Native-RISE (Risk Identification for Suicide and Enhanced Care)
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 1,687
- 试验地点
- 3
- 主要终点
- Rate of suicide attempts among individuals flagged at elevated risk
研究概览
简要总结
The goal of this research is to test a systems-level suicide prevention strategy, Native-RISE (Risk Identification for Suicide and Enhanced care), that combines predictive analytics and brief contact interventions (BCIs) to reduce suicide in health systems serving Native Americans (NAs). This project aims to prove the effectiveness and scalability of Native-RISE within three Indian Health Service (IHS) health care clinics (Whiteriver, Chinle and Shiprock) already implementing suicide prevention programs and serving the White Mountain Apache Tribe (WMAT) and Navajo Nation (NN).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18-75
- •Visit at least one of the three participating IHS clinics
- •Identified as at risk of suicide by either an existing method or the new Native-RISE risk model algorithm
排除标准
- 未提供
研究组 & 干预措施
Case Managers WITH algorithm AND with provider risk notification (SI/SA/Binge/NSSI)
Case Managers who see the algorithm classification + IHS provider risk notification & resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).
干预措施: System of Care - combination of algorithm and Brief Contact Intervention (Device)
Case Managers withOUT algorithm AND with provider risk notification (SI/SA/Binge/NSSI)
Case Managers who do NOT see the algorithm classification + IHS provider risk notification & resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).
干预措施: Active Comparator - Provider notification of risk status (Behavioral)
Case Managers WITH algorithm AND provider risk notification (high risk history, no SI/SA/Binge/NSSI
Case Managers who see the algorithm classification + provider risk notification; participants get resource card distribution. High risk participants based on algorithm classification.
干预措施: System of Care - combination of algorithm and Brief Contact Intervention (Device)
Provider risk notification alone (high risk history, without SI/SA/Binge/NSSI)
Provider risk notification alone; participants get resource card distribution. High risk participants based on algorithm classification.
干预措施: Active Comparator - Provider notification of risk status (Behavioral)
结局指标
主要结局
Rate of suicide attempts among individuals flagged at elevated risk
时间窗: 12 months
Rate of suicide attempts among individuals flagged at elevated risk is tracked through International Classification of Diseases (ICD) codes and chief complaints as recorded in the participating health system.
次要结局
- Number of contacts with Case Managers (Reach of Brief Contact Interventions (BCI))(12 months)