mSTARS for Alcohol-Related Suicide Risk
(mSTARS Trial)
Trial Summary
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 or your healthcare provider.
What data supports the effectiveness of the treatment mSTARS for reducing alcohol-related suicide risk?
The research suggests that while alcohol use is linked to suicidal behavior, interventions like Crisis Resolution Teams (CRTs) can be effective for those with hazardous or harmful alcohol use, as they are not at increased risk of death or recontact within a year of treatment. This indicates that community-based interventions may help manage alcohol-related suicide risk.12345
How is the mSTARS treatment different from other treatments for alcohol-related suicide risk?
The mSTARS treatment is unique because it specifically targets alcohol-related suicide risk, which is a significant factor in suicidal behavior. Unlike other treatments that may focus broadly on alcohol use disorders, mSTARS is designed to address the specific link between alcohol misuse and suicide risk, potentially offering a more tailored approach to prevention.16789
What is the purpose of this trial?
Suicide is a high priority public health problem and an increasingly prevalent alcohol-related consequence. One-third of people who die by suicide consume alcohol at hazardous rates in the year preceding death. Most people in an acute suicide crisis who present for treatment are admitted to acute psychiatric hospitalization. Yet, the 30-day period following discharge from hospitalization is by far the riskiest period for another suicide crisis. The specific aim for this project is to use a successive cohort design to iteratively develop an intervention called mHealth-supported Skills Training for Alcohol-Related Suicidality (mSTARS). The study team will adapt and iteratively refine a cognitive-behavioral skills training intervention in emotion regulation to be administered in an acute care setting and paired with a post-discharge mHealth app that encourages application of these skills to real life. Two cohorts of five participants each will be enrolled in the project. Participants will complete mSTARS, an intervention that combines inpatient skills training and the mHealth telephone app. Upon completion of the 30-day period, participants will complete self-report measures and participate in an interview designed to evaluate their experience with the mSTARS intervention.
Eligibility Criteria
This trial is for adults over 18 who have been hospitalized for a suicide crisis and engage in hazardous drinking, as defined by specific scores on the AUDIT-C test. They must own a smartphone, speak English fluently, and report an average of at least 3 heavy drinking days per week.Inclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Inpatient Skills Training
Participants receive cognitive-behavioral skills training in emotion regulation while receiving inpatient psychiatric treatment
Post-discharge mHealth App Usage
Participants use a mHealth app to apply skills acquired during inpatient training to real-life situations
Follow-up
Participants are monitored for safety and effectiveness after treatment, including self-report measures and interviews
Treatment Details
Interventions
- mSTARS
Find a Clinic Near You
Who Is Running the Clinical Trial?
Duke University
Lead Sponsor