TY - JOUR
AU - M. D. Rudd
AU - M. Wine
AU - R. Pedler
AU - M. Wright
AU - V. L. Gleason
AU - A. Pérez-Muñoz
AU - B. Tuna
AU - J. Tempchin
AU - T. A. Flowers
AU - C. J. Bryan
A1 - 
AB - Suicide is a leading cause of death among active-duty military personnel. Although specialty mental health services are readily available, primary care clinics represent the most frequently accessed clinical setting immediately preceding suicide deaths and suicide attempts among service members. Primary care clinics offer a critical and unique opportunity to implement interventions targeting suicide prevention. Effective engagement and response to servicemembers with elevated suicide risk requires scalable alternatives to traditional mental health care. The central focus of this study is to test the efficacy of Aviva, a scalable, digital adaptation of Brief Cognitive Behavioral Therapy for Suicide Prevention in three primary care clinics with active-duty military servicemembers in comparison to treatment as usual. This paper describes the design, methodology, and protocol of an active randomized controlled trial comparing Aviva to treatment as usual. The impact on subsequent suicidal ideation and behaviors during a year-long follow-up period will be evaluated. Clinical Trial Registration: NCT06318962.
AD - Department of Psychology, The University of Memphis, Memphis, TN, USA. Electronic address: mdrudd@memphis.edu.; Department of Psychology, Evans Army Community Hospital, Fort Carson Colorado, USA.; Department of Psychology, The University of Memphis, Memphis, TN, USA.; Department of Psychiatry & Behavioral Health, The Ohio State University College of Medicine, USA.
AN - 41076117
BT - Contemp Clin Trials
C5 - HIT & Telehealth; Healthcare Disparities
DA - Nov
DO - 10.1016/j.cct.2025.108107
DP - NLM
ET - 20251010
JF - Contemp Clin Trials
LA - eng
N2 - Suicide is a leading cause of death among active-duty military personnel. Although specialty mental health services are readily available, primary care clinics represent the most frequently accessed clinical setting immediately preceding suicide deaths and suicide attempts among service members. Primary care clinics offer a critical and unique opportunity to implement interventions targeting suicide prevention. Effective engagement and response to servicemembers with elevated suicide risk requires scalable alternatives to traditional mental health care. The central focus of this study is to test the efficacy of Aviva, a scalable, digital adaptation of Brief Cognitive Behavioral Therapy for Suicide Prevention in three primary care clinics with active-duty military servicemembers in comparison to treatment as usual. This paper describes the design, methodology, and protocol of an active randomized controlled trial comparing Aviva to treatment as usual. The impact on subsequent suicidal ideation and behaviors during a year-long follow-up period will be evaluated. Clinical Trial Registration: NCT06318962.
PY - 2025
SN - 1551-7144
SP - 108107
ST - Examining the efficacy of a digital therapeutic to prevent suicidal ideation and behaviors in a primary care setting: Design and methodology of a randomized controlled trial with military service members
T1 - Examining the efficacy of a digital therapeutic to prevent suicidal ideation and behaviors in a primary care setting: Design and methodology of a randomized controlled trial with military service members
T2 - Contemp Clin Trials
TI - Examining the efficacy of a digital therapeutic to prevent suicidal ideation and behaviors in a primary care setting: Design and methodology of a randomized controlled trial with military service members
U1 - HIT & Telehealth; Healthcare Disparities
U3 - 10.1016/j.cct.2025.108107
VL - 158
VO - 1551-7144
Y1 - 2025
ER -