538 Participants Needed

Crisis Line Training for Suicide Prevention in National Guard Members

(CONNECT Trial)

AP
Overseen ByAmanda Price
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Michigan
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

National Guard (NG) are affected by suicide at a much higher rate than civilians. The Military and Veterans Crisis Line (MVCL) is not being used as often as we would expect. The purpose of this study is to find out whether a group-based training session will impact awareness and use of the Military and Veterans Crisis Line (MVCL) among members of the National Guard.

Will I have to stop taking my current medications?

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

Is Crisis Line Facilitation safe for use in humans?

The available research on Crisis Line Facilitation (CLF) does not report any safety concerns for humans. It has been used in studies with Veterans to encourage the use of crisis lines, and no adverse effects have been noted.12345

How is the Crisis Line Facilitation treatment different from other treatments for suicide prevention?

Crisis Line Facilitation (CLF) is unique because it involves a therapist-led session that educates participants about the crisis line, addresses their concerns about using it, and includes a practice call to the line. This approach is designed to increase comfort and confidence in using the crisis line during future crises, which is different from other treatments that may not focus on direct engagement with crisis resources.13467

What data supports the effectiveness of the treatment Crisis Line Facilitation (CLF) for suicide prevention in National Guard Members?

Research on Crisis Line Facilitation (CLF) shows that it can help reduce suicidal behaviors in high-risk Veterans by increasing their comfort and confidence in using crisis lines during emergencies. Although the effect on actual crisis line usage was not significant, the intervention has been shown to prevent suicidal behaviors in similar populations.12345

Who Is on the Research Team?

MI

Mark Ilgen, PhD

Principal Investigator

University of Michigan

Are You a Good Fit for This Trial?

This trial is for Michigan Army National Guard members who are part of a unit with over 25 people. Participants must be able to understand the study and agree to join it voluntarily, meaning they can provide informed consent.

Inclusion Criteria

Michigan Army National Guard member
Associated with a unit with more than 25 members

Exclusion Criteria

I am unable to understand and give consent for treatment.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Participants undergo group-based training sessions to increase awareness and use of the Military and Veterans Crisis Line (MVCL)

1-2 weeks

Follow-up

Participants are monitored for utilization of the Military and Veterans Crisis Line (MVCL) via self-report survey items

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Crisis Line Facilitation (CLF)
  • Passive Implementation
Trial Overview The study tests if group training sessions can increase awareness and usage of the Military and Veterans Crisis Line among National Guard members, potentially helping reduce suicide rates within this community.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Crisis Line Facilitation (CLF)Experimental Treatment1 Intervention
Group II: Passive ImplementationActive Control1 Intervention

Crisis Line Facilitation (CLF) is already approved in United States for the following indications:

🇺🇸
Approved in United States as National Suicide Prevention Lifeline for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Michigan

Lead Sponsor

Trials
1,891
Recruited
6,458,000+

Centers for Disease Control and Prevention

Collaborator

Trials
902
Recruited
25,020,000+

Michigan Army National Guard

Collaborator

Trials
1
Recruited
540+

Published Research Related to This Trial

The Crisis Line Facilitation (CLF) intervention, which includes education about the Veterans Crisis Line (VCL) and practice calls, showed a significant reduction in suicidal behaviors among high-risk Veterans compared to Enhanced Usual Care over a 12-month follow-up period.
Despite the positive impact on suicidal behaviors, the CLF intervention did not significantly increase the utilization of the VCL among participants, indicating that while it may help prevent crises, it does not necessarily encourage Veterans to reach out for help through the VCL.
Encouraging the use of the Veterans Crisis Line among high-risk Veterans: A randomized trial of a Crisis Line Facilitation intervention.Ilgen, MA., Price, AM., Coughlin, LN., et al.[2023]
Crisis Line Facilitation (CLF) is a brief intervention aimed at increasing the use of the Veterans Crisis Line (VCL) among high-risk Veterans, addressing barriers to its use and providing psychoeducational support.
Preliminary results from a study with 301 participants indicate that Veterans who received CLF reported significantly greater comfort and confidence in using the VCL during crises compared to those who did not receive the intervention.
Developing and testing Crisis Line Facilitation (CLF) to encourage help-seeking in adults receiving inpatient treatment for a suicidal crisis.Ilgen, MA., Stewart, HJ., Lhermitte, SL., et al.[2021]
A review of 33 studies on crisis line services found that while these services aim to reduce psychological distress and suicide risk, high-quality evidence demonstrating their effectiveness is lacking, with most studies rated at high risk of bias.
Most studies focused only on immediate outcomes during the crisis, highlighting the need for future research to assess both short-term and long-term impacts on behavioral health treatment engagement and self-directed violence.
The Effectiveness of Crisis Line Services: A Systematic Review.Hoffberg, AS., Stearns-Yoder, KA., Brenner, LA.[2020]

Citations

Encouraging the use of the Veterans Crisis Line among high-risk Veterans: A randomized trial of a Crisis Line Facilitation intervention. [2023]
Developing and testing Crisis Line Facilitation (CLF) to encourage help-seeking in adults receiving inpatient treatment for a suicidal crisis. [2021]
The Effectiveness of Crisis Line Services: A Systematic Review. [2020]
National Suicide Prevention Lifeline crisis chat interventions: Evaluation of chatters' perceptions of effectiveness. [2022]
An Open Trial of a Suicide Safety Planning Group Treatment: "Project Life Force". [2023]
Caught Between Expectations and the Practice Field. [2022]
Establishing standards for the assessment of suicide risk among callers to the national suicide prevention lifeline. [2007]
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