Military Suicide Research Consortium

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1 Military Suicide Research Consortium 13 December 2013 DoD/VA Suicide Prevention Research Summit Award Number: W81XWH ; W81XWH Award Date: September 27, 2010 Award Amount: $30m Peter M. Gutierrez, VISN 19 MIRECC Thomas Joiner, Florida State University Co-Directors

2 Background/Rationale Produce new scientific knowledge about suicidal behavior in the military Use high-quality research methods and analyses to address problems in policy and practice Disseminate knowledge, information, and findings Train future leaders in military suicide research

3 MSRC Common Data Elements Collected from 11 validated and reliable measures 57 items across key suicide-related domains Suicidal Thoughts and Behaviors Suicidal Intent Insomnia Anxiety Alcohol Use Approximately 6,833 active duty, Veteran, and civilian participants Depression Hopelessness Interpersonal Needs PTSD Traumatic Brain Injury

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5 Nigel Bush, Nigel Bush, Usability and Utility of a Virtual Hope Box (VHB) for Reducing Suicidal Ideation Effectiveness of a Virtual Hope Box Smartphone App in Enhancing Coping with Suicidal Ideation: A Randomized Clinical Trial PREVENTION National Center for Telehealth & Technology Washington National Center for Telehealth & Technology Washington Phase 1: Usability Testing Active Duty Joint Base Lewis McChord Phase 2: Pilot VAMC Portland VAMC Portland Phase 1: VHB development & testing complete Phase 2: All participants actively field testing or completed 1 st hope box medium of study, exceeded sample size IRB protocol submitted to VA approval Self-assessment materials ordered Clinician and patient guides to app under development

6 Katherine Comtois,, MPH Courtney Bagge, Ken Conner, Psy.D., MPH Military Continuity Project Warning Signs and Suicide Attempts PREVENTION Washington, Department of Psychiatry Mississippi Medical Center, VISN 2 COE, VA Puget Sound, Central Arkansas VA, San Diego VA, Rochester Active Duty Fort Bragg Marine Corps Base Camp Lejeune Marine Corps Base Camp Twentynine Palms VA Puget Sound Central Arkansas VA San Diego VA Civilians UMMC Rochester Recruitment is ongoing at all 3 bases. September 2013 Hiring underway Data Use Agreements signed by sites

7 Peter M. Gutierrez, Thomas Joiner, Lori Johnson, David Jobes, Toward a Gold Standard for Suicide Assessment for Military Personnel Suicide Risk Assessments within Suicide-Specific Group Therapy Treatment for SCREENING AND RISK ASSESSMENT VISN 19 MIRECC Florida State University Robley Rex VAMC Active Duty Fort Campbell Naval Medical Center Portsmouth Joint Base Andrews Robley Rex VAMC Site visits ongoing, training Site Assessors Baseline data collection to begin Jan Collaboration with Israel Defense Forces Suicide Prevention Team Groups successfully underway Expect to increase number of subjects to increase power to analyze secondary outcomes

8 Beeta Homaifar, Melissa Amick, Jill Holm-Denoma, Tracy Witte, A Novel Approach to Identifying Behavioral and Neural Markers of Active Suicidal Ideation: Effects of Cognitive and Emotional Stress on the Working Memory of OEF/OIF/OND A Taxometric Investigation of Suicide Risk among Military Personnel SCREENING AND RISK ASSESSMENT Boston VAMC, VISN 19 MIRECC Denver VAMC Denver, Auburn University Boston VAMC Active Duty Civilians (secondary data analysis of MSRC funded studies) September 28, 2013 Hiring and training personnel Obtaining regulatory approvals Project will start April 2014 to allow MSRC funded studies to upload data

9 Deborah Yurgelun-Todd, Perry Renshaw, M.D., Michael Anestis, Matthew Nock, Neuroimaging Correlates of Suicide Risk Assessment Identifying Factors Associated with Future Self-Directed Violence within a Sample of Mississippi National Guard Personnel New Approaches to the Measurement of Suicide-Related Cognition SCREENING AND RISK ASSESSMENT VISN 19 MIRECC Salt Lake City VAMC, Utah Southern Mississippi Harvard University SLC VAMC Active Duty Camp Shelby Boston VAMC Harvard University September 2013 Received IRB and HRPO approval September 2013 Hired staff Obtaining regulatory approvals September 2013 Data Use Agreement approved Obtaining regulatory approvals

10 INTERVENTION Rebecca Bernert, Craig Bryan, Psy.D., ABPP A Behavioral Sleep Intervention for Suicidal Behaviors in Military Brief Intervention for Short- Term Suicide Risk Reduction in Military Populations Stanford University, Department of Psychiatry and Behavioral Sciences Utah National Center for Studies VA Palo Alto Community Active Duty Community Active Duty Fort Carson Created extensive recruitment plan, recruitment efforts ongoing Developed trainee apprenticeship program 3 participants enrolled 49 participants enrolled and randomized in 1 of 3 interventions Follow up assessments and recruitment ongoing

11 INTERVENTION Lisa Brenner,, ABPP Bridget Matarazzo, Psy.D. Jesse Cougle, Window to Hope: Evaluating a Psychological Treatment for Hopelessness among with TBI Home-Based Mental Health Evaluation (HOME) to Assist Suicidal with the Transition from Inpatient to Outpatient Care: A Multi-Site Interventional Trial Controlled Evaluation of a Computerized Anger- Reduction Treatment for Suicide Prevention VISN 19 MIRECC Denver VAMC VISN 19 MIRECC Denver VAMC, Florida State University Denver VAMC Denver VAMC Philadelphia VAMC Portland VAMC Houston VAMC Tallahassee, FL Civilian Population Pilot completed 476 participants screened, 30 consented for RCT Problem Solving Therapy Manual under development September 2013 Infrastructure being built for multi-site study Obtaining regulatory approvals September 2013 Hired staff Protocol for internetbased interventions developed

12 INTERVENTION N. Brad Schmidt, N. Brad Schmidt, Development and Evaluation of a Brief, Suicide Prevention Intervention Reducing Anxiety Sensitivity Development and Evaluation of a Brief, Suicide Prevention Intervention Targeting Anxiety and Mood Vulnerabilities Florida State University Florida State University Tallahassee, FL Civilian Population Tallahassee, FL Civilian Population Cognitive Anxiety Sensitivity Treatment intervention developed Recruitment complete 30% of participants are 30% have 3 or more current diagnoses 75% have past suicide ideation or attempt history September 2013 Software developers producing computerbased interventions targeting burden/belonging and reducing cognitive bias modification

13 POSTVENTION Study Site Population Current Progress Julie Cerel, Suicide Bereavement in Military and their Families Kentucky Phases 1, 2, & 3: Community and Random Digit-Dial Phase 4: Adult children, parents, and spouse survivors to active duty or Veteran suicide Phase 1: 1,700 phone interviews Phase 2: 109 completed online measures on suicide exposure Phase 3: 102 suicide exposed participants interviewed Phase 4: 19 Family interviews

14 Consortium Deliverables Over 40 presentations at military and/or suicide related conferences Publications in Journal of Affective Disorders, Clinical Psychology Review, and Suicide and Life-Threatening Behavior Authored 14 White Papers

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