Safety-Planning Intervention for Suicidal Behavior in an Emergency Department: an Effectiveness-implementation Hybrid Design
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Suicide
- Sponsor
- Instituto de Investigación Hospital Universitario La Paz
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Feasibility of Safety Plan Implementation
- Status
- Completed
- Last Updated
- 7 months ago
Overview
Brief Summary
The Safety Plan Intervention (SPI) has demonstrated to reduce suicide reattempts and to increase the ambulatory follow-up in american war veterans. This study evaluates the implementability and effectiveness in a significantly different population in a real world setting.
Detailed Description
We will perform a Effectiveness-implementation Hybrid Design (Curran et al. 2012) to study firstly the feasibility of implementing the SPI in our clinical setting and secondly its effectiveness. The experimental arm will consist in a group of patients who visit the ED for a suicide-related concern in which the SPI is performed. This will be in the Emergency Department , unless for clinical reasons, the ED psychiatrist decide to postpone it to the first psychiatric appointment (which will be before one week of the ED visit as part of the treatment as usual). Right after the SPI is performed, both the patient and the clinician will complete questionnaire with satisfaction and acceptability measures. Subjects will be followed for 6 months. At this time medical records will be consulted to obtain suicide reattempts rates and follow-up adherence. At all times, the anonymity of the participants will be preserved and will require heading of informed consent, as well as other ethical aspects indicated by the Ethics Committee.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Feasibility of Safety Plan Implementation
Time Frame: Baseline
Percentage of SPIs performed in ED from total number of suicide related ED visits.
Secondary Outcomes
- Satisfaction of the patient with the Safety Plan(t0 (Safety Plan Performance ))
- Time required for the performance of the SPI(Baseline)
- Satisfaction of the Professional with the Safety Plan(Baseline)
- Presence of suicide reattempt(Month 6)
- Time to suicide reattempt(Month 6)
- Adherence to psychiatric ambulatory follow-up(Month 6)