Written Safety Planning vs the Safety Net App: A Prospective Randomized Pilot Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Length of Stay
研究概览
简要总结
Safety planning is a brief, ED-feasible intervention which has been demonstrated to save lives and has been universally recommended by every recent expert consensus panel on suicide prevention strategies. In one popular version of the safety plan developed by Stanley et al, the patient is encouraged to write out the following items: identifying personal signs of a crisis; helpful internal coping strategies; social contacts or settings which may distract from a crisis; using family members or friends for help when in crisis; mental health professionals who can be contacted when in crisis; and restricting access to lethal means.
This study aims to find out how valuable an electronic safety plan is compared to a traditional paper safety plan. People who are visiting the emergency department for thoughts of self-harm will be asked to participate.
详细描述
This project has 3 aims: (1) Will ED patients with suicidal ideation/attempt accept coaching on safety planning from non-clinical personnel (i.e., medical students or peer supporters); (2) Are these safety plans of high-enough quality for clinical personnel; and finally, (3) Will ED patients with suicidal ideation/attempt complete safety plans electronically?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 89 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients presenting for suicidal ideation (SI) or after a suicide attempt to the UAMS ED
- •Willingness to engage in safety planning with trained non-clinical staff
- •Have not already filled out a safety plan at the current visit
排除标准
- •<18 or >89 years of age
- •Incarcerated or in police custody
- •Non-English-speaking or Non-English-writing (as translators will not be available for this study)
- •Critically-ill (or appear to be critically-ill)
- •Intoxicated with alcohol or other substance(s)
- •ED staff objection to patient enrollment in study
- •Unwilling or unable to complete the safety plan electronically
- •Unwilling or unable to use a tablet device to complete the safety plan
- •Unwilling or unable to show/email the safety plan to clinical and research staff
结局指标
主要结局
Length of Stay
时间窗: Up to 12 hours
The length of stay in the ED for patients approached who agree to allow trained non-clinical staff to assist with safety planning.
Acceptability of Intervention
时间窗: Up to 12 hours
The number of patients approached who agree to allow trained non-clinical staff to assist with safety planning.
Satisfaction With Safety Planning
时间窗: Up to 12 hours
Evaluate patient satisfaction with safety planning. This will be assessed by having the patient rate their experience with the safety planning process on a 7-point Likert scale (1 - strongly disagree; 2 - disagree; 3 - moderately disagree; 4 - neutral; 5 - moderately agree; 6 - agree; 7 - strongly agree). A Likert scale measures how much someone disagrees or agrees with a particular statement.
次要结局
未报告次要终点