Pilot Testing Suicide Risk Prediction Algorithms in Primary Care

Not Applicable

Not yet recruiting

• Conditions: Suicide Prevention; Suicide Risk | Patient

• Registration Number: NCT07068685
• Lead Sponsor: Kaiser Permanente

Brief Summary

The goal of this pilot study is to learn whether the use of suicide risk prediction algorithms in primary care can help identify people who may benefit from extra mental health monitoring.

Specifically, this study aims to measure how use of the suicide risk prediction algorithm to prompt extra mental health monitoring among adult primary care patients impacts 1) the proportion of adult primary care patients reporting suicidal thoughts, 2) the proportion identified who would benefit from safety planning, and 3) the proportion engaged in safety planning.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-07
• Study First Submitted: 2025-07-02
• Study First Submitted QC: 2025-07-15
• Last Update Submitted: 2025-07-15
• Study First Posted: 2025-07-16
• Last Update Posted: 2025-07-16
• Study Start: 2025-09-01
• Primary Completion: 2026-04
• Study Completion: 2027-04-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 500000

Inclusion Criteria

Any type of adult primary care visit/encounter at Kaiser Permanente Washington (KPWA) between 2/1/2025-8/31/2025 (pre period) or 9/1/2025-3/31/2026 (post-period or implementation period).

Exclusion Criteria

Primary care visit/encounter among people under 18 years old.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
Suicidal ideation symptom assessment	Rates of assessment for primary care encounters will be compared before and after implementation, during the 15 month study period 2/1/25 - 3/31/26 (planned implementation launch 9/1/2025)	Indicator for whether a patient completed the Patient Health Questionnaire-9 (PHQ-9) Question 9 for primary care encounter
Frequent suicidal ideation reported (in prior 2-weeks)	Rates for primary care encounters will be compared before and after implementation, during the 15 month study period 2/1/25 - 3/31/26 (planned implementation launch 9/1/2025)	Indicator for whether a patient reported suicidal ideation "more than half the days" or "nearly every day" (PHQ-9 Q9 score 2 or 3), on the assessment documented in the electronic medical record (EMR) for the primary care encounter (range 0-3, higher scores indicate more frequent suicidal ideation)
Suicide risk assessment	Rates for primary care encounters will be compared before and after implementation, during the 15 month study period 2/1/25 - 3/31/26 (planned implementation launch 9/1/2025)	Indicator for whether a patient completed the Columbia Suicide Risk Severity Rating Scale (C-SSRS) for the primary care encounter
Prior month intent/planning for suicide attempt	Rates for primary care encounters will be compared before and after implementation, during the 15 month study period 2/1/25 - 3/31/26 (planned implementation launch 9/1/2025)	Indicator for whether a patient indicated prior-month intent or planning for suicide attempt (C-SSRS score ≥3, on the C-SSRS assessment for the primary care encounter (range 0-6; higher scores confer greater risk)
Suicide Risk Safety Plan Documentation	Rates for primary care encounters will be compared before and after implementation, during the 15 month study period 2/1/25 - 3/31/26 (planned implementation launch 9/1/2025)	Indicator for whether a patient was identified at risk of suicide (using the PHQ-9 and C-SSRS) and had a safety planning intervention documented in the EMR on the day of, or in the following 14 days of a primary care encounter, using a standardized template based on the brief suicide risk safety plan intervention developed by Drs. Stanley \& Brown to mitigate risk

Trial Locations

Locations (1)

Kaiser Permanente Washington Health Research Institute; 🇺🇸 Seattle, Washington, United States