CLINICAL TRIAL

Messaging for Suicide

Waitlist Available · 18+ · All Sexes · Canandaigua, NY

This study is evaluating whether a public health approach can help Veterans at risk for suicide seek treatment.

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About the trial for Suicide

Eligible Conditions
Suicide · Mental Health

Treatment Groups

This trial involves 2 different treatments. Messaging 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.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Messaging
BEHAVIORAL
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.
Wait list control
OTHER

About The Treatment

Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Messaging
2015
N/A
~21590

Eligibility

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
U.S. Veteran that separated from military service in the past 12 months (any discharge type);
>18 years old;
experiencing suicidal ideation;
low intent to seek help;
capable of understanding the goals of the study;
willing and able to provide verbal consent; and 7) smartphone ownership and willing to download/use study mobile app
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Odds of Eligibility
Unknown<50%
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: baseline, 1-month and 2-month follow up
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 1-month and 2-month follow up
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: baseline, 1-month and 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 Messaging will improve 1 primary outcome and 3 secondary outcomes in patients with Suicide. Measurement will happen over the course of baseline, 1-month and 2-month follow up.

change in intentions to seek treatment from baseline to 1- and 2-month follow-up
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in intent to seek mental health treatment in the next month measured using a 7-point likert scale (7 indicating strong intent)
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in treatment initiation from baseline to 1- and 2-month follow-up
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in treatment initiation (yes/no)
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in perceived treatment barriers from baseline to 1- and 2-month follow-up
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in level of agreement with barriers to mental health care that impede one's own behaviors measured using a response scale from 1 (strongly disagree) to 5 (strongly agree).
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
change in beliefs about mental health and treatment seeking from baseline to 1- and 2-month follow-up
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP
Change in level of agreement with the following beliefs (a) attitudes toward treatment, (b) subjective norm, (c) perceived behavioral control over treatment is measured using a 7-point likert scale (7 indicating strong agreement)
BASELINE, 1-MONTH AND 2-MONTH FOLLOW UP

Patient Q & A Section

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

Can suicide be cured?

The possibility of cure should not be removed from the mind of those who, with all their faults, are seriously ill. The medical profession cannot abandon the fact that medical research, while advancing our understanding of the disease and the mechanisms of disease, does not yet provide complete understanding and, therefore, does not yet offer cure. We should not consider suicide as a terminal disease but as a problem for which we needs solutions. A cure might be possible by a complete understanding of the pathways of suicide and more effective psychological treatment.

Anonymous Patient Answer

What causes suicide?

Suicide prevention activities need to be based upon a more extensive understanding of its causes as well as an increased understanding of how suicide is related to life experiences.

Anonymous Patient Answer

What is suicide?

The global burden of unintentional suicide stands at an estimated 1.5 million deaths. The burden is more than 4 times greater in developing countries than in developed countries. There are two main causes of suicide: interpersonal and external. Self-harm is one of the major risk factor for suicide and may serve as an alternative method of suicide.

Anonymous Patient Answer

What are the signs of suicide?

Most signs of suicide relate to an extreme mental state or are behavioural in nature. The symptoms of this extreme mental state include intense anguish, loss of contact with reality and a loss of motivation to live.

Anonymous Patient Answer

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

For every suicide that occurs in the United States, two to three people fail to seek treatment. This reduces the number of potential survivors, which would likely worsen the magnitude of the impact of any future suicide.

Anonymous Patient Answer

What are common treatments for suicide?

The most common treatment for suicide among patients with psychiatric disorders was psychotherapy. Pharmacotherapy was used less often. Patients with a history of intentional, nonaccidental, or suicidal behavior, and patients and families who wish for their psychiatric health to be explored with a psychiatric perspective before considering medication treatments may be better candidates for intervention. Physicians have a role in recognizing patients and family members with suicidality and appropriately educating them about available non-pharmacologic treatment options.

Anonymous Patient Answer

What are the common side effects of messaging?

Messaging has shown to be very effective and could make a negative impact on other aspects of mental health such as suicidal ideation. To create a beneficial effect and help prevent suicide, more research should be done on the messages that promote the most realistic effects of messaging.

Anonymous Patient Answer

Is messaging typically used in combination with any other treatments?

While other treatment methods have the potential to reduce suicide-related message content, the present study did not find any evidence that message content can be effectively enhanced in the context of combined other intervention methods.

Anonymous Patient Answer

How does messaging work?

Participants in this study were generally satisfied with the text messaging program and saw text messaging to be useful to them as a way to seek health care. It appears that although patients at high risk for suicide receive counseling, no meaningful change in knowledge or intentions occurs. It is feasible to implement this protocol in a busy health care facility, and, based on existing literature, this program appears to be effective in reaching patients with suicidal thoughts.

Anonymous Patient Answer

Does messaging improve quality of life for those with suicide?

Results from a recent paper suggest that suicide bereaved persons in the U.K. are generally less satisfied with their quality of life and less likely to engage further with health services. However, if we are to make advances, then we have to be specific about how and by whom messages should and should not be delivered.

Anonymous Patient Answer

What is the average age someone gets suicide?

There appears to be a decline in suicide mortality with age, so when considering suicide rates, we should consider the average age. The average age of fatal self-immolation was 60.5 years. In countries where people die by suicide, then the average age of suicide is about 35 years, so it may not be appropriate to use the mortality by suicide rate as part of a global comparison.

Anonymous Patient Answer

Have there been any new discoveries for treating suicide?

This review shows little advancement over existing treatments for treatment-resistant suicidal behavior. However, there are several promising new agents that have more information to offer before being fully tested or launched. There is also a lot of research going into developing an antidepressant that will not worsen a depression already in its advanced stage, which may be an effective treatment.

Anonymous Patient Answer
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