Suicide
Conditions
Keywords
Suicidality, Collaborative Assessment and Management of Suicidality, Technology, Suicide Prevention, Suicide Intervention
Brief summary
This Phase I feasibility study endeavors to create a prototype of a tool to determine its feasibility with suicidal patients in emergency departments (EDs). This is not a clinical trial. The overarching goal of this research is to create a tool that could reduce suicide rates, increase delivery of efficacious suicide interventions, and decrease overall costs associated with suicidal behaviors. SBIR Phase I project aims include: (1) creating an advisory board to guide the development of CAMS-RAS; (2) iteratively design and develop relational agent (Dr. Dave) modeled after the gestures, expressions, and mannerisms of CAMS treatment developer, David Jobes, PhD; and (3) conduct feasibility tests to determine whether CAMS-RAS is acceptable, easy to use, and liked by target end-users: acutely suicidal patients admitted to hospital EDs, psychiatric inpatient units, and medical floors for treatment of injuries sustained during a suicide attempt; hospital medical personnel, administrators, and other stakeholders including peer advocates; and outpatient suicidal patients, clinicians and administrators.
Interventions
DEVICECAMS-RAS
Sponsors
The Catholic University of America
University of Florida
Evidence-Based Practice Institute, Seattle, WA
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patient Inclusion Criteria: * English fluency * 18 years or older * receiving clinical care in a hospital or outpatient clinic for suicidality * Suicidal patients currently admitted to EDs, psychiatric inpatient units, and medical floors, or patient with past (last 6 months) suicidality receiving outpatient treatment Patient
Exclusion criteria
* Acutely psychotic * severely agitated (as determined by care team)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Usability Satisfaction and Acceptability Questionnaire (USAQ) | up to one day | A brief face-valid, self-report measure that the PI derived from the System Usability Scale and has been successfully used in previous studies. Items are rated on a 5-point Likert Scale (1=poor; 3=good; 5=excellent). Includes open-ended questions to better understand what was most and least helpful with respect to each category and also measures users' acceptance. |
| Number of ED Patient Participants Who Completed Semi-Structured Interview | After interacting with the technology (length: approximately 1 hour), subjects were then asked to complete the semi-structured interview conducted by the research assistant. On average, the interview lasted approximately 15 minutes. | A semi-structured interview was conducted following use of the CAMS-RAS tool to assess users' likes, dislikes, and other preferences. Questions included: What were your experiences in using 'Dr. Dave' and the CAMS-RAS system? and What suggestions would you have for improvement? All subjects indicated that they found the tool helpful to them. They described the tool using adjectives similar to those used to describe Nurse Louise - a discharge nurse avatar on which the investigator's avatar was based: He's kind and asks me really practical, helpful questions; He speaks to me directly in a compassionate way; and He is kind and invested. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| CAMS-RAS In this single-arm study design, all enrolled patient and non-patient participants are asked to provide feedback on the CAMS-RAS prototype as it is developed for this study. Feedback will be gathered via survey measure and interview.
CAMS-RAS | 26 |
| Total | 26 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 1 |
Baseline characteristics
| Characteristic | CAMS-RAS |
|---|---|
| Age, Continuous | 39.38 Years STANDARD_DEVIATION 12.76 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 21 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 3 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants |
| Race (NIH/OMB) Black or African American | 1 Participants |
| Race (NIH/OMB) More than one race | 3 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 3 Participants |
| Race (NIH/OMB) White | 18 Participants |
| Sex/Gender, Customized Female | 16 Participants |
| Sex/Gender, Customized Male | 6 Participants |
| Sex/Gender, Customized Other | 1 Participants |
| Sex/Gender, Customized Unknown | 3 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 26 |
| other Total, other adverse events | 0 / 26 |
| serious Total, serious adverse events | 0 / 26 |
Outcome results
Primary
Number of ED Patient Participants Who Completed Semi-Structured Interview
A semi-structured interview was conducted following use of the CAMS-RAS tool to assess users' likes, dislikes, and other preferences. Questions included: What were your experiences in using 'Dr. Dave' and the CAMS-RAS system? and What suggestions would you have for improvement? All subjects indicated that they found the tool helpful to them. They described the tool using adjectives similar to those used to describe Nurse Louise - a discharge nurse avatar on which the investigator's avatar was based: He's kind and asks me really practical, helpful questions; He speaks to me directly in a compassionate way; and He is kind and invested.
Time frame: After interacting with the technology (length: approximately 1 hour), subjects were then asked to complete the semi-structured interview conducted by the research assistant. On average, the interview lasted approximately 15 minutes.
Population: The qualitative information from the semi-structured interviews tells us subjects' general opinions and preferences concerning the avatar.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| CAMS-RAS | Number of ED Patient Participants Who Completed Semi-Structured Interview | 6 Participants |
Primary
Usability Satisfaction and Acceptability Questionnaire (USAQ)
A brief face-valid, self-report measure that the PI derived from the System Usability Scale and has been successfully used in previous studies. Items are rated on a 5-point Likert Scale (1=poor; 3=good; 5=excellent). Includes open-ended questions to better understand what was most and least helpful with respect to each category and also measures users' acceptance.
Time frame: up to one day
Population: Suicidal ED Patients only
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| CAMS-RAS | Usability Satisfaction and Acceptability Questionnaire (USAQ) | 4.5 units on a scale | Standard Deviation 0.41 |