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TR&ST for Interpersonal Relations and Suicide(TR&ST Trial)

Led By Chandra E Khalifian, PhD
Research Sponsored by VA Office of Research and Development
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
An intimate partner who is willing to participate
Be older than 18 years old
Must not have
Be younger than 18 years old
Screening 3 weeks
Treatment Varies
Follow Updelivered at baseline, 7 weeks after baseline (mid-treatment), 13 weeks after baseline (post-treatment), and 25 weeks after baseline
Awards & highlights
No Placebo-Only Group

TR&ST Trial Summary

This trial is testing a novel suicide-specific couple-based intervention called TR&ST, which adapts an evidence-based intervention for suicide, BCBT for Suicide, to be dyadically focused and integrates CBCT skills. The goal is to reduce the severity of suicidal thoughts.

Eligible Conditions
  • Suicide
  • Interpersonal Relations

TR&ST Trial Eligibility Criteria

Inclusion Criteria

You will be eligible if you check “Yes” for the criteria below

TR&ST Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in severity of suicidal ideation from baseline
Secondary outcome measures
Change in negative communication from baseline
Change in perceived burdensomeness and thwarted belonging from baseline
Change in positive bonding from baseline
+2 more
Other outcome measures
Change in relationship conflict from baseline
Change in severity of depression from baseline
Changes in Posttraumatic Stress Disorder severity from baseline
+3 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

TR&ST Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Treatment for Relationships and Safety Together (TR&ST)Experimental Treatment1 Intervention
TR&ST consists of eleven 90-minute sessions delivered in three phases. During phase one, couples receive a tailored cognitive-behavioral conceptualization of suicide and relationship distress based on clinical interview, as well as psychoeducation about their bidirectional influences. They also engage in behavioral activation focused on positive couple activities, emotion regulation, distress tolerance, and conflict management strategies. In phase two, couples learn communication skills and discuss suicidal thoughts and behaviors, as well as their relationship challenges that interact with suicidal thoughts and behavior. Phase three is focused on conjoint thought challenging to shift dysfunctional cognitions related to suicide and relationship problems.
Group II: VA Standard Suicide InterventionActive Control1 Intervention
Our active control condition is standardized and contains the elements of standard practice suicide-specific intervention delivered at the VA, which include: 1) suicide risk assessment using the CSSR-S, 2) VA Safety Planning Intervention, 3) timely referral to VA mental health outpatient care, including couples intervention (engagement will be tracked), and 4) Suicide Prevention Coordinator (SPC) follow-up contacts (which have been found to significantly reduce suicidal behavior).

Find a Location

Who is running the clinical trial?

VA Office of Research and DevelopmentLead Sponsor
1,584 Previous Clinical Trials
2,897,584 Total Patients Enrolled
36 Trials studying Suicide
5,796 Patients Enrolled for Suicide
Chandra E Khalifian, PhDPrincipal InvestigatorVA San Diego Healthcare System, San Diego, CA

Media Library

Treatment for Relationships and Safety Together (TR&ST) Clinical Trial Eligibility Overview. Trial Name: NCT04816149 — N/A
Suicide Research Study Groups: Treatment for Relationships and Safety Together (TR&ST), VA Standard Suicide Intervention
Suicide Clinical Trial 2023: Treatment for Relationships and Safety Together (TR&ST) Highlights & Side Effects. Trial Name: NCT04816149 — N/A
Treatment for Relationships and Safety Together (TR&ST) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04816149 — N/A

Frequently Asked Questions

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

How many participants are being tracked for this research project?

"Affirmative. Clinicaltrials.gov's data displays that this research project is in the process of recruiting participants, which was posted on April 15th 2021 and last updated on March 10th 2022. The study requires 144 people to be recruited at 1 site."

Answered by AI

Is the research team actively enrolling participants in this trial?

"Affirmative. Information hosted on clinicaltrials.gov confirms that enrollment for this medical study, which was first posted on April 15th 2021, is still open. Approximately 144 patients need to be recruited from a single location."

Answered by AI
~66 spots leftby Mar 2026