Can better coordination save lives? VA tests intensive case management for veterans at risk of suicide
NCT ID NCT07534358
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a program called SUPERCEDE, which provides intensive case management to veterans who are at risk for suicide and receive care both from the VA and outside community providers. The goal is to improve care coordination, reduce suicidal thoughts, and improve daily functioning. One hundred veterans will be randomly assigned to either SUPERCEDE or a standard therapy (present centered therapy) to see which works better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intensive case management (SUPERCEDE) vs. present centered therapy
- What this could lead to
- If successful, this could provide a practical, scalable way to reduce suicide risk and improve functioning for veterans struggling with mental health issues.
- What could go wrong
- This is a small, early-stage trial (100 participants) testing feasibility and effectiveness, so results may not apply broadly. The intervention is intensive and may not be sustainable in all settings.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Veterans must be: * enrolled in the VA Eastern Colorado Health Care System (ECHCS) * able to complete an online questionnaire * age 18-80 years * able to comprehend and provide virtual informed consent * receiving both VA care and VA authorized community care, through the MISSION Act, which is related to any physical or mental health disorder * Veteran's non-VA care is authorized (i.e., non-VA care/treatment approved in advance by the VA) * at risk for suicide, which is defined as any 1 of the following circumstances: a) prior lifetime suicide attempt; b) suicidal ideation in the past month; c) current mental health symptoms, defined as PHQ-9 \>10, or PCL-5 \>31 * psychosocial challenges reported on the ACORN or Assessment of Needs measure * issues with VA community care coordination (i.e., Veteran reported challenges, consults canceled in medical record, appointments canceled or rescheduled in medical record, etc.) * receiving no or infrequent mental health services at the VA (e.g., seen less than once a month by a mental health provider). Exclusion Criteria: Veterans must be: * not at imminent risk of suicide or homicide warranting crisis intervention (will be able to participate once stabilized) * unable or unwilling to participate in the intervention (e.g., unwilling to provide VA community care information, etc.) * without access to a device capable of telephone calls or video calls * presenting with any situation which the principal investigator deems this type of care is inappropriate for the Veteran.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Eastern Colorado Healthcare System
RECRUITINGAurora, Colorado, 80045, United States
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