Post Admission Cognitive Therapy (PACT) for the Inpatient Treatment of Military Personnel with Suicidal Behaviors: A Multi-Site Randomized Controlled Trial
Annual rept. 1 Feb 2014-31 Jan 2015
HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE ROCKVILLE MD
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The broad objective of this study is to evaluate the efficacy of a cognitive behavioral intervention, titled, Post Admission Cognitive Therapy PACT, for military personnel psychiatrically hospitalized, with either a recent or a lifetime suicide attempt. The research design is a multi-site, single-blind, randomized controlled trial RCT. A total of 218 individuals who are over the age of 18, English speaking, and willing to provide informed consent will be recruited from the inpatient psychiatric units at the Walter Reed National Military Medical Center and the Fort Belvoir Community Hospital. Participants will be randomized into one of two conditions 1 Post Admission Cognitive Therapy PACT Enhanced Usual Care EUC or 2 Enhanced Usual Care EUC. Individuals randomized into PACTEUC will participate in the study assessments, receive six 60-90 minute individual face-to-face PACT sessions provided during their inpatient stay, up to a maximum of four 60-minute phone PACT booster sessions during the 3 months post hospital discharge, and case management for 12 months. Individuals randomized into the control condition EUC will not receive the study intervention they will receive the usual care provided in the inpatient setting, participate in study assessments, and receive case management services for 12 months. Patients in both conditions will be assessed on the dependent measures at baseline and at 1-, 3-, 6-, and 12-months. Delivering a brief intervention during hospitalization, followed by an aftercare component, targets individuals at high risk for future suicide, specifically young, psychiatrically hospitalized adults under the direct stress of a military career.
- Medicine and Medical Research
- Military Forces and Organizations