TY - JOUR
KW - Crisis Intervention
KW - Delivery of Health Care, Integrated
KW - Humans
KW - Mental Health
KW - Pilot Projects
KW - Suicide/prevention & control
KW - Brief educational intervention
KW - integrated care
KW - Remote research
KW - Suicide Prevention
KW - Veteran
AU - N. B. Riblet
AU - L. Kenneally
AU - S. Stevens
AU - B. V. Watts
AU - J. Gui
AU - J. Forehand
AU - S. Cornelius
AU - G. S. Rousseau
AU - J. C. Schwartz
AU - B. Shiner
A1 - 
AB - OBJECTIVE: Patients who die by suicide are often seen in primary care settings in the weeks leading to their death. There has been little study of brief interventions to prevent suicide in these settings. METHOD: We conducted a virtual, pilot, randomized controlled trial of a brief suicide prevention strategy called Veterans Affairs Brief Intervention and Contact Program (VA BIC) in patients who presented to a primary care mental health walk-in clinic for a new mental health intake appointment and were at risk for suicide. Our primary aim was to assess feasibility. We measured our ability to recruit 20 patients. We measured the proportion of enrolled patients who completed all study assessments. We assessed adherence among patients assigned to VA BIC. RESULTS: Twenty patients were enrolled and 95% (N = 19) completed all study assessments. Among the 10 patients assigned to VA BIC, 90% (N = 9) of patients completed all required intervention visits, and 100% (N = 10) completed ≥70% of the required interventions visits. CONCLUSION: It is feasible to conduct a virtual trial of VA BIC in an integrated care setting. Future research should clarify the role of VA BIC as a suicide prevention strategy in integrated care settings using an adequately powered design. CLINICAL TRIAL REGISTRATION: NCT04054947.
AD - Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America; Department of Psychiatry and Dartmouth Institute, Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH 03755, United States of America. Electronic address: Natalie.Riblet@dartmouth.edu.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH 03755, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH 03755, United States of America; Veterans Rural Health Resource Center, White River Junction VA Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America; Department of Biomedical Data Science, Dartmouth Institute, Community and Family Medicine, Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH 03755, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, United States of America; Department of Psychiatry, Geisel School of Medicine, Dartmouth College, 1 Rope Ferry Road, Hanover, NH 03755, United States of America.; Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, Un(TRUNCATED)
BT - General hospital psychiatry
C5 - Healthcare Disparities
DO - 10.1016/j.genhosppsych.2022.02.002
JF - General hospital psychiatry
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: Patients who die by suicide are often seen in primary care settings in the weeks leading to their death. There has been little study of brief interventions to prevent suicide in these settings. METHOD: We conducted a virtual, pilot, randomized controlled trial of a brief suicide prevention strategy called Veterans Affairs Brief Intervention and Contact Program (VA BIC) in patients who presented to a primary care mental health walk-in clinic for a new mental health intake appointment and were at risk for suicide. Our primary aim was to assess feasibility. We measured our ability to recruit 20 patients. We measured the proportion of enrolled patients who completed all study assessments. We assessed adherence among patients assigned to VA BIC. RESULTS: Twenty patients were enrolled and 95% (N = 19) completed all study assessments. Among the 10 patients assigned to VA BIC, 90% (N = 9) of patients completed all required intervention visits, and 100% (N = 10) completed ≥70% of the required interventions visits. CONCLUSION: It is feasible to conduct a virtual trial of VA BIC in an integrated care setting. Future research should clarify the role of VA BIC as a suicide prevention strategy in integrated care settings using an adequately powered design. CLINICAL TRIAL REGISTRATION: NCT04054947.
PY - 2022
SN - 1873-7714; 0163-8343
SP - 68
EP - 74
EP - 
T1 - A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting
T2 - General hospital psychiatry
TI - A virtual, pilot randomized trial of a brief intervention to prevent suicide in an integrated healthcare setting
U1 - Healthcare Disparities
U2 - 35202942
U3 - 10.1016/j.genhosppsych.2022.02.002
VL - 75
VO - 1873-7714; 0163-8343
Y1 - 2022
Y2 - Mar-Apr
ER -