Suicide Prevention Among Recipients of Care

Not Applicable

Completed

• Conditions: Suicide; Outpatient Clinics, Hospital; Mental Health; Continuity of Patient Care; Adult; Patient Care Planning; Outpatients; Adolescent; Suicidal Ideation; Suicide, Attempted
• Interventions: Behavioral: SPI+; Behavioral: SP+CC (Caring Contacts)

• Registration Number: NCT04893447
• Lead Sponsor: St. Luke's Health System, Boise, Idaho

Brief Summary

Randomized controlled trial to determine the best brief suicide prevention intervention for adults and adolescents who screen positive for suicidal ideation or behavior in emergency departments or primary care clinics.

Aim 1: Compare the effectiveness of two brief suicide prevention interventions (safety planning intervention plus structured phone-based follow-up from a suicide prevention hotline (SPI+), versus safety planning intervention plus caring contacts (CC)) to (a) reduce suicidal ideation and behavior, (b) reduce loneliness, (c) reduce return to care for suicidality, and (d) increase uptake of outpatient mental healthcare services over 12 months among adult and adolescent patients screening positive for suicide in emergency departments (EDs) and primary care clinics.

Aim 2: Assess the acceptability of connection and support planning and the safety planning intervention, with or without follow-up among providers and clinical staff in EDs and primary care clinics.

Aim 3: Assess the acceptability of SPI+ and SP+CC among adult and adolescent patients.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-04-28
• Study First Submitted QC: 2021-05-14
• Study First Posted: 2021-05-19
• Study Start: 2021-05-20
• Primary Completion: 2024-07-07
• Study Completion: 2024-07-07
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-07
• Last Update Posted: 2024-11-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1520

Inclusion Criteria

• Patient at St. Luke's Health System Emergency Department or Primary Care Clinic
• 12-17 years old (adolescents) or 18+ years old (adults)
• Screened positive for suicide risk on C-SSRS (any response of "yes") during current visit, or current visit is related to a suicide attempt
• Access to a phone for the duration of the study with the ability to receive calls
• The ability to send and receive email messages (required) and text messages (optional)
• English or Spanish speaking and reading

Exclusion Criteria

• Unable or unwilling to provide informed consent to participate
• Inappropriate for study participation based on the clinical judgment of provider

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
SPI+: Safety Planning Intervention plus structured phone-based follow-up	SPI+	The Safety Planning Intervention (SPI+) includes safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus a structured telephone-based intervention from a suicide prevention hotline
Caring Contacts: Safety Planning Intervention plus Caring Contacts (SP+CC)	SP+CC (Caring Contacts)	SP+CC will include safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus caring text messages or emails from a suicide prevention hotline.

Primary Outcome Measures

Name	Time	Method
Suicidal Ideation & Behavior; measured using the Columbia Suicide Severity Rating Scale (C-SSRS) since-last-contact screener (self-assessment)	6 months	6-item questionnaire with yes/no response options. Scores range from 0 (no risk) to 6 (high risk)

Secondary Outcome Measures

Name	Time	Method
Loneliness; measured using the NIH Toolbox Emotion Batteries Loneliness Scale	12 months	5-item questionnaire with Likert scale response options (1=never, 5=always). Scores range from 5 (no loneliness) to 25 (high levels of loneliness).
Attendance at Outpatient Behavioral Health Appointments	12 months	Measured through self-report
Suicidal Ideation & Behavior; measured using the Columbia Suicide Severity Rating Scale (C-SSRS) since-last-contact screener (self-assessment)	12 months	6-item questionnaire with yes/no response options. Scores range from 0 (no risk) to 6 (high risk)
Utilization of Emergency Department for Suicidality	12 months	Measured through self-report

Trial Locations

Locations (1)

St. Luke's Health System; 🇺🇸 Boise, Idaho, United States