Crisis Response Planning for Suicide Prevention
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if a special crisis response plan, known as Crisis Response Planning, can reduce suicidal thoughts more effectively than regular crisis counseling. Participants will receive either a one-hour personalized crisis plan or a standard crisis counseling session. Researchers will track changes in participants' mood, stress levels, and suicide risk over six months. Individuals with suicidal thoughts who do not have major medical or neurological issues may be suitable for this trial. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance crisis intervention strategies.
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.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Studies have shown that Crisis Response Planning (CRP) is a promising method to reduce suicidal thoughts and attempts. Research indicates that CRP can lower suicide attempts by up to 76% compared to traditional methods, suggesting that the treatment is generally well-tolerated. Significant negative side effects from CRP have not been reported, making it a safe option for many people.
For Crisis Risk Counseling, studies suggest it also helps reduce suicidal thoughts. This approach involves supportive listening and creating a safety plan, which participants find helpful. Most report feeling satisfied and find it useful, indicating it is a well-accepted and safe intervention.
Overall, both treatments have proven effective and safe for reducing suicidal thoughts and attempts, with no major adverse effects reported.12345Why are researchers excited about this trial?
Crisis Response Planning (CRP) is unique because it actively involves patients in identifying their personal warning signs and coping strategies for emotional crises. Unlike typical treatments that primarily focus on risk assessment and crisis resources, CRP encourages patients to collaboratively create a personalized action plan with their therapist, which is then documented on an index card for easy reference. This hands-on, personalized approach empowers patients and provides them with a tangible tool to manage suicidal ideation in real-world situations. Researchers are particularly excited about CRP's potential to enhance patient engagement and self-management, which could lead to more effective prevention of suicidal behavior.
What evidence suggests that this trial's treatments could be effective for suicide prevention?
Research has shown that Crisis Response Planning (CRP), one of the treatments in this trial, can effectively reduce suicidal thoughts and attempts. One study found that CRP lowered suicide attempts by up to 76% compared to traditional crisis help. It also quickly reduces suicidal thoughts and improves mood.
Crisis Risk Counseling, another treatment option in this trial, is also helpful. Most people who use crisis hotline services feel supported, with 88.1% reporting it stopped them from attempting suicide. However, CRP has stronger evidence for reducing actual suicide attempts and thoughts. Both treatments in this trial aim to reduce the risk of suicide by offering support and resources to those in crisis.12346Who 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
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive a 1-hour session of either crisis response planning (CRP) or standard crisis risk management
Post-Intervention Monitoring
Daily assessments of mood and suicidality for 10 days, then monthly assessments for six months
Follow-up
Participants are monitored for safety and effectiveness after treatment
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?
3
Treatment groups
Experimental Treatment
Active Control
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.
Individuals who have not experienced suicidal ideation will not complete a suicide 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:
- Suicide Prevention
- Posttraumatic Stress Disorder (PTSD) Management
Find a Clinic Near You
Who Is Running the Clinical Trial?
Ohio State University
Lead Sponsor
Published Research Related to This Trial
Citations
Comparing the Impacts of Crisis Response Plan and Self‐ ...
More frequent CRP use was linked with lower risk of suicidal ideation and greater positive affect. This may reflect better plan use due to ...
Crisis response planning rapidly reduces suicidal ideation ...
Crisis response planning (CRP), a brief safety planning-type intervention, has been shown to rapidly reduce suicidal ideation and suicide attempts.
Crisis Response Planning (CRP) - Suicide Prevention Therapy
CRP is a specific kind of safety planning-type intervention that has been shown to reduce suicide attempts by up to 76% as compared to traditional crisis ...
Effectiveness of Suicide Safety Planning Interventions
Evidence across a range of studies indicates that SSP is effective for reducing suicide behavior (SB) and ideation (SI).
Safety Planning Interventions for Suicide Prevention in ...
This systematic review and meta-analysis investigates the effectiveness of safety planning as a standalone intervention for suicide ...
6.
continuum.militaryfamilies.psu.edu
continuum.militaryfamilies.psu.edu/program/Crisis%20Response%20Planning%20(CRP)Crisis Response Planning (CRP)
Results indicated that the S-CRP and E-CRP groups experienced significant reductions in suicide attempts, significantly faster decline in suicide ideation, and ...
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