Brief relationship support as a selective suicide prevention intervention: Piloting the Relationship Checkup in veteran couples with relationship and mental health concerns

Author:

Crasta Dev12ORCID,Funderburk Jennifer S.234,Gray Tatiana D.5,Cordova James V.6,Britton Peter C.12

Affiliation:

1. Center of Excellence for Suicide Prevention US Department of Veterans Affairs Canandaigua New York USA

2. Department of Psychiatry University of Rochester Medical Center Rochester New York USA

3. Center for Integrated Healthcare Syracuse VA Medical Center Syracuse New York USA

4. Department of Psychology Syracuse University Syracuse New York USA

5. Department of Psychology Springfield College Springfield Massachusetts United States

6. Department of Psychology Clark University Worcester Massachusetts USA

Abstract

AbstractIntroductionClose relationship problems play a key role in many contemporary theories of suicide. However, the potential of relationship support in suicide prevention is understudied. This study explores the feasibility, safety, acceptability, and promise of utilizing the 3‐session Relationship Checkup (RC) in veterans with mental health and romantic relationship concerns.MethodsWe conducted a single‐arm pilot of telehealth RC in veterans with a positive mental health screen and their romantic partners. Couples completed baseline and post‐treatment assessments of study outcomes.ResultsFeasibility analyses showed we were able to recruit an elevated‐risk sample (30% history of attempts or interrupted attempts), take them through the service (90% treatment completion), and had minimal harm events (no suicidal behavior, no physical harm in arguments). Multimethod acceptability analyses suggested high satisfaction with the program, though some desired more intensive services. Couples reported improvements in relationship functioning, emotional intimacy, thwarted belongingness, depression, and posttraumatic stress. Perceived burdensomeness only improved for identified patients and drinking did not change for either partner.ConclusionThe RC is a feasible, safe, and acceptable strategy for providing relationship support to couples at elevated risk. Although further randomized trials are needed, RC shows promise to reduce relationship‐level and individual‐level suicide risk factors.

Funder

Rehabilitation Research and Development Service

Publisher

Wiley

Subject

Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Clinical Psychology

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