Accession Number:



Caring Letters for Military Suicide Prevention: A Randomized Controlled Trial

Descriptive Note:

Technical Report,28 Feb 2011,28 May 2018

Corporate Author:

The Geneva Foundation Tacoma United States

Report Date:


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The purpose of this multi-site study is to conduct a Department of Defense DoD Telemedicine and Advanced Technology Research Center TATRC funded randomized controlled trial of the Caring Letters intervention to determine if the intervention is effective in preventing suicide and suicidal behaviors among Service Members and Veterans. The caring letters concept was originally developed and evaluated by Motto and colleagues in the 1970s 1. In Mottos trial, civilian psychiatric inpatients were sent caring letters following discharge initially monthly, decreasing to quarterly for five years. Compared to a control group usual care with no further contact, the Caring Letters group had a significantly lower suicide rate for the first two years of the trial. These caring letters are one of the only suicide prevention interventions to reduce suicide mortality in a randomized controlled trial. Despite the initial promising results of the original Caring Letters RCT, there have been no published replications of the intervention or tests of the intervention among military personnel or veterans. This study will fill an important gap in the evidence base for the Caring Letter intervention and is timely given the steady increase of military suicide in recent years.

Subject Categories:

  • Medicine and Medical Research

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