A Randomized Clinical Trial of the Collaborative Assessment and Management of Suicidality vs. Enhanced Care as Usual for Suicidal Soldiers

Jobes, David A.; Comtois, Katherine Anne; Gutierrez, Peter M.; Brenner, Lisa A.; Crow, Bruce; Singer, Bradley; Jennings, Keith

doi:10.21236/ada562326

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This report presents an analysis of pooled baseline data from three RCTs examining suicide interventions in active duty military personnel (Bryan, 2013; Comtois, McDonnell, & Ries, 2013; Jobes, Comtois, Gutierrez, & Brenner, 2011). Data were collected between 2011 and 2015.…”

Section: Methodsmentioning

confidence: 99%

Current Suicidal Ideation Among Treatment-Engaged Active-Duty Soldiers and Marines

Zimmerman

Villatte

Kerbrat

et al. 2015

Military Behavioral Health

View full text Add to dashboard Cite

We examined suicidal ideation among 399 active duty Soldiers and Marines engaged in mental health treatment. Using a generalized linear model controlling for demographic and military factors, depression, and positive traumatic brain injury screen, we confirmed our hypothesis that self-report measures of current PTSD symptoms uniquely predicted suicidal ideation. The association between PTSD severity and suicidal ideation was moderated by gender with women at higher risk as PTSD severity increased. Female Soldiers and Marines with high levels of PTSD should receive additional monitoring and intervention. Self-report measures may aid with risk assessment and identify symptom-related distress associated with suicide risk.

show abstract

Section: Methodsmentioning

confidence: 99%

Current Suicidal Ideation Among Treatment-Engaged Active-Duty Soldiers and Marines

Zimmerman

Villatte

Kerbrat

et al. 2015

Military Behavioral Health

View full text Add to dashboard Cite

show abstract

Using a Tablet-Based App to Deliver Evidence-Based Practices for Suicidal Patients in the Emergency Department: Pilot Randomized Controlled Trial

Dimeff¹,

Jobes²,

Koerner³

et al. 2021

JMIR Ment Health

View full text Add to dashboard Cite

Background Emergency departments (EDs) have the potential to provide evidence-based practices for suicide prevention to patients who are acutely suicidal. However, few EDs have adequate time and personnel resources to deliver recommended evidence-based assessment and interventions. To raise the clinical standard of care for patients who are suicidal and seeking psychiatric crisis services in the ED, we developed Jaspr Health, a tablet-based app for direct use by such patients, which enables the delivery of 4 evidence-based practices. Objective This study aims to evaluate the feasibility, acceptability, and effectiveness of Jaspr Health among suicidal adults in EDs. Methods Patients who were acutely suicidal and seeking psychiatric crisis services participated in an unblinded pilot randomized controlled trial while in the ED. Participants were randomly assigned to Jaspr Health (n=14) or care as usual (control; n=17) groups. Participants were assessed at baseline, and a 2-hour posttest using self-report measures and a semistructured interview were conducted. Results Conditions differed significantly at baseline with regard to age but not other demographic variables or baseline measures. On average, participants had been in the ED for 17 hours before enrolling in the study. Over their lifetime, 84% (26/31) of the sample had made a suicide attempt (mean 3.4, SD 6.4) and 61% (19/31) had engaged in nonsuicidal self-injurious behaviors, with an average rate of 8.8 times in the past 3 months. All established feasibility and acceptability criteria were met: no adverse events occurred, participants’ app use was high, Jaspr Health app user satisfaction ratings were high, and all participants using Jaspr Health recommended its use for other suicidal ED patients. Comparisons between study conditions provide preliminary support for the effectiveness of the app: participants using Jaspr Health reported a statistically significant increase in receiving 4 evidence-based suicide prevention interventions and overall satisfaction ratings with their ED experience. In addition, significant decreases in distress and agitation, along with significant increases in learning to cope more effectively with current and future suicidal thoughts, were observed among participants using Jaspr Health compared with those receiving care as usual. Conclusions Even with limited statistical power, the results showed that Jaspr Health is feasible, acceptable, and clinically effective for use by ED patients who are acutely suicidal and seeking ED-based psychiatric crisis services. Trial Registration ClinicalTrials.gov NCT03584386; https://clinicaltrials.gov/ct2/show/NCT03584386

show abstract

A Randomized Clinical Trial of the Collaborative Assessment and Management of Suicidality vs. Enhanced Care as Usual for Suicidal Soldiers

Cited by 2 publications

References 0 publications

Current Suicidal Ideation Among Treatment-Engaged Active-Duty Soldiers and Marines

Current Suicidal Ideation Among Treatment-Engaged Active-Duty Soldiers and Marines

Using a Tablet-Based App to Deliver Evidence-Based Practices for Suicidal Patients in the Emergency Department: Pilot Randomized Controlled Trial

Contact Info

Product

Resources

About