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Suicidal Ideation ActiveOWLNCT01300169

Operation Worth Living Project With Suicidal Soldiers at Ft. Stewart

A study testing The Collaborative Assessment and Management of Suicidality and Enhanced Care as Usual in people with Suicidal Ideation Active and Suicidal and Self-injurious Behavior, run by The Catholic University of America.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a randomized controlled trial comparing the use of new clinical intervention (the "Collaborative Assessment and Management of Suicidality--CAMS") versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
The Collaborative Assessment and Management of Suicidality and Enhanced Care as Usual
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
No sites listed yet
Study dates
Mar 2011to 15 Mar 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Active duty Army personnel at FSGA
  • Significant suicidal ideation
  • Soldier is appropriate under FSGA policies
  • Consent at baseline and follow up
  • Consent to randomization and being digitally recorded

Who cannot join

  • Significant psychosis, cognitive or physical impairment to not give consent
  • Judicially ordered treatments

About this study

Official title: A Randomized Clinical Trial of the Collaborative Assessment and Management of Suicidality Versus Enhanced Care as Usual for Suicidal Soldiers

This is a randomized controlled trial comparing the use of new clinical intervention (the "Collaborative Assessment and Management of Suicidality--CAMS") versus enhanced care as usual for suicidal Soldiers who are seen at outpatient mental health clinics at Ft. Stewart GA.

Read the detailed description

This is a randomized controlled clinical trial of 148 suicidal active-duty US Army Soldiers. Participants were randomized to on-site providers who were trained in the Collaborative Assessment and Management of Suicidality (CAMS) vs. providers doing their own routine care--referred to as Enhanced Care as Usual (E-CAU) within an outpatient military treatment center. The CAMS Rating Scale (CRS) was used to reliably verify fidelity between treatment conditions and the adherence by CAMS providers to the model. Participants received informed consent to be randomly assigned to treatment arm and were ask to complete study assessments at baseline, 3 months, 6 months, and 12 months after the start of treatment. Recruitment is complete and all study assessments were completed as of March 2016. The study is in a second year of no cost extension; outcome data analyses and moderator analyses are currently underway to develop manuscripts for submission to peer-review scientific journals.

Being tested
The Collaborative Assessment and Management of Suicidality, Enhanced Care as Usual
Keywords
Suicide, Assessment, Intervention, CAMS
Medical subject headings
Self-Injurious Behavior, Suicide

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • The Collaborative Assessment and Management of SuicidalityBehavioural

    Intensive outpatient, suicide-focused, psychotherapy designed to target and treat the "drivers" of suicidal ideation and behaviors.

  • Enhanced Care as UsualBehavioural

    This is just standard outpatient mental health care that is routinely provided in the study site outpatient clinic

Study groups in NCT01300169
Study groupRoleWhat they receive
CAMS--Collaborative Driver-TreatmentExperimentalThe Collaborative Assessment and Management of Suicidality (CAMS) is a suicide-specific clinical intervention that targets and treats patient-defined suicidal "drivers" over the course of clinical care.
Receives: Behavioral: The Collaborative Assessment and Management of Suicidality
Enhanced Care as Usual--E-CAUActive comparatorThis control group treatment will reflect current clinical practices for treating suicidal soldiers in the research site setting. These are providers were on site clinicians who provided care according to their usual and customary practices for working with suicidal risk within outpatient care.
Receives: Behavioral: Enhanced Care as Usual

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Scale for Suicidal Ideation

    Industry standard for self-report suicidal ideation

    Measured: Baseline, post-treatment, 1, 3, 6, 12 months

Secondary outcomes (1)
  1. Overall symptom distress

    Outcome Questionnaire-45

    Measured: Baseline, post treatment, 1, 3, 6, 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2011 (estimated)
  2. Study startMar 2011
  3. Primary completion15 Mar 2017
  4. Study completion15 Mar 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01300169
Sponsor's protocol ID
CUA-001
Other IDs
09134002
Acronym
OWL
Status last verified
May 2017
First submitted
17 Feb 2011
Last updated
31 May 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Lynch T, Bathe VC, Jobes DA. The Content of Patient-Identified Suicidal Drivers within CAMS Treatment Planning. Arch Suicide Res. 2024 Jan-Mar;28(1):411-417. doi: 10.1080/13811118.2022.2151958. Epub 2022 Dec 22.

    PubMed 36550770
  • Corona CD, Gutierrez PM, Wagner BM, Jobes DA. The psychometric properties of the Collaborative Assessment and Management of Suicidality rating scale. J Clin Psychol. 2019 Jan;75(1):190-201. doi: 10.1002/jclp.22699. Epub 2018 Oct 6.

    PubMed 30291761
  • Jobes DA, Comtois KA, Gutierrez PM, Brenner LA, Huh D, Chalker SA, Ruhe G, Kerbrat AH, Atkins DC, Jennings K, Crumlish J, Corona CD, Connor SO, Hendricks KE, Schembari B, Singer B, Crow B. A Randomized Controlled Trial of the Collaborative Assessment and Management of Suicidality versus Enhanced Care as Usual With Suicidal Soldiers. Psychiatry. 2017 Winter;80(4):339-356. doi: 10.1080/00332747.2017.1354607.

    PubMed 29466107

Questions about this trial

What is this clinical trial studying?

A study testing The Collaborative Assessment and Management of Suicidality and Enhanced Care as Usual in people with Suicidal Ideation Active and Suicidal and Self-injurious Behavior, run by The Catholic University of America.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 May 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Scale for Suicidal Ideation (time frame: Baseline, post-treatment, 1, 3, 6, 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01300169, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2017.

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