Randomized Controlled Trial of a Brief Mindfulness-Based Intervention for Suicidal Ideation Among Veterans.
Study Goal
The researchers aimed to evaluate the feasibility, safety, and preliminary efficacy of a brief mindfulness-based intervention (MB-SI) for veterans with suicidal ideation during inpatient psychiatric admission.
Results Summary
The MB-SI intervention was found feasible and safe, with no adverse effects. It significantly increased mindfulness curiosity and decentering scores, improved emotion regulation reappraisal, and reduced suicidal ideation, though emergency department admissions did not differ between groups.
Population
Veterans aged 18-70 years with suicidal ideation admitted to an inpatient psychiatric unit.
Effective Dosage
Not specified
Duration
Duration of intervention not explicitly stated (outcomes measured preintervention, postintervention, and 1-month postintervention).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mindfulness-based intervention for suicidal ideation (MB-SI) | neutral | feasibility | veterans with suicidal ideation (SI), admitted into an inpatient psychiatric unit (IPU) | - | was feasible to implement | #1 |
mindfulness-based intervention for suicidal ideation (MB-SI) | no change | safety | veterans with suicidal ideation (SI), admitted into an inpatient psychiatric unit (IPU) | no associated adverse effects | there were no associated adverse effects | #2 |
mindfulness-based intervention for suicidal ideation (MB-SI) | increase | Toronto Mindfulness Scale curiosity scores | MB-SI participants | statistically significant | experienced statistically significant increase | #3 |
mindfulness-based intervention for suicidal ideation (MB-SI) | increase | Toronto Mindfulness Scale decentering scores | MB-SI participants | greater | greater | #4 |
mindfulness-based intervention for suicidal ideation (MB-SI) | increase | Emotion Regulation Questionnaire Reappraisal scores | MB-SI group | significantly | significantly increased | #5 |
treatment as usual (TAU) | decrease | Emotion Regulation Questionnaire Reappraisal scores | TAU | significantly | significantly decreased | #6 |
mindfulness-based intervention for suicidal ideation (MB-SI) | no change | IPU and emergency department admissions | - | not statistically different | were not statistically different | #7 |
treatment as usual (TAU) | decrease | Columbia-Suicide Severity Rating Scale-SI scores | TAU participants | significant | experienced a significant reduction | #8 |
mindfulness-based intervention for suicidal ideation (MB-SI) | decrease | Columbia-Suicide Severity Rating Scale-SI scores | MB-SI participants | significant | experienced a significant reduction | #9 |
mindfulness-based intervention for suicidal ideation (MB-SI) | increase | Five-Facet Mindfulness Questionnaire scores | MB-SI participants | higher | experienced a higher increase | #10 |
INTRODUCTION: This study was a preliminary evaluation of a manualized, brief mindfulness-based intervention (MB-SI) for veterans with suicidal ideation (SI), admitted into an inpatient psychiatric unit (IPU). MATERIALS AND METHODS: A randomized, controlled pilot study of 20 veterans aged 18-70 years with SI, admitted into a psychiatric unit, assigned to treatment as usual (TAU) or MB-SI groups. Outcome data were collected at three time points: preintervention (beginning of first session), postintervention (end of last session), and 1-month postintervention. Primary outcomes were safety and feasibility. Secondary outcome measures were SI and behavior, mindfulness state and trait, cognitive reappraisal, and emotion regulation. Additionally, psychiatric and emergency department admissions were examined. Data analysis included Generalized Linear Models, Wilcoxon Signed-Rank, Mann-Whitney U, and Fisher's exact tests for secondary outcomes. RESULTS: Mindfulness-based intervention for suicidal ideation was feasible to implement on an IPU, and there were no associated adverse effects. Mindfulness-based intervention for suicidal ideation participants experienced statistically significant increase in Toronto Mindfulness Scale curiosity scores 1-month postintervention compared to preintervention and greater Toronto Mindfulness Scale decentering scores 1-month postintervention compared to TAU. Emotion Regulation Questionnaire Reappraisal scores significantly increased for the MB-SI group and significantly decreased for TAU over time. IPU and emergency department admissions were not statistically different between groups or over time. Both TAU and MB-SI participants experienced a significant reduction in Columbia-Suicide Severity Rating Scale-SI scores after the intervention. MB-SI participants experienced a higher increase in Five-Facet Mindfulness Questionnaire scores postintervention compared to TAU. CONCLUSIONS: Mindfulness-based intervention for suicidal ideation is feasible and safe to implement among veterans during an inpatient psychiatric admission with SI, as it is not associated with increased SI or adverse effects. Preliminary evidence suggests that MB-SI increases veterans' propensity to view experiences with curiosity while disengaging from experience without emotional overreaction. Further, more rigorous research is warranted to determine efficacy of MB-SI. TRIAL REGISTRATION: The clinicaltrials.gov registration number is NCT04099173 and dates are July 16, 2019 (initial release) and February 24, 2022 (most recent update).