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NCT Number: NCT07286955

Life Skills Training for Soldiers Arriving at Their First Duty Location

This project will evaluate the effectiveness of Level Up: Boost Your Life Skills ("Level Up"), a strengths based, military-specific life skills training program. The goal is to determine whether Level Up can decrease suicidal-related behaviors (SRBs) and other harmful behaviors, improve mental health, enhance job performance, and reduce early military separation. The Level Up program components will be made available to participants through an online platform or mobile app that can be downloaded onto their personal mobile devices. These training materials will help Soldiers learn and practice skills. The Level Up program will also involve personalized messages from a Level Up trainer and virtual booster sessions. Soldiers arriving at their first duty location will be randomized to receive either Level Up or a single session Army bystander intervention program. Participants will complete baseline and follow up surveys 1, 3, and 6 months post-baseline.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fort Hood Installation Reception Center

Fort Hood, Texas, 76544, United States

Location status: Recruiting

Location contact

Fort Hood Installation Reception Center

CONTACT

[email protected]

254-449-3976

About this study

Suicide remains a leading cause of death among Soldiers, especially those 17-24 years old in their first year of military service. This time is also marked by high rates of other harmful behaviors and of early separation from the Army. The Army invests billions of dollars in recruiting and training, yet many new Soldiers leave the service early or experience serious events like suicidal behaviors. Exposure to situational stressors involving such areas of life as romantic relationships and finances increases risk for suicide and other harmful behaviors. Implementing universal training programs to prevent these types of negative outcomes before they arise have enormous potential to bolster the mental toughness of new Soldiers during this difficult transition. The proposed project aims to prevent suicide-related behaviors (SRBs) and other behaviors qualifying for a Serious Incident Report (SIR) through an innovative, universal life skills program delivered at a critical transition point in Soldiers' careers-their first duty assignment. By focusing on this particularly high-risk period, this project seeks to reduce SRBs and related harmful behaviors among U.S. Army Soldiers. The proposed project will test the effectiveness of a recently developed, evidence-based training program designed to build life skills and coping strategies that can protect against suicide, other harmful behaviors, poor work performance, and premature separation during a Soldier's first duty assignment.

This project will evaluate the effectiveness of Level Up, a strengths based, military-specific life skills training program. The goal is to determine whether Level Up can decrease suicidal thoughts and behaviors, improve mental health, enhance job performance, and reduce early military separation. Previous studies show that building skills like stress management, problem-solving, and healthy communication can protect against SRBs and related problem behaviors. However, many of these programs failed to show long-term impact, partly due to limited engagement. Level Up is designed to overcome these limitations by combining interactive learning, mobile technology, personalized coaching, and on-demand virtual booster sessions. This hybrid format is intended to help Soldiers refresh their skills and engage with content at their preferred pace and rhythm. The Level Up program components include: 1) a 90-minute live group session during Soldiers' in-processing week at their first duty station, 2) a mobile app/online platform/workbook with brief, interactive self-guided exercises in core skill areas (e.g., managing stress, tactical thinking, healthy relationships), 3) personalized coaching via messages from trained staff during the first month of app use, and 4) virtual booster sessions over one year, focused on practical domains like finances, leadership, promotion tips, and personal relationships. Soldiers will be randomized to receive either Level Up or Engage, an existing single session Army bystander intervention program that will serve as a comparison training.

The Level Up program content draws from evidence-based psychological methods such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and motivational coaching adapted to fit military culture and tailored to be relevant, accessible, and engaging for newly assigned junior-ranking Soldiers, a group at high risk for suicide and other serious behavioral issues. By equipping them with essential life skills and support during their first year of service, the program aims to reduce SRBs and other behaviors qualifying for SIRs, develop psychosocial skills, and increase career success and satisfaction.

If effective, Level Up could be implemented Army-wide as a universal prevention program to improve mental health, readiness, and retention. There are minimal risks as the interventions are educational, although some participants may experience brief emotional discomfort during skill practice or reflection. All participants can opt out at any time, and all are provided with resources and additional support as needed. This study could have a transformative impact on military suicide prevention efforts, especially during early service when Soldiers are most vulnerable. By evaluating this scalable program in a large, real-world setting, the research will provide clear evidence about its benefits for reducing suicide and improving readiness. Results will also support development of predictive tools to identify which Soldiers may benefit most from added support. Findings will be shared across the Department of Defense to inform policy, training, and future resilience-building programs-ultimately improving the health, performance, and quality of life of Soldiers across the Force.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Active duty Soldiers arriving at a military installation located in the South Central U.S. for their first duty location who are attending reception center activities

Exclusion criteria

  • Soldiers who are not available to attend the in-person training
  • Soldiers who are under the age of 18 years old
  • Soldiers who do not have a smart phone that supports installation of the mobile app

Treatment and study plan

Level Up

Behavioral

The Level Up program components include:

  • A 90-minute live group session during Soldiers' in-processing week at their first duty station
  • A mobile app/online platform/workbook with brief, interactive self-guided exercises in core skill areas (e.g., managing stress, tactical thinking, healthy relationships)
  • Personalized coaching via messages from trained Level Up staff during the first month of app use
  • Virtual booster sessions over one year, focused on practical domains like finances, leadership, promotion tips, and personal relationships

Other names: Life Skills

Engage

Behavioral

ENGAGE training is a single 90-minute workshop aimed at developing leadership skills and confidence in handling professional and personal confrontations.

Primary outcomes

  1. The occurrence of any harmful behavior

    Time frame: Within the 12 months after intervention randomization

    The occurrence of any harmful behavior, either self-reported in follow up surveys or administratively reported

  2. The occurrence of any suicide-related behavior

    Time frame: Within the 12 months after intervention randomization

    The occurrence of any suicide-related behavior, either self-reported in follow up surveys or administratively reported

Secondary outcomes

  1. The occurrence of any premature separations from service

    Time frame: Within the 12 months after intervention randomization

  2. Poor performance as indicated either by written reprimands, designations in the NCOER, a corrective action plan, remedial training, flagging actions, demotion, Article 15, or barred reenlistment

    Time frame: Within the 12 months after intervention randomization

  3. Personal deployment readiness

    Time frame: Within the 6 months after intervention randomization

    Walter Reed Army Institute of Research Land Combat Survey; Scale ranges from 4-20; Higher scores indicate higher perceived readiness

  4. Emotionality

    Time frame: Within the 6 months after intervention randomization

    Emotion Reactivity Scale (ERS) ; Scale ranges from0-4; Higher scores indicate higher of each maladaptive trait

  5. Job satisfaction

    Time frame: Within the 6 months after intervention randomization

    3-item Job Satisfaction Scale; Scale ranges from 3-15; Higher scores indicate higher perceived job satisfaction

  6. Depression symptom severity

    Time frame: Within the 6 months after intervention randomization

    Patient Health Questionnaire-2 (PHQ-2); Scale ranges from 0-8; Higher scores indicate more severe symptoms

  7. Anxiety symptom severity

    Time frame: Within the 6 months after intervention randomization

    Generalized Anxiety Disorder-2 (GAD-2); Scale ranges from 0-8; Higher scores indicate more severe symptoms

  8. Incidence of traumatic brain injuries

    Time frame: Within the 6 months after intervention randomization

    Number of traumatic brain injuries; based on the Army STARRS Surveys; No scale range; number indicates greater number of traumatic brain injuries

  9. Lifetime history of various mental/emotional health problems

    Time frame: Within the 6 months after intervention randomization

    Family History Screen (FHS); Scale ranges from 0-1; 0=No; 1=Yes

  10. Chronic stress severity

    Time frame: Within the 6 months after intervention randomization

    Personal Life Stress Scale (PLS); Scale ranges from 0-50; Higher scores indicate greater chronic stress severity

  11. Mental toughness

    Time frame: Within the 6 months after intervention randomization

    Sports Mental Toughness Questionnaire (SMTQ); Scale ranges from 5-25; Higher scores indicate higher confidence & constancy

  12. History of suicidal ideation, plan, & attempt

    Time frame: Within the 6 months after intervention randomization

    Columbia-Suicide Severity Rating Scale (C-SSRS) Full scale Baseline/Screening; Scale ranges from 0-1 0=No; 1=Yes

  13. Positive social networks

    Time frame: Within the 6 months after intervention randomization

    Supportive & Negative Social Interaction Scale (SIS); Scale ranges from 0-8; Higher scores indicate more positive/negative social support

  14. Negative social networks

    Time frame: Within the 6 months after intervention randomization

    Supportive & Negative Social Interaction Scale (SIS); Scale ranges from 0-8; Higher scores indicate more positive/negative social support

  15. Mattering/belonging

    Time frame: Within the 6 months after intervention randomization

    General Mattering Scale; Scale ranges from 0-20; Higher scores indicate higher perceived mattering to others

  16. Loneliness

    Time frame: Within the 6 months after intervention randomization

    3-Item Loneliness Screener; Scale ranges from 0-16; Higher scores indicate more frequency-severity of loneliness

  17. Adverse childhood events & trauma

    Time frame: Within the 6 months after intervention randomization

    Childhood Trauma Questionnaire - Short Form (CTQ-SF) ; Scale ranges from 0-44; Higher scores indicate more childhood maltreatment

  18. Conscientiousness

    Time frame: Within the 6 months after intervention randomization

    Big Five Inventory (BFI)16 & Personality Inventory for DSM-5 Brief Form (PID-5-BF); Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait

  19. Mastery

    Time frame: Within the 6 months after intervention randomization

    Pearlin & Schooler's Psychological Coping Resources Measure; Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait

  20. Openness

    Time frame: Within the 6 months after intervention randomization

    120-item International Personality Item Pool (IPIP); Scale ranges from 0-4; Higher scores indicate lower of each adaptive trait

  21. Problem-solving ability

    Time frame: Within the 6 months after intervention randomization

    Social Problem Solving Inventory-Revised (SPSI-R); Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait

  22. Psychological well-being

    Time frame: Within the 6 months after intervention randomization

    Flourishing Scale; Scale ranges from 0-12; Higher scores indicate lower of each adaptive trait

  23. Resilience

    Time frame: Within the 6 months after intervention randomization

    Army STARRS Resilience Scale; Scale ranges from 0-16; Higher scores indicate lower of each adaptive trait

  24. Self-esteem

    Time frame: Within the 6 months after intervention randomization

    Rosenberg Self-Esteem Scale; Scale ranges from 0-8; Higher scores indicate lower of each adaptive trait

  25. Anxious, Cyclothymic, Depressive, & Hyperthymic temperament

    Time frame: Within the 6 months after intervention randomization

    Revised NEO Personality Inventory (NEO-PI-R) & the Temperament Evaluation of Memphis, Pisa, Paris & San Diego-autoquestionnaire version (TEMPS-A); Scale ranges from 0-8 for each temperament; Higher scores indicate higher of each maladaptive trait

  26. Borderline personality

    Time frame: Within the 6 months after intervention randomization

    McLean Screening Instrument for Borderline Personality Disorder; Scale ranges from 0-16; Higher scores indicate higher of each maladaptive trait

  27. Anger-hostility

    Time frame: Within the 6 months after intervention randomization

    Big Five Inventory (BFI)16 & Personality Inventory for DSM-5 Brief Form (PID-5-BF); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait

  28. Impulsivity/negative urgency

    Time frame: Within the 6 months after intervention randomization

    Impulsive Behavior Scale - Short Form (SUPPS-P); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait

  29. Introversion

    Time frame: Within the 6 months after intervention randomization

    Eysenck Personality Questionnaire - Brief Version (EPQ-BV)28 & Revised NEO Personality Inventory (NEO-PI-R); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait

  30. Fearlessness about death

    Time frame: Within the 6 months after intervention randomization

    Acquired Capability for Suicide Scale; Scale ranges from 0-4; Higher scores indicate higher of each maladaptive trait

  31. Self-conscious

    Time frame: Within the 6 months after intervention randomization

    Widiger Five-Factor Rating Form - Revised31 & NEO Five-Factor Inventory (NEO-FFI); Scale ranges from 0-8; Higher scores indicate higher of each maladaptive trait

  32. Vulnerability

    Time frame: Within the 6 months after intervention randomization

    NEO Five-Factor Inventory (NEO-FFI); Scale ranges from 0-4; Higher scores indicate higher of each maladaptive trait

  33. Frequency of risky behaviors

    Time frame: Within the 6 months after intervention randomization

    Unit Risk Inventory (URI); Scale ranges from 0-1; 0=Never; 1=At least less than once a month

Study contacts

Contact information is provided by the study sponsor or research team.

Life Skills Study Team

CONTACT

[email protected]

301-295-9711

Sponsors and collaborators

Lead sponsor

Uniformed Services University of the Health Sciences

Fed

Collaborators

  • Beth Israel Deaconess Medical Center
  • Defense Health Agency
  • Harvard University
  • Henry M. Jackson Foundation for the Advancement of Military Medicine
  • Massachusetts General Hospital
  • University of Michigan
  • Walter Reed Army Institute of Research (WRAIR)

Registry information

Official study title

SAFEGUARD: Life Skills Training for Soldiers Arriving at Their First Duty Location

Important dates

Study start
2025
Primary completion
2028
Study completion
2029
First posted
Dec 16, 2025
Registry last updated
Jan 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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