Cognitive Bias Modification Intervention for Help-Seeking Stigma for Suicide

Recruiting · 18+ · All Sexes · Tallahassee, FL

This study is evaluating whether a novel intervention may help reduce stigma and increase the use of behavioral health services among military service members.

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About the trial for Suicide

Eligible Conditions
Military Service Members at Elevated Suicide Risk · Suicide

Treatment Groups

This trial involves 3 different treatments. Cognitive Bias Modification Intervention For Help-Seeking Stigma is the primary treatment being studied. Participants will all receive the same treatment. Some patients will receive a placebo treatment. The treatments being tested are not being studied for commercial purposes.

Experimental Group 1
Cognitive Bias Modification Intervention for Help-Seeking Stigma
Control Group 2
Self-Directed Psychoeducation
Control Group 3
Placebo Cognitive Bias Modification (CBM-Placebo)


This trial is for patients born any sex aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
current active duty U.S. military service member
lifetime history of suicidal ideation per a self-report version of the SITBI-SF and/or current elevated suicide risk factors (i.e., screening positive for clinically significant suicidal ideation [DSI-SS Total Score > 2], depression [PHQ-9 Total Score > 14], anxiety [GAD-7 Total Score > 9], PTSD [PCL-5 Total Score > 32], alcohol use [AUDIT-C Total Score > 3 for men and > 2 for women], and/or anger [DARS Total Score > 22])
no current behavioral health service use (i.e., ongoing care with a provider to receive psychiatric medications, therapy, and/or counseling)
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Odds of Eligibility
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: 2-Month Follow-up
Screening: ~3 weeks
Treatment: Varies
Reporting: 2-Month Follow-up
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: 2-Month Follow-up.
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Cognitive Bias Modification Intervention for Help-Seeking Stigma will improve 6 primary outcomes in patients with Suicide. Measurement will happen over the course of 2-Month Follow-up.

Self-Stigma of Seeking Help (SSOSH)
The SSOSH is a 10-item measure of help-seeking stigma. Responses are rated on a 5-point scale; higher scores (range: 0-50) reflect greater self-stigma associated with seeking help. The scale has demonstrated strong reliability and validity, and it differentiates between young adults who do and do not seek help for mental health problems.
World Mental Health Composite International Diagnostic Interview (WMH-CIDI)
A self-report version of the WMH-CIDI Services subscale will be utilized to assess the presence/absence of specific structural and attitudinal barriers to care. This WMH-CIDI has been used extensively among adult community samples, including among individuals at elevated suicide risk.
Readiness to Change
Consistent with past research, we will use an adaptation of the Readiness to Change Scale to assess readiness to engage in help-seeking behaviors. Responses to each of the 6 items are anchored on an 11-point scale, with higher scores (range: 0-60) indicating greater readiness to engage in behavioral health care. Past research using this approach has yielded good internal consistency.
Client Satisfaction Questionnaire-8 (CSQ-8)
The CSQ-8 is an 8-item self-report measure that assesses client satisfaction with services, including mental health care services (range: 8-32). The CSQ-8 has demonstrated strong psychometric properties, including among psychotherapy patients.
Perceived Stigma and Barriers to Care for Psychological Problems Scale (PS)
The 11-item PS measures the extent to which various concerns might affect an individual's decision to seek psychiatric treatment. Items are rated on a 5-point scale; higher scores (range: 11-55) indicate greater perceived barriers to care. The PS has been used extensively in military populations and has exhibited acceptable to good internal consistency.
Intervention Acceptability and Feasibility Questionnaire
Acceptability and feasibility will be measured using recruitment and retention rates and open-ended treatment satisfaction questions administered to participants at post-treatment (e.g., "What aspects of the intervention could be improved?").

Who is running the study

Principal Investigator
T. J.
Prof. Thomas Joiner, The Robert O. Lawton Professor in the Department of Psychology
Florida State University

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes suicide?

We may never understand the causes of suicide, but we can look at factors which could increase the likelihood of such an event. Some of these factors are: lack of support from others; a history of mental illness; low levels of income or employment; unemployment; homelessness; and poverty.

Anonymous Patient Answer

What are common treatments for suicide?

There exist many popularly used or at least popularly known forms of treatment for suicide; while these forms may serve therapeutic purposes for a range of people with suicidal thoughts and intentions or suicidal behavior, not all of them are supported by research evidence to be effective. At the least, an evidence-based, systematic review could help clinicians more easily decide which therapeutic interventions to choose as they are treating their suicidal clients.

Anonymous Patient Answer

What are the signs of suicide?

Although suicide can take many forms, certain characteristics are associated with suicidal behaviour. These factors are highly likely to have the ability to affect a person by making him or her more likely to take the suicide. It is therefore paramount to be aware of these identifiable factors and attempt to identify suicidal thoughts early on.

Anonymous Patient Answer

What is suicide?

Suicide is exceedingly rare, accounting for less than 1% of deaths in the US between 1999 and 2006. Although there is a lack of information on the risk factors for suicide by gender and race, suicide by race appears to be less prevalent than suicide by gender and race. As such, prevention efforts need to focus on suicide by gender, rather than by race. Identifying risk factors for suicide is important in the development of suicide prevention strategies.

Anonymous Patient Answer

How many people get suicide a year in the United States?

The yearly suicide rate in the United States since 1960 is 7.9 per 100,000 population per year, and the death rate ratio is 5.2. More broadly, the suicide death rate in the United States exceeds the death rate ratio for any other country among wealthy nations.

Anonymous Patient Answer

Can suicide be cured?

Mental health practitioners and general practitioners play an important role of evaluating distress in elderly patients, with an opportunity to initiate appropriate interventions that reduce their distress, if they present with suicidal ideation.

Anonymous Patient Answer

What does cognitive bias modification intervention for help-seeking stigma usually treat?

CBM for HVS stigma may be beneficial for helping distressed U.S.-USI, because CBM seems superior to HVS self-help intervention. Because of the high level of CBM’s general acceptance, and relatively low cost, further research should examine other psychotherapies for clinical use, including CBM for HVS stigma.

Anonymous Patient Answer

Does suicide run in families?

The data suggest that, in many of these cases, there may be a common familial disposition which predisposes toward suicidal behavior. Future studies are needed to test these hypotheses.

Anonymous Patient Answer

Is cognitive bias modification intervention for help-seeking stigma safe for people?

Findings from this trial provide first evidence that CBM is a safe and effective intervention for reducing people's self-report of problem-related social stigma, and that self-reported problem-related stigma may also be a useful outcome measure of CBM interventions.

Anonymous Patient Answer

Has cognitive bias modification intervention for help-seeking stigma proven to be more effective than a placebo?

In a recent study, findings shows that CBM intervention may be considered appropriate in relation to modifying StM and its influences during a clinical encounter.

Anonymous Patient Answer

What is the latest research for suicide?

The latest research for suicide aims to understand how we change as we age, what psychological factors are driving suicide rates, and how suicide is viewed by health care professionals.

Anonymous Patient Answer

What is cognitive bias modification intervention for help-seeking stigma?

CBM is an efficacious tool to reduce the perceived mental health distress of others. Further research is warranted to tease out the mechanisms underlying its effects.

Anonymous Patient Answer
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