6 months and 12 months

Treatment Details

Interventions

  • Stress Management
  • Wingman-Connect
Trial Overview The study examines the Wingman-Connect Program's impact on suicide risk among USAF personnel. Participants are randomly placed into either this program or a control group with standard training, then monitored for one year.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Wingman ConnectExperimental Treatment1 Intervention
Wingman-Connect (Wyman et al., 2020 \& 2022) uses a network health theoretical framework to strengthen two suicide-protective functions of social networks: 1) Strengthening positive social bonds, and 2) Building healthy norms that incentivize adaptive coping.
Group II: Active ControlActive Control1 Intervention
Active control is stress management training of cognitive and behavioral strategies.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Rochester

Lead Sponsor

Trials
883
Recruited
555,000+

Findings from Research

The implementation of Applied Suicide Intervention Skills Training (ASIST) in crisis hotlines led to significant improvements in callers' feelings of depression, suicidal thoughts, and overall hopefulness, based on data from 1,507 monitored calls.
While ASIST training did not result in more thorough suicide risk assessments, it was associated with effective counselor interventions that helped callers explore reasons for living and connect with informal support, contributing to better outcomes.
Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline.Gould, MS., Cross, W., Pisani, AR., et al.[2022]
The Safety Planning Intervention (SPI) is effective in reducing suicidal ideation and behavior, as well as improving depression and treatment engagement among adults experiencing suicide-related distress, based on a systematic review of 26 studies.
The SPI is adaptable and can be delivered in various formats (in-person or online) and as a standalone or combined intervention, making it a flexible tool in suicide prevention practices.
The Effectiveness of the Safety Planning Intervention for Adults Experiencing Suicide-Related Distress: A Systematic Review.Ferguson, M., Rhodes, K., Loughhead, M., et al.[2022]
A large majority of sexual and gender minorities (SGM) in Canada (90%) reported having peers with depression, and 73% knew someone who had attempted suicide, highlighting the significant need for suicide prevention resources in this community.
There is a strong interest among SGM for training in suicide prevention, with 94% wanting to learn how to recognize signs of suicidality and 95% wanting skills to support peers, indicating a readiness to engage in gatekeeper training programs.
Sexual and Gender Minorities' Readiness and Interest in Supporting Peers Experiencing Suicide-Related Behaviors.Ferlatte, O., Salway, T., Oliffe, JL., et al.[2022]

References

Gatekeeper Training and Minimum Standards of Competency. [2022]
Wingman-Connect Program increases social integration for Air Force personnel at elevated suicide risk: Social network analysis of a cluster RCT. [2022]
Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline. [2022]
Suicide prevention gatekeeper training in the Netherlands improves gatekeepers' knowledge of suicide prevention and their confidence to discuss suicidality, an observational study. [2022]
Training mental health professionals to assess and manage suicidal behavior: can provider confidence and practice behaviors be altered? [2022]
A brief peer gatekeeper suicide prevention training: Results of an open pilot trial. [2022]
The Suicide Prevention for College Student Gatekeepers Program. [2022]
The Effectiveness of the Safety Planning Intervention for Adults Experiencing Suicide-Related Distress: A Systematic Review. [2022]
Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study. [2022]
Outcomes of a Suicide Prevention Gatekeeper Training Program Among School Personnel. [2022]
Sexual and Gender Minorities' Readiness and Interest in Supporting Peers Experiencing Suicide-Related Behaviors. [2022]
12.United Statespubmed.ncbi.nlm.nih.gov
Gatekeeper training as a preventative intervention for suicide: a systematic review. [2022]
13.United Statespubmed.ncbi.nlm.nih.gov
Evaluation of Training in Identifying and Responding to Suicide Risk by Staff of a Behavioral Health Managed Care Organization. [2023]
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