Syncing Screening and Services for Suicide Prevention Across Health and Justice Systems
- Conditions
- Suicide Prevention
- Interventions
- Behavioral: 5S Trial
- Registration Number
- NCT06506344
- Lead Sponsor
- Henry Ford Health System
- Brief Summary
This study aims to harmonize jail release record data with electronic health record data in order to connect patients to an evidence-based suicide prevention and clinical care pathway upon jail release.
- Detailed Description
This study is designed to test the effectiveness of a care pathway delivered at the time of jail release, to increase behavioral health services engagement and prevent suicide attempt. There are 3 primary aims of this study: (1) Examine the effectiveness of the intervention on suicide attempt outcomes. (2) Evaluate the impact of the intervention on behavioral health utilization mechanisms. (3) Evaluate implementation outcomes and processes to guide future implementation and research, including: cost and cost-effectiveness; scalability; sustainability; feasibility, acceptability, and appropriateness to providers/systems; and implementation strategies.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 60000
- 18 years of age or older
- Released from jail between February 2021 and July of 2028
- Had a prior primary care visit or behavioral health visit at a participating health system in the past 3 years
- Does not currently reside in the same state as the study site (i.e.- Michigan, Minnesota)
- Would require a translator to participate in the research according to EHR data
- Previously requested to be excluded from research
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 5S Trial 5S Trial Participants will receive an intervention aimed at suicide prevention in this group.
- Primary Outcome Measures
Name Time Method Composite measures of suicide attempt and death 6-months from jail release date Nonfatal medically treated suicide attempts will be identified using diagnosis and encounter codes from all inpatient, outpatient, and emergency department encounters recorded in the EHR (for services delivered by participating systems) or claims (for outside services). All suicide deaths will be identified via linkage to regularly updated state mortality data and the National Death Index (NDI). Suicide deaths will be identified using ICD-10 codes indicating definite or possible self-inflicted injury, or deaths identified as suicides in official state government mortality data (updated monthly in each site).
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
HealthPartners Institute
🇺🇸Bloomington, Minnesota, United States
Henry Ford Health
🇺🇸Detroit, Michigan, United States