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Evaluation of a Telehealth Case Management Intervention to Prevent Suicide Among Soldiers Discharged From Psychiatric Hospitalization 1.500 E-health Op afstand

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De klinische studie NCT07404787 is een interventioneel studie bij Zelfmoord, Zelfmoordpoging met de status nog niet rekruterend. De inclusie van 1.500 deelnemers start op 11 februari 2026. De studie wordt geleid door Uniformed Services University of the Health Sciences en de voltooiing is gepland op 31 augustus 2029. Laatste update op ClinicalTrials.gov: 11 februari 2026.
Beknopte samenvatting
This study evaluates the effectiveness of Pathfinding, a 6-month, remotely-delivered case management intervention designed to decrease suicidal behavior among active-duty Regular Army soldiers recently discharged from inpatient psychiatric treatment. Soldiers discharged from military treatment facilities across the U.S. will be identified and recruited to participate. Those who consent will be randomly assigned to re...Toon meer
Uitgebreide beschrijving
Discharge from psychiatric hospitalization is the highest risk period for death by suicide. Intensive case management programs have been effective in reducing post-discharge suicidal behavior, but such programs are too resource-intensive to implement for all psychiatric inpatients. It would be more scalable to target the intervention to those most likely to benefit and implement it remotely with centralized training ...Toon meer
Officiële titel

SAFEGUARD Phase 2 Pathfinding Study

Aandoeningen
ZelfmoordZelfmoordpoging
Publicaties
Wetenschappelijke artikelen en onderzoekspapers gepubliceerd over deze klinische studie:
  • Herman, D. B., Susser, E. S., & Conover, S. (2024). Critical Time Intervention: Mobilizing Supports for People During Perilous Transitions. Oxford University Press.
  • Miller, I., Gaudiano, B., & Weinstock, L. (2022). The Coping Long Term with Active Suicide Program (CLASP): A multi-modal intervention for suicide prevention. Oxford Unive...
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Andere studie-ID's
  • USUHS.2025-156
  • Federal Award # HU00012520025 (Ander subsidie-/financieringsnummer) (Office of the Assistant Secretary of Defense for Health Affairs)
NCT-ID
NCT07404787
Startdatum (Werkelijk)
2026-02-11
Laatste update geplaatst
2026-02-11
Verwachte einddatum
2029-08-31
Inschrijving (Geschat)
1.500
Studietype
Interventioneel
FASE
N.v.t.
Status
Nog niet rekruterend
Trefwoorden
suicide
suicide attempt
hospital discharge
military
intervention
case management
Primaire doel
Preventie
Toewijzing
Gerandomiseerd
Interventiemodel
Parallel
Blindering
Geen (Open-label)
Armen / Interventies
Deelnemersgroep/StudiearmInterventie/Behandeling
ExperimenteelPathfinding intervention plus Treatment As Usual (TAU)
Pathfinding is a 6-month, adjunctive, telehealth intervention that integrates 2 evidence-based case management programs and adapts them for active duty soldiers: Coping Long Term with Active Suicide Program (CLASP), a case management intervention for suicidal patients transitioning out of psychiatric hospitals; and Critical Time Intervention (CTI), a more general case management intervention for high-risk transitions...Toon meer
Pathfinding
The Pathfinding intervention consists of remote (videoconference or phone) interactions between participants and masters-level Guides over the 6 months following study enrollment. Participants have the option of involving a support person (SP) in the intervention (e.g., family member, friend). First 4 sessions (45 min. each) occur as soon as possible following hospital discharge and focus on orientation to Pathfindin...Toon meer
Actieve comparatorTreatment As Usual (TAU)
Treatment As Usual (TAU) is the Army's standard care for soldiers discharged from inpatient psychiatric treatment. It involves discharge planning, risk assessment, and referrals (as detailed in the TAU intervention description).
Behandeling zoals gebruikelijk (TAU)
TAU is standard post-discharge care based on Defense Health Agency policy (DHA Administrative Instruction 6025.06): Discharge plans must consist of referral with plans for outpatient or partial hospitalization follow-up within 7 days (optimally within 72 hours). Discharged patients are placed on a High-Risk (HR) list for at least 30 days. During this period, patients are seen weekly for follow-up appointments or atte...Toon meer
Primaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Suicide-related behaviors
Suicide-related behaviors are defined as: suicide death (administratively documented or informant reported), nonfatal suicide attempt (self-reported or administratively documented), and interrupted suicide attempt, aborted suicide attempt, and preparatory behaviors for suicide (the latter 3 are all self-reported).
Within the 12 months following completion of the baseline assessment
Secundaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Number of suicide attempts
A count of nonfatal suicide attempts (self-reported or administratively documented) that occurred during the follow-up period.
Within the 12 months following completion of the baseline assessment
Rehospitalization
Psychiatric hospitalization (self-reported, informant reported, or administratively documented) during the follow-up period.
Within the 12 months following completion of the baseline assessment
Non-suicide death
Any manner of death other than suicide (informant reported or administratively documented) during the follow-up period.
Within the 12 months following completion of the baseline assessment
Risky behaviors
Risky behaviors (self-reported) related to driving or riding in a vehicle, sexual encounters, and aggression (bullying, sexual harassment, intimate partner violence) during the follow-up period.
Within the 12 months following completion of the baseline assessment
Suicide ideation
Worst-week frequency, severity, and controllability of suicide ideation during the follow-up period.
Within the 12 months following completion of the baseline assessment
Low psychological resilience
Perceived increase or decrease in ability to manage stressful experiences (self-reported) during the follow-up period.
Within the 12 months following completion of the baseline assessment
Deelname-assistent
Geschiktheidscriteria

Leeftijd van deelnemers
Volwassene, Oudere volwassene
Minimumleeftijd
18 Years
Geslachten die in aanmerking komen voor de studie
Allen
  • Active duty Regular Army soldiers recently discharged from inpatient psychiatric care at a military treatment facility in the US
  • Access to telephone and computer (including smartphone)

  • Impaired ability to provide informed consent
  • Terminal illness
  • Failure to complete baseline survey within 30 days of discharge
  • Positive screen for post-discharge suicide-related behaviors
Uniformed Services University of the Health Sciences logoUniformed Services University of the Health Sciences
Centraal Contactpersoon
Contact: Pathfinding Study, 301-295-3409, [email protected]
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