Intensive Case Management for Suicide Prevention

(SUPERCEDERCT Trial)

This trial tests a new approach called SUPERCEDE (SUicidE PRevention intensive CasE management and coorDination in Community CarE), which aims to prevent suicide by enhancing care coordination and monitoring for veterans receiving both VA and community care. It compares SUPERCEDE to present-centered therapy, which focuses on the present and encourages problem-solving. The goal is to determine if SUPERCEDE can more effectively reduce suicidal thoughts and improve overall functioning. Veterans who have experienced a suicide attempt, recent suicidal thoughts, or ongoing mental health challenges and are receiving less frequent mental health care at the VA might be well-suited for this study. As an unphased trial, this study offers veterans a unique opportunity to contribute to innovative suicide prevention strategies.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

A previous study demonstrated positive results in the VA's Mental Health Intensive Case Management program, similar to SUPERCEDE. It helped reduce suicidal behaviors and attempts among veterans, suggesting that the program is generally well-received and can effectively lower suicide risks.

SUPERCEDE incorporates several strategies already common in mental health care, such as the Crisis Response Plan and care coordination. These methods have been tested in other settings and are known to be safe and effective. Current evidence indicates that both SUPERCEDE and similar programs prioritize safety, aiming to support mental health without adding significant risks.

SUPERCEDE is unique because it combines multiple strategies into one intensive approach for suicide prevention. Unlike other treatments that may focus solely on therapy or medication, SUPERCEDE integrates BCBT-SP (Brief Cognitive Behavioral Therapy for Suicide Prevention), a Crisis Response Plan, and intensive case management to address various risk factors. It also adds a layer of coordination with VA community care, offering a comprehensive support system. Researchers are excited about this approach because it addresses both the psychological and practical needs of individuals at risk, potentially offering a more holistic solution to suicide prevention.

Research has shown that programs like SUPERCEDE, one of the treatments in this trial, can help reduce suicidal thoughts and actions. Studies have found that providing veterans with strong support and resources addresses the underlying causes of these thoughts. For example, ongoing support effectively lowers suicide risk among veterans. Additionally, short-term suicide prevention programs have been linked to fewer suicide attempts and better follow-up care. This trial will compare SUPERCEDE, which combines these approaches, with Present Centered Therapy (PCT), another treatment arm, to evaluate their effectiveness in improving mental health and reducing suicide risk for veterans.⁴⁶⁷⁸⁹