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Compensation: Varies

Number of Visits: 11

Duration: 1 hour

190 Participants Needed

Crisis Response Planning for Suicide Prevention

Recruiting at 1 trial location

Overseen ByStephanie Gorka, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Ohio State University

Disqualifiers: Manic episodes, Schizophrenia, Substance use, others

No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests if a one-hour session of Crisis Response Planning (CRP) can help adults with suicidal thoughts by giving them a personalized plan to manage their feelings. The study compares CRP to other methods to see which is more effective in reducing suicide risk over time.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators.

How is the Crisis Response Planning treatment different from other treatments for suicide prevention?

Crisis Response Planning (CRP) is unique because it focuses on creating a personalized plan to manage suicidal thoughts by identifying warning signs, coping strategies, and support networks, rather than relying on standard care or contracts for safety. This approach is more proactive and individualized, aiming to empower patients to handle crises effectively.¹ ² ³ ⁴ ⁵

Who Is on the Research Team?

Stephanie Gorka, PhD

Principal Investigator

Ohio State University

Are You a Good Fit for This Trial?

Adults with current suicidal intent, as indicated by a score of 5 or more on the Beck's Scale for Suicidal Ideation. Participants must be generally healthy and able to give informed consent. Excluded are those with certain mental health conditions, pregnant women, individuals under drug influence during scans, people uncomfortable in small spaces, non-English speakers, and anyone with metal implants.

Inclusion Criteria

I am generally healthy without major medical or neurological issues.

Willing and able to give informed consent

Individuals in the acutely suicidal group: endorse current suicide intent as indicated by a total score of 5 or greater on the Beck's Scale for Suicidal Ideation.

Exclusion Criteria

Currently pregnant or trying to become pregnant

I do not have any health conditions that would affect my participation in the study.

Inability to tolerate small, enclosed spaces without significant anxiety

See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 1-hour session of either crisis response planning (CRP) or standard crisis risk management

1 hour

1 visit (in-person)

Post-Intervention Monitoring

Daily assessments of mood and suicidality for 10 days, then monthly assessments for six months

6 months

Daily assessments for 10 days, monthly assessments thereafter

Follow-up

Participants are monitored for safety and effectiveness after treatment

6 months

Monthly assessments

What Are the Treatments Tested in This Trial?

Interventions

Crisis Response Planning
Crisis Risk Counseling
CRP
TAU

Trial Overview The study compares two suicide prevention strategies: a one-hour session of Crisis Response Planning (CRP) versus standard crisis risk management. The impact on emotion regulation and suicide risk is assessed immediately after and six months post-intervention. Daily mood checks occur for the first ten days then monthly up to six months.

How Is the Trial Designed?

3Treatment groups

Experimental Treatment

Active Control

Group I: Crisis Response Planning (CRP)Experimental Treatment1 Intervention

The crisis response planning (CRP) session will last between 30 minutes to 1-hour. It will occur face-to-face with a trained study therapist. The CRP session involves the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established). The CRP active component involves a collaborative process in which the therapist invites the patient to share the events, symptoms, and contextual factors leading up to and surrounding the participant's suicidal crisis. Next, the patient and therapist identify the patient's personal warning signs for an emotional crisis, self-management coping skills, patient's reasons for living, and sources of social support. These components are written, by the patient, on an index card. The index card serves as a concrete reference for patients in the real-world.

Group II: ControlActive Control1 Intervention

Individuals who have not experienced suicidal ideation will not complete a suicide intervention.

Group III: Crisis Risk CounselingActive Control1 Intervention

The crisis risk counseling session will last between 30 minutes to 1-hour. It will occur face-to-face with a trained study therapist. It will include the following standard suicide intervention strategies: supportive listening, provision of crisis resources, and referral to a mental health professional (if not already established). The therapist will conduct a semi-structured suicide risk assessment interview, after which subjects will complete a self-guided safety plan worksheet. The worksheet takes approximately 10-minutes to complete and will be done independently.

Crisis Response Planning is already approved in United States for the following indications:

Approved in United States as Crisis Response Planning for:

Suicide Prevention
Posttraumatic Stress Disorder (PTSD) Management

Find a Clinic Near You

Who Is Running the Clinical Trial?

Ohio State University

Lead Sponsor

Trials

891

Recruited

2,659,000+

Published Research Related to This Trial

Crisis response planning significantly reduced the incidence of suicide attempts among active duty Army Soldiers, with only 5% of participants using this plan attempting suicide compared to 19% using a contract for safety, indicating a 76% reduction in attempts.

Participants who received crisis response planning experienced a faster decline in suicidal thoughts and fewer days in inpatient care, demonstrating its effectiveness in improving mental health outcomes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of crisis response planning vs. contracts for safety on suicide risk in U.S. Army Soldiers: A randomized clinical trial.Bryan, CJ., Mintz, J., Clemans, TA., et al.[2022]

A systematic review of 22 studies found that suicide safety planning (SSP) is effective in reducing suicidal behavior and ideation, highlighting its importance as a suicide prevention strategy.

SSP can be delivered in various formats, including standard, enhanced, and electronically, but more research is needed to explore its impact on mental illness symptoms and resilience.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of Suicide Safety Planning Interventions: A Systematic Review Informing Occupational Therapy.Marshall, CA., Crowley, P., Carmichael, D., et al.[2023]

In a study involving 97 active-duty U.S. Army personnel, both standard and enhanced crisis response plans (CRPs) were found to be highly acceptable and useful, with over 80% of participants retaining their written plans for up to 6 months.

More frequent use and better recall of the enhanced CRP, which includes reasons for living, were linked to significantly lower levels of suicidal thoughts compared to treatment as usual, highlighting its potential effectiveness in reducing suicide ideation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Use of crisis management interventions among suicidal patients: Results of a randomized controlled trial.Bryan, CJ., May, AM., Rozek, DC., et al.[2022]