Project 1 (Signature): Syncing Screening and Services for Suicide Prevention Across Health and Jail Systems
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 5,250
- 试验地点
- 4
- 主要终点
- Composite measures of suicide attempt and death
研究概览
简要总结
This study aims to harmonize jail release record data with electronic health record data in order to connect patients to an evidence-based suicide prevention and clinical care pathway upon jail release.
详细描述
This study is designed to test the effectiveness of a care pathway delivered at the time of jail release, to increase behavioral health services engagement and prevent suicide attempt. There are 3 primary aims of this study: (1) Examine the effectiveness of the intervention on suicide attempt outcomes. (2) Evaluate the impact of the intervention on behavioral health utilization mechanisms. (3) Evaluate implementation outcomes and processes to guide future implementation and research, including: cost and cost-effectiveness; scalability; sustainability; feasibility, acceptability, and appropriateness to providers/systems; and implementation strategies.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years of age or older
- •Released from jail between February 2021 and July of 2028
- •Had a prior primary care visit or behavioral health visit at a participating health system in the past 3 years
排除标准
- •Does not currently reside in the same state as the study site (i.e.- Michigan, Minnesota)
- •Would require a translator to participate in the research according to EHR data
- •Previously requested to be excluded from research
研究组 & 干预措施
No-Contact Control Group
Participants will be able to engage with healthcare services as usual and will have no knowledge of their involvement in the study.
5S Trial
Participants will receive an intervention aimed at suicide prevention in this group.
干预措施: 5S Trial (Behavioral)
结局指标
主要结局
Composite measures of suicide attempt and death
时间窗: 6-months from jail release date
Nonfatal medically treated suicide attempts will be identified using diagnosis and encounter codes from all inpatient, outpatient, and emergency department encounters recorded in the EHR (for services delivered by participating systems) or claims (for outside services). All suicide deaths will be identified via linkage to regularly updated state mortality data and the National Death Index (NDI). Suicide deaths will be identified using ICD-10 codes indicating definite or possible self-inflicted injury, or deaths identified as suicides in official state government mortality data (updated monthly in each site).
次要结局
未报告次要终点
研究者
Brian Ahmedani
Principal Investigator
Henry Ford Health System