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Randomized Controlled Trial of a Brief Mindfulness-Based Intervention for Suicidal Ideation Among Veterans.

Military medicine
January 1, 1970
Tracy S Herrmann et al. (9 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

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

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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).

Medical Subject Headings (MeSH)
HumansSuicidal IdeationMindfulnessVeteransEmotionsResearch Design
Study Links
Quality Scores
Safety90
Efficacy75/10
Quality80/10
Research Impact Scores
APT Score0.05
Weight Score1.33
Normalized Score0.82
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