Evaluation of a centralized caring letters suicide prevention intervention for Veterans Health Administration patients with inactivated high risk for suicide patient record flags

Not Applicable

• Conditions: Suicide prevention in US Veterans; Not Applicable

• Registration Number: ISRCTN18069367
• Lead Sponsor: Veterans Crisis Line

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-09-12
• Last Update Posted: 30 October 2023
• Study Completion: 2026-03-31

Recruitment & Eligibility

• Status: Ongoing
• Sex: All
• Target Recruitment: 20000

Inclusion Criteria

Participants will be included in the Centralized Caring Letters intervention if they have an inactivated High Risk for Suicide Patient Record Flag (HRS PRF) during the recruitment period which is 30/6/2023 – 29/06/2024 for phase 1 sites and 31/1/2024 – 29/06/2024 for phase 2 sites and:
1. Have a valid mailing address on file with the VHA
2. Are not removed or opted out by a local Suicide Prevention Coordinator prior to enrollment in the intervention.
3. Have not died before upload of their name and address information for mail processing
4. Are not actively enrolled in and receiving Caring Letters from the Veterans Crisis Line Caring Letter project at the time of eligibility for enrollment
All Veteran age ranges and genders will be included.

Exclusion Criteria

1. No fixed valid mailing address available in VHA records
2. Death prior to upload of name and address information for mail processing
3. Actively enrolled in and receiving Caring Letters from the Veterans Crisis Line Caring Letter project at the time of eligibility for enrollment

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Incidence and frequency of VA psychiatric hospitalization from analysis of VA health care records data obtained from the VA’s Corporate data Warehouse (CDW) assessed for 1 year of Centralized Caring Letters delivery and in a pre-intervention comparison cohort <br>2. Incidence and frequency of VA emergency department visits obtained from analysis of VA health care record data from the CDW assessed for 1 year of Centralized Caring Letters and in a pre-intervention comparison cohort<br>3. Rates of outpatient VA mental health care utilization from analysis of VA health care record data from the CDW assessed for 1 year of Caring Letters and in a pre-intervention comparison cohort