Motivational Interviewing to Prevent Suicide in High Risk Veterans

描述(由申请人提供)： 该项目的目的是对自杀风险较高的住院精神病退伍军人进行随机对照试验(RCT)。参与者将从锡拉丘兹VAMC的急性精神病科住院病房招募。为了达到高危标准，退伍军人必须在贝克自杀意念量表(SSI)上获得2分以上，SSI是自杀死亡的前瞻性预测。在提供知情同意后，参与者将完成筛查评估，以确认是否符合资格，并完成自杀风险因素的基线评估。然后，参与者将被随机安排接受激励性访谈，以解决自杀意念(MI-SI)加照常治疗(TAU)，或仅接受TAU。MI-SI组在住院期间将接受两次MI-SI治疗，出院后将接受一次MI-SI电话助推器治疗。在这两种情况下的参与者将被要求在出院后1、3和6个月完成电话随访。主要结果将是SSI衡量的自杀意念的严重程度发生变化。探索性分析将考察MI-SI对治疗投入的影响，以及治疗投入作为MI-SI对自杀意念严重程度影响的部分中介。

DESCRIPTION (provided by applicant): The purpose of this project is to conduct a randomized controlled trial (RCT) with psychiatrically hospitalized Veterans who are at high-risk for suicide. Participants will be recruited from the Acute Psychiatric Inpatient Unit at the Syracuse VAMC. To meet high-risk criteria, Veterans must score over two on the Beck Scale for Suicidal Ideation (SSI), which is prospectively predictive of death by suicide. After providing informed consent, participants will complete a screening assessment to confirm eligibility and a baseline assessment of risk- factors for suicide. Participants will then be randomized to receive Motivational Interviewing to Address Suicidal Ideation (MI-SI) plus treatment as usual (TAU), or TAU alone. The MI-SI group will receive two sessions of MI- SI during hospitalization and one MI-SI telephone booster sessions after discharge. Participants in both conditions will be asked to complete telephone follow-up interviews at one, three, and six months after discharge. The primary outcome will be change in the severity of suicidal ideation as measured by the SSI. Exploratory analyses will examine the impact of MI-SI on treatment engagement, and treatment engagement as a partial mediator of the impact of MI-SI on the severity of suicidal ideation.