An observational study in Suicide, sponsored by VA Office of Research and Development. Completed at 2 sites in United States. Per ClinicalTrials.gov, last updated 2024-01-25.
Sponsored by VA Office of Research and Development · Observational
Among 43 studies in Suicide by VA Office of Research and Development — 15 open to participants now, 16 under way, none of them phase 3. Suicide · VA Office of Research and Development.
Among the 43 studies in Suicide by VA Office of Research and Development, this one is one of 2 that started in 2017, is one of 2 observational ones, and was the 10th registered.
607 studies on the registry are indexed under Suicide; 162 are open to participants now.
This study's enrollment of 28 is below the median of 150 across 98 observational studies indexed under Suicide.
Browse Suicide studies →15 of the 43 studies in Suicide by VA Office of Research and Development are open now, in 1 country. Each count lists the studies.
Of the 114 Suicide studies recruiting now, 54 (47%) set no upper age limit and 57 (50%) stop at 75 or younger; 52 take children under 18; 24 take healthy volunteers.
This study: all sexes · healthy volunteers too.
The full table on the hub →43 studies; the count open now beside each. This study's row is marked.
First in 2013; this study’s year is marked. 2 started in 2017.
Median enrollment 104 across the 41 interventional studies, 28 across the 2 observational. Of the 27 that completed or were terminated, 24 (89%) have results posted.
VA Office of Research and Development is the lead sponsor of 1,771 studies on the registry; 392 are open to participants now.
Of its 213 completed or terminated interventional studies of FDA-regulated products, 185 (87%) have results posted.
5 of the studies in Suicide by VA Office of Research and Development that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT06470867VA Office of Research and DevelopmentRandomized Controlled Effectiveness Trial of VA S.A.V.E. | 2026-11-27 |
| NCT04829682VA Office of Research and DevelopmentTesting the Efficacy of ACT for Life | 2026-12-31 |
| NCT05974631VA Office of Research and DevelopmentEvaluating Treatments for Suicidal Veterans With PTSD | 2027-04-30 |
| NCT06593379VA Office of Research and DevelopmentMobile Intervention for Suicidal Thoughts | 2027-08-02 |
| NCT07356492VA Office of Research and DevelopmentExpanding Veteran Sponsorship Initiative+ to Support High-Risk Transitioning Servicemembers and Veterans: A Precision Medicine Approach | 2027-09-30 |
Among the 43 studies in Suicide by VA Office of Research and Development, from their registry updates:
The VA's Office of Mental Health and Suicide Prevention implemented an new program to increase suicide prevention outreach for Veterans at highest risk for suicide. Using a statistical model, REACH VET, short for Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment, uses information from Veterans' health records to identify those who are at a higher risk for suicide, hospitalization, illness, or other negative outcomes. Once a Veteran is identified, his or her VA mental health or primary care provider reaches out to check on the Veteran's well-being and review their treatment plan to determine if enhanced care is needed. The goal of the current study was to evaluate the implementation of this program. The objectives of this evaluation were to evaluate how well this program is put into place using an implementation strategy called virtual external facilitation, and to collect data about the cost of the program and the strategy.
The VA's Office of Mental Health and Suicide Prevention is implemented an innovative new program to increase suicide prevention outreach and target Veterans at highest risk for suicide. Using a new predictive model, REACH VET, short for Recovery Engagement and Coordination for Health - Veterans Enhanced Treatment, analyzes existing data from Veterans' health records to identify those who are at a statistically elevated risk for suicide, hospitalization, illness, or other adverse outcomes. Once a Veteran is identified, their VA mental health or primary care provider reaches out to check on the Veteran's well-being and review their condition(s) and treatment plans to determine if enhanced care is needed.
The goal of the proposed study is to evaluate the implementation of REACH VET. The objectives of this evaluation are to:
The current evaluation will examine the impact of a virtual external facilitation strategy on the implementation of REACH VET in 28 medical facilities across 7 Veteran Integrated Service Networks (VISNs) in a stepped wedge design. Primary implementation outcomes include metrics of REACH VET implementation: coordinator assignment, provider assignment, care evaluation, and attempted outreach. Qualitative interviews will be conducted with implementation facilitators, Suicide Prevention Coordinator(s), clinical leadership, and providers to identify barriers and facilitators to implementation of REACH VET and the experience of facilitation. Secondary data will be collected on the cost of the intervention and the cost of implementation strategy.
The study population will include facilities receiving virtual external facilitation for REACH VET
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
This cohort consists of 28 VA Medical Centers (VAMC's) needing additional implementation support to fully implement REACH VET as identified by Veteran Integrated Service Network (VISN) leadership, and that agreed to participate.
Other: External facilitation
Facilitation is an evidence-based implementation strategy to support sites that have difficulty implementing innovative programs. Facilitation is a multi-faceted "process of interactive problem solving and support that occurs in the context of a recognized need for improvement and a supportive interpersonal relationship (Powell et al., 2015)." Facilitation has been used nationally across VA to implement a number of different clinical interventions. The current project will examine this minimally intensive version of implementation facilitation, virtual external facilitation.
Also known as: Virtual external facilitation, facilitation, implementation facilitation
Coordinator Assigned Post-Implementation
The average percentage of eligible Veterans across all 23 participating sites having a coordinator assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
Time frame: 6 months after implementation was completed
Provider Assigned Post-Implementation
The average percentage of eligible Veterans across all 23 participating sites having a provider assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period .
Time frame: 6 month period following implementation
Care Evaluation Performed Post-Implementation
The average percentage of eligible Veterans across all 23 participating sites receiving a care evaluation within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
Time frame: 6 month period following implementation
Attempted Outreach Post-Implementation
The average percentage of eligible Veterans across all 23 participating sites where outreach was attempted within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
Time frame: 6 month period following implementation
Organizational Readiness for Change Survey
Eligible staff at participating VA facilities were solicited to complete a modified version of the Texas Christian University Organizational Readiness for Change - Staff (TCU ORC-S). We abbreviated the original instrument to 62 items and modified text for contextual relevance. Responses were collected from 22 sites across five Veteran Integrated Service Networks (VISN). The responses were scored on ten scales: Program Needs (10 - 50 higher is preferred), Training Needs (10 - 50 higher is preferred), Pressure for Change (10 - 50 higher is preferred), Staffing (10 - 50 higher is preferred), Mission (10 - 50 higher is preferred), Cohesion (10 - 50 higher is preferred), Autonomy (10 - 50 higher is preferred), Communication (10 - 50 higher is preferred), Stress (10 - 50 lower is preferred) and Change (10 - 50 lower is preferred).
Time frame: 1 month
VA Medical Centers in five Veteran Integrated Service Networks were identified by leadership as needing additional support in or der to implement REACH VET.
| Milestone | VAMC's Receiving Implementation Support for REACH VET |
|---|---|
| Started | NA |
| Completed | NA |
| Not completed | NA |
The average percentage of eligible Veterans across all 23 participating sites having a coordinator assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
| percentage | VISNs Requesting Implementation Support |
|---|---|
| Coordinator Assigned Post-Implementation | 97.6 ± 1.0 |
The average percentage of eligible Veterans across all 23 participating sites having a provider assigned within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period .
| percent | VISNs Requesting Implementation Support |
|---|---|
| Provider Assigned Post-Implementation | 87.2 ± 17.3 |
The average percentage of eligible Veterans across all 23 participating sites receiving a care evaluation within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
| percent | VISNs Requesting Implementation Support |
|---|---|
| Care Evaluation Performed Post-Implementation | 83.6 ± 18.9 |
The average percentage of eligible Veterans across all 23 participating sites where outreach was attempted within 2 weeks of the monthly REACH VET report being released during the 6 month post-implementation period.
| percent | VISNs Requesting Implementation Support |
|---|---|
| Attempted Outreach Post-Implementation | 77.0 ± 20.6 |
Eligible staff at participating VA facilities were solicited to complete a modified version of the Texas Christian University Organizational Readiness for Change - Staff (TCU ORC-S). We abbreviated the original instrument to 62 items and modified text for contextual relevance. Responses were collected from 22 sites across five Veteran Integrated Service Networks (VISN). The responses were scored on ten scales: Program Needs (10 - 50 higher is preferred), Training Needs (10 - 50 higher is preferred), Pressure for Change (10 - 50 higher is preferred), Staffing (10 - 50 higher is preferred), Mission (10 - 50 higher is preferred), Cohesion (10 - 50 higher is preferred), Autonomy (10 - 50 higher is preferred), Communication (10 - 50 higher is preferred), Stress (10 - 50 lower is preferred) and Change (10 - 50 lower is preferred).
| score on a scale | VISN A | VISN B | VISN C | VISN D | VISN E |
|---|---|---|---|---|---|
| Program Needs | 25.77 ± 7.78 | 31.74 ± 7.27 | 32.86 ± 11.47 | 28.96 ± 7.55 | 27.17 ± 10.29 |
| Training Needs | 21.90 ± 5.25 | 25.94 ± 8.49 | 30.00 ± 13.84 | 25.93 ± 7.33 | 24.78 ± 9.64 |
| Pressure for Change | 29.91 ± 5.04 | 30.56 ± 6.16 | 30.00 ± 6.80 | 29.29 ± 6.03 | 28.87 ± 8.74 |
| Staffing | 29.86 ± 6.61 | 28.23 ± 6.64 | 30.00 ± 6.08 | 31.15 ± 6.37 | 26.67 ± 4.84 |
| Mission | 33.46 ± 6.94 | 31.38 ± 6.96 | 32.29 ± 10.09 | 33.27 ± 6.48 | 30.21 ± 7.45 |
| Cohesion | 31.67 ± 10.30 | 32.36 ± 8.00 | 35.24 ± 8.58 | 33.75 ± 7.56 | 33.32 ± 8.49 |
| Autonomy | 34.78 ± 5.71 | 32.47 ± 5.75 | 32.00 ± 7.83 | 35.98 ± 4.80 | 32.24 ± 5.22 |
| Communication | 31.74 ± 7.27 | 28.18 ± 6.87 | 29.86 ± 6.99 | 30.80 ± 7.27 | 30.32 ± 7.16 |
| Stress | 33.19 ± 8.14 | 34.63 ± 6.93 | 30.71 ± 11.79 | 31.31 ± 8.11 | 36.97 ± 8.32 |
| Change | 31.30 ± 5.74 | 29.52 ± 6.30 | 29.71 ± 11.97 | 32.72 ± 5.82 | 31.47 ± 4.63 |
Collected over All-cause mortality, serious and other adverse events were not monitored or assessed for this implementation evaluation by the study team.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| VISNs Requesting Implementation Support | — | — | — |
23 VA Medical Centers participating in implementation of REACH VET, Participants were not assigned to study arms
| Age, Continuous(VAMC) | VISNs Requesting Implementation Support |
|---|---|
| Mean | NA ± NA |
| Sex: Female, Male(VAMC) | VISNs Requesting Implementation Support |
|---|---|
| Female | NA |
| Male | NA |
| Race/Ethnicity, Customized(VAMC) | VISNs Requesting Implementation Support |
|---|---|
| Units | NA |
| Coordinator Accepted Pre-Implementation(percent) | VISNs Requesting Implementation Support |
|---|---|
| Mean | 88.5 ± 16.7 |
| Provider Assigned Pre-Implementation(percentage) | VISNs Requesting Implementation Support |
|---|---|
| Mean | 68.1 ± 25.5 |
| Care Evaluation Performed Pre-Implementation(percentage) | VISNs Requesting Implementation Support |
|---|---|
| Mean | 63.4 ± 23.9 |
| Outreach Attempted Pre-Implementation(percent) | VISNs Requesting Implementation Support |
|---|---|
| Mean | 56.2 ± 77.0 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from Sep 2017 to primary completion in Mar 2020, 29 months.
Results were first posted in Jan 2024, 3 years 10 months after primary completion.
Of 35 non-industry observational studies under Suicide, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 93. This study's 29 months is below that.
Counting every sponsor, half of 37 studies reached it within 51 months; a quarter within 28 and three quarters within 93.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.
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