IDEAS for Hope to Reduce Suicide Risk and Improve HIV Care Engagement in Tanzania

Sponsor
Duke University
Study ID
NCT07459218
Status
Not Yet Recruiting

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Conditions

  • HIV - Human Immunodeficiency Virus
  • Suicide Prevention

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • IDEAS for Hope — BEHAVIORAL
    The IDEAS for Hope framework integrates Joiner's Interpersonal Theory to address stigma, burdensomeness, and other drivers of suicide risk and improve HIV care engagement. This includes theoretical grounding in Motivational Interviewing-enhanced safety planning (MI-SafeCope), stigma reduction, cognitive-behavioral therapy with adherence counseling (CBT-AD), and problem-solving therapy. MI-SafeCope improves coping for suicide risk by developing an individualized safety plan and facilitating social support. The integration of MI into standard safety planning goes beyond identifying coping strategies to facilitate values-driven improvement in health behavior and address the unique drivers of suicide risk among PLWH in Tanzania.
  • Safety Planning Intervention — BEHAVIORAL
    The single-session safety planning intervention (SPI) will be provided according to protocols developed by Stanley \& Brown. The SPI involves collaboratively creating a personalized, step-by-step plan to help individuals recognize warning signs, use coping strategies, seek support, and reduce access to means during a suicidal crisis.

Study Details

In this project, the investigators will conduct a clinical trial to test the effectiveness and implementation of IDEAS for Hope, a 3-session telehealth counseling intervention delivered by nurses, to reduce suicidality and improve HIV care engagement among PLWH in Tanzania. The investigators will also examine mechanisms of change and implementation outcomes of the intervention, including cost-effectiveness, to disseminate a feasible, scalable, and sustainable intervention and implementation package to address a critical mental health comorbidity in HIV care.

Key Dates

First listed
Mar 9, 2026
Start date
Aug 1, 2026
Status verified
Mar 2026
Primary completion
Jan 31, 2031
Completion
Jun 30, 2031

Study Design

Enrollment
600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: IDEAS for Hope
    3-session, nurse-delivered, telehealth counseling intervention developmed by Knettel and colleagues
  • Active Comparator: Brief Safety Planning
    Single session brief safety planning intervention (BSI) developed by Stanely \& Brown

Primary Outcome Measure

Number of participants with Suicidal thinking [ Time Frame: 6 months ]

Central Contacts

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