Use of crisis management interventions among suicidal patients

Results of a randomized controlled trial

Craig J. Bryan, Alexis M. May, David C. Rozek, Sean R. Williams, Tracy A. Clemans, Jim Mintz, Bruce Leeson, T. Scott Burch

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Previous research supports the efficacy of the crisis response plan (CRP) for the reduction of suicidal behaviors as compared to treatment as usual (TAU). Patient perspectives and use of the CRP, and their relationship to later suicidal thoughts, remain unknown. Methods: A secondary analysis of a randomized clinical trial comparing a standard CRP (S-CRP), a CRP enhanced with reasons for living (E-CRP), and TAU in a sample of 97 active-duty U.S. Army personnel was conducted. Participants were asked about their use, perceptions, and recall of each intervention. Generalized estimating equations were used to test the conditional effects of intervention use, perceptions, and recall on severity of suicide ideation during follow-up. Results: Across all treatment groups, over 80% of participants retained their written CRP up to 6 months later, but less than 25% had the written plan in their physical possession at the time of each assessment. Participants in S-CRP and E-CRP were more likely to recall self-management strategies and sources of social support. Participants in TAU were more likely to recall use of professional healthcare services and crisis management services. All three interventions were rated as highly useful. More frequent use of the E-CRP and recall of its components were associated with significantly reduced suicide ideation as compared to TAU. Conclusions: Both CRPs have high acceptability ratings. The effect of both CRPs on reduced suicide ideation is associated with patient recall of components. More frequent use of the E-CRP is associated with larger reductions in suicide ideation.

Original languageEnglish (US)
JournalDepression and Anxiety
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Crisis Intervention
Randomized Controlled Trials
Suicide
Therapeutics
Military Personnel
Self Care
Social Support
Delivery of Health Care
Research

Keywords

  • Acceptability
  • Crisis response plan
  • Military
  • Psychotherapy
  • Safety plan
  • Suicide

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Bryan, C. J., May, A. M., Rozek, D. C., Williams, S. R., Clemans, T. A., Mintz, J., ... Burch, T. S. (Accepted/In press). Use of crisis management interventions among suicidal patients: Results of a randomized controlled trial. Depression and Anxiety. https://doi.org/10.1002/da.22753

Use of crisis management interventions among suicidal patients : Results of a randomized controlled trial. / Bryan, Craig J.; May, Alexis M.; Rozek, David C.; Williams, Sean R.; Clemans, Tracy A.; Mintz, Jim; Leeson, Bruce; Burch, T. Scott.

In: Depression and Anxiety, 01.01.2018.

Research output: Contribution to journalArticle

Bryan, Craig J. ; May, Alexis M. ; Rozek, David C. ; Williams, Sean R. ; Clemans, Tracy A. ; Mintz, Jim ; Leeson, Bruce ; Burch, T. Scott. / Use of crisis management interventions among suicidal patients : Results of a randomized controlled trial. In: Depression and Anxiety. 2018.
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