October 18, 2022
- Project 1 involves a two-stage study aimed at developing and testing a treatment prognosis calculator to identify which suicidal service members are likely to respond well to typical mental health treatment and which should instead receive brief cognitive behavioral therapy for suicide prevention, a specialized treatment proven to reduce suicide attempts among military personnel by 60%. This project will be led by Jay Fournier, director of the Mood and Anxiety Program at Ohio State’s Department of Psychiatry and Behavioral Health. It will be conducted across three military bases: Lackland Air Force Base in Texas, Wright-Patterson Air Force Base in Ohio and Joint Base Andrews in Maryland.
- Project 2 is a clinical trial to test the effectiveness of brief cognitive behavioral therapy for suicide prevention delivered via smartphone app, for reducing suicidal ideation and suicide attempts among service members seeking treatment in primary care clinics. Service members will be repeatedly assessed for one year to determine if use of the app reduces suicidality as compared to treatment as usual. The study will be conducted in primary care clinics at Fort Carson, Colo.
- Project 3 is a clinical trial to assess the impact of crisis response planning training for emergency department clinicians. In this study, emergency department clinicians will be randomly assigned to participate in a crisis response planning workshop with follow-up consultation and support. Crisis response planning is a brief intervention proven to reduce suicide attempts among military personnel by 76%. Service members will be repeatedly assessed for one year to determine if crisis response planning reduces their suicidality as compared to existing crisis management procedures.
- Project 4 will seek to understand for whom and under what circumstances specific stress management strategies are most effective for reducing suicidality. This project will enroll a national sample of suicidal service members who are not engaged in mental health treatment. All participants will collaboratively develop a crisis response plan with a trained researcher, then complete 28 consecutive days of assessment surveys via smartphone to assess real-time fluctuations in suicidal ideation and use of stress management and crisis response planning strategies. This project will be led by Lauren Khazem and Heather Wastler, who are both assistant professors in Ohio State’s Department of Psychiatry and Behavioral Health.
- Project 5 will test a brief intervention designed to improve the effectiveness of lethal means counseling on secure firearm storage among firearm owning service members. Participants will receive a brief intervention to improve their ability to tolerate uncertainty as well as lethal means counseling, with a 14-day period of smartphone-based surveys to assess real-time fluctuations in mood following each intervention. Researchers will assess safe firearm storage practices during follow-up. This project will be led by Nik Allan, research assistant professor in Ohio State’s Department of Psychiatry and Behavioral Health.
This work was supported by the Office of the Assistant Secretary of Defense for Health Affairs and the Defense Health Agency J9, Research and Development Directorate, or the U.S. Army Medical Research Acquisition Activity at the U.S. Army Medical Research and Development Command, in the amount of $8,375,496 through the Peer Reviewed Medical Research Program under Award No. (W81XWH-22-2-0072). Opinions, interpretations, conclusions and recommendations are those of the author and are not necessarily endorsed by the Department of Defense.
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