Trial reportBMC public health2025
Core competency model self-directed violence prevention training program for corrections: a hybrid feasibility-effectiveness trial.
Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06359574 (Development and Implementation of a Self-Directed Violence), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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Development and Implementation of a Self-Directed Violence (SDV) Prevention Training Program for the North Carolina Department of Adult Corrections
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-directed violence encompasses both suicide and self-injury. United States correctional settings face high self-directed violence rates. Training correctional behavioral health clinicians (BHCs) in evidence-based self-directed violence prevention practices represents one solution. The Core Competency Model for Corrections (CCM-C) is a self-directed violence prevention training program addressing clinician self-management (e.g., managing personal reactions to self-directed violence) and clinical care (e.g., eliciting evidence-based risk and protective factors) skills. The present study held aims to: (1) assess CCM-C feasibility, appropriateness, acceptability, and usability; (2) evaluate short-term impacts on BHC self-directed violence knowledge, attitudes, and skill usage; and (3) explore short-term impacts on BHC compassion fatigue.
methodsThe present study was a statewide hybrid feasibility-effectiveness trial evaluating the CCM-C taking place between January and December 2024. Pre-training feedback was gathered from a corrections advisory panel (N = 7). For the trial implementation, we conducted a waitlist control sequential cross-over design. BHCs (N = 60) were randomly assigned to two training groups: Baseline training versus waitlist control. BHCs provided quantitative and qualitative survey input on CCM-C feasibility outcomes (aim 1), and completed self-report inventories of self-directed violence-related outcomes (aims 2 and 3). Descriptive statistics and thematic analysis assessed feasibility outcomes. Repeated-measures analysis of variance (ANOVA) tests examined CCM-C outcomes.
resultsCCM-C was highly acceptable, appropriate, feasible, and usable. Recommended improvements included removing non-corrections content, enhancing opportunities for BHC participation and interaction, and creating participant handout packages. CCM-C increased BHC self-directed violence prevention knowledge, perceived skill mastery, intent/actual use of training content, and lowered compassion fatigue levels. Attitudes toward intervening with a suicidal person only improved for the waitlist control group. Attitudes towards incarcerated individuals who self-harm remained unchanged. DISCUSSION: Early results show CCM-C to be a feasible, effective self-directed violence prevention training program for correctional BHCs. Results support broader CCM training literature and a social-cognitive training model. Statewide partners will generate the CCM-C Toolkit, a package comprising training materials, implementation guidance, and train-the-trainer materials. The Toolkit will provide accessible resources for further CCM-C implementation, adaptation, and evaluation.
trial registrationThis study was registered at clinicaltrials.gov (NCT06359574).
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