[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"suicidal-ideation-and-behaviors\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:suicidal-ideation-and-behaviors":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,51],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":31,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":5},"100456503","national-sponsorship-program-for-transitioning-service-members-100456503",false,"NCT05224440","National Sponsorship Program for Transitioning Service Members","Partnered Implementation Evaluation of a National Sponsorship Program for Transitioning Service Members ( PEC 20-170)","Inclusion Criteria:\n\n* TSMVs must be 18-years of age or older,\n* be approximately 6 months from military discharge and\n* be planning to transition to one of the target cities included in the evaluation during an active enrollment window for the respective city.\n\nExclusion Criteria:\n\nN\u002FA",true,"ALL","18 Years",{"count":20,"type":21},630,"ESTIMATED","INTERVENTIONAL",[24],"NA","Background:\n\nThe United States is undergoing a suicide epidemic for its youngest Veterans (18-to-34-years-old) as their suicide rate has almost doubled since 2001. Veterans are at the highest risk during their first-year post-discharge, thus creating a \"deadly gap\" for them. In response, the nation has developed strategies that emphasize a preventive, universal and public health approach and embrace the value of community interventions. The three-step theory of suicide suggests that community interventions that reduce pain from reintegration difficulties and promote connectedness for Veterans as they transition to civilian life have the greatest likelihood of success. Recent research shows that the effectiveness of community interventions can be enhanced when augmented by volunteer and certified sponsors (1-on-1) who actively engage with Veterans, as part of the Veterans Affairs' Transitioning Servicemember\u002FVeteran (TSMV) Sponsorship Initiative.\n\nMethod\u002FDesign:\n\nThe purpose of this trial is to determine how to implement the Veteran Sponsorship Initiative in six cities in Texas in collaboration with the US Department of Defense, VA, Texas government, and local stakeholders. Texas is an optimal location for this large-scale implementation as it has the second largest population of Veterans aged 18-to-34-years-old and is home to the largest US military installation, Fort Hood. The first aim is to further determine the effectiveness of the Sponsorship Initiative, as evidenced by measures of proximal variables (reintegration difficulties, health\u002Fpsychological distress, VA healthcare utilization and connectedness) and distal variables (suicidal ideation and behaviors). The second aim is to determine how best to implement the Veteran Sponsorship Initiative in Texas with the intent of future expansion in more states. TSMVs (n=630) will be recruited from military installations six months prior to discharge and prior to moving to target cities. The evaluators are utilizing implementation strategies, such as building community partnerships and external facilitation. Evaluation will be conducted through interviews with TSMVs and periodic reflections with key stakeholders to identify barriers, facilitators, and adaptations. Outcome evaluations will be conducted with TSMVs completing surveys and data collection from working with stakeholders.\n\nDiscussion:\n\nThis evaluation will have important implications for the national implementation of community interventions that address the epidemic of TSMV suicide. Aligned with the Evidence Act, it is the first large-scale implementation of an evidence-based practice that conducts a thorough assessment of TSMVs during the \"deadly gap\".",[27,28,29,30],"Reintegration Difficulties","Health","Suicidal Ideation and Behaviors","Connectedness",[32,33,34,30,35,36,37,38],"Reintegration difficulties","Transitioning Servicemember\u002FVeteran","Veteran Sponsorship Initiative","Suicide prevention","VA Utilization","Community intervention","Stepped Wedge","RECRUITING","2026-01-13",{"date":42,"type":43},"2026-01-14","ACTUAL",{"date":45,"type":43},"2022-02-04",{"date":47,"type":21},"2026-09-30",{"name":49,"class":50},"VA Office of Research and Development","FED",{"id":52,"slug":53,"hasResults":11,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":4,"eligibilityCriteria":57,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":58,"targetDuration":4,"studyType":22,"phases":60,"briefSummary":61,"conditions":62,"keywords":63,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":70,"lastUpdatePostDateStruct":71,"startDateStruct":73,"completionDateStruct":75,"leadSponsor":77,"locationsCount":78},"100620351","expanding-veteran-sponsorship-initiative-to-support-high-risk-transitioning-servicemembers-and-veterans-a-precision-medicine-approach-100620351","NCT07356492","Expanding Veteran Sponsorship Initiative+ to Support High-Risk Transitioning Servicemembers and Veterans: A Precision Medicine Approach","Expanding Veteran Sponsorship Initiative+ to Support High-Risk Transitioning Servicemembers and Veterans: A Precision Medicine Approach (PEC 24-113)","Inclusion Criteria:\n\n* TSMVs must be 18-years of age or older\n* Enroll prior to military discharge\n* Be planning to transition from one of the target military installations' included in the evaluation during an active enrollment window\n\nExclusion Criteria:\n\n* The participants Army STARRS score cannot identify the TSMV as low risk nor as acute high risk for suicide",{"count":59,"type":21},2700,[24],"Background Young Veterans in the U.S. face a heightened risk of suicide, particularly during the first year after leaving military service-a period often referred to as the \"deadly gap.\" Suicide rates among Veterans aged 18 to 34 have nearly doubled since 2001, and research shows that reintegration challenges during this transition are closely linked to increased suicide risk.\n\nThe Veteran Sponsorship Initiative (VSI) was developed to address this critical period by connecting Transitioning Servicemembers and Veterans (TSMVs) with trained, VA-certified peer sponsors. These sponsors help TSMVs navigate civilian life and access VA care. Early evaluations show that TSMVs matched with sponsors are more likely to report lower levels of reintegration difficulties, higher levels of social support, engage in VA services and report lower rates of depression and suicide risk.\n\nThis project enhances VSI by integrating predictive analytics-developed in partnership with Harvard Medical School and the DoW STARRS-LS team-to identify high-risk TSMVs before they leave the military. Those identified receive not only a sponsor but also targeted VA mental and health care services. This hybrid effectiveness-implementation study will evaluate the impact of this enhanced model (VSI+) on mental health outcomes and VA engagement among 2,700 high-risk TSMVs.\n\nMethod\u002FDesign\n\nThe purpose of this PEI proposal is to evaluate VSI expansion into VSI+ with enrollment occurring on four US Army installations (FY2026-2027). The study employs a pragmatic cluster-randomized trial with embedded mixed-method implementation evaluation to compare three arms:\n\n1. Transition as Usual (TAU)\n2. VSI Base= peer sponsorship and community support\n3. VSI+= VSI Base plus VA stepped care services\n\nThe evaluation is guided by the RE-AIM framework to assess:\n\n* Reach (enrollment rates)\n* Effectiveness (reintegration difficulties, depression, anxiety, suicidal ideation\u002Fbehavior, and VA utilization outcomes)\n* Adoption (site and staff uptake)\n* Implementation (fidelity and feasibility)\n* Maintenance (sustainability)\n\nStudy Aims\n\n1. Effectiveness: Evaluate the impact of VSI Base and VSI+ on reintegration difficulties, depression, anxiety, suicidal ideation\u002Fbehavior, and VA utilization outcomes.\n2. Implementation: Assess the feasibility and fidelity of implementing VSI Base and VSI+ across multiple sites using a bundled strategy.\n3. Economic Impact: Estimate the budget impact of VSI Base and VSI+ on healthcare costs, including inpatient, emergency, and outpatient care.",[27,29,28,30],[64,65,66,33,67,36,68,69],"Suicide","Reintegration","Social Determinants of Health","Suicide Prevention","Community Intervention","Suicidal Behavior","2026-01-12",{"date":72,"type":43},"2026-01-21",{"date":74,"type":43},"2026-01-01",{"date":76,"type":21},"2027-09-30",{"name":49,"class":50},1]