Intensive case management linking VA and community care to prevent suicide in Veterans

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a hybrid effectiveness Type 1 randomized controlled trial that will enroll about 100 VA-enrolled Veterans and randomize them to SUPERCEDE or present-centered therapy (PCT). SUPERCEDE combines Brief Cognitive Behavioral Therapy for Suicide Prevention (BCBT-SP), a Crisis Response Plan, intensive case management to address suicide risk factors, and formal coordination with VA-authorized community care. The control arm receives PCT matched in session number (3 sessions with an optional 3 additional sessions) delivered by therapists trained in both interventions. Participants are recruited through the VA Eastern Colorado Health Care System and VA records, must be able to complete online questionnaires and virtual consent, and outcomes focus on access, care coordination, suicide prevention monitoring, feasibility, acceptability, and implementation.

Why it matters

Who can join: the full rules

Inclusion Criteria: Veterans must be:

* enrolled in the VA Eastern Colorado Health Care System (ECHCS)
* able to complete an online questionnaire
* age 18-80 years
* able to comprehend and provide virtual informed consent
* receiving both VA care and VA authorized community care, through the MISSION Act, which is related to any physical or mental health disorder
* Veteran's non-VA care is authorized (i.e., non-VA care/treatment approved in advance by the VA)
* at risk for suicide, which is defined as any 1 of the following circumstances: a) prior lifetime suicide attempt; b) suicidal ideation in the past month; c) current mental health symptoms, defined as PHQ-9 \>10, or PCL-5 \>31
* psychosocial challenges reported on the ACORN or Assessment of Needs measure
* issues with VA community care coordination (i.e., Veteran reported challenges, consults canceled in medical record, appointments canceled or rescheduled in medical record, etc.)
* receiving no or infrequent mental health services at the VA (e.g., seen less than once a month by a mental health provider).

Exclusion Criteria: Veterans must be:

* not at imminent risk of suicide or homicide warranting crisis intervention (will be able to participate once stabilized)
* unable or unwilling to participate in the intervention (e.g., unwilling to provide VA community care information, etc.)
* without access to a device capable of telephone calls or video calls
* presenting with any situation which the principal investigator deems this type of care is inappropriate for the Veteran.

Where it's running

• Eastern Colorado Healthcare System
  Aurora, Colorado, United States Recruiting

Study contacts

• Principal investigator: Bryann B DeBeer, PhD — Eastern Colorado Healthcare System
• Study coordinator: Bryann B DeBeer, PhD
• Email: Bryann.DeBeer@va.gov
• Phone: 254-987-0341

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.