Suicide, Suicide and Self-harm
Conditions
Keywords
Crisis Counseling, 988, Artificial Intelligence, AI
Brief summary
Effective training requires repeated opportunities for skills practice with performance-based feedback, which is challenging to provide at scale. This research study focuses on developing an AI-based, coding and feedback tool ("LyssnCrisis") for implementation in a nationally utilized crisis call center, training counselors (call-takers) in suicide risk assessment skills, and evaluating LyssnCrisis to improve services and client outcomes. This research study's goal is to maximize the human capacity of call-takers to help assess their callers for risk of suicidality, and thus, a core aspect of the current research is developing a novel training process that supports human call-taker capacities.
Interventions
OTHERLyssnCrisis
LyssnCrisis is an AI-based coding and feedback tool for implementation in crisis counseling settings, training counselors (call-takers) in suicide risk assessment skills.
Sponsors
Lyssn.io, Inc.
ProtoCall Services, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Must be employed at Protocall Services, Inc.
Exclusion criteria
Call-takers who participated in Stage 2 research will not be able to participate in Stage 3 research.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-Call Survey | Through study completion, an average of 22 weeks. | 9 item survey utilizing LifeLine crisis call questions that measures changes in distress, perceived helpfulness, and call-taker relationship at the conclusion of a crisis call. The survey is completed by callers to ProtoCall's 988 crisis line, facilitated by the call-taker. . |
| Call-taker crisis counseling fidelity | Through study completion, an average of 22 weeks. | Crisis counseling fidelity will be assessed by AI-generated scores for every recorded call, which will be analyzed via Lyssn during both SAU and LyssnCrisis phases of the study. Key fidelity metrics will include empathy, use of active listening skills, and whether the counselor asked any of the 7 key risk assessment questions (e.g., ideation, plan, past attempts). |
| System Usability Scale (SUS) | Through study completion, an average of 22 weeks. | 10 item survey that is a general measure of technology usability \[ Rated from 1-5, 1= strongly disagree, 5 = strongly agree\] |
| Acceptability of Intervention Measure; AIM | For Pilot: at end of 2 week LyssnCrisis period; for RCT, at end of 12-week LyssnCrisis period. | The Acceptability of Intervention (AIM) to measure target core implementation outcomes and assess if crisis tool is acceptable, appropriate, or feasible for its stated goals. A brief, 4-item measure of a mental health professional's perception of how acceptable an innovation would be for use in their context. Each statement about the acceptability of the innovation is rated on a 5-point ordinal scale ranging from "completely disagree" to "completely agree," where higher scores indicate higher levels of acceptability. |
| Intervention Appropriateness Measure; IAM | Through study completion, an average of 22 weeks.For Pilot: at end of 2 week LyssnCrisis period; for RCT, at end of 12-week LyssnCrisis period. | The Intervention Appropriateness (IAM) to measure target core implementation outcomes and assess if crisis tool is acceptable, appropriate, or feasible for its stated goals. A brief, 4-item measure of a mental health professional's perception of how appropriate an innovation would be for use in their context. Each statement about the appropriateness of the innovation is rated on a 5-point ordinal scale ranging from "completely disagree" to "completely agree," where higher scores indicate higher levels of appropriateness. |
| Feasibility of Intervention Measure; FIM | For Pilot: at end of 2 week LyssnCrisis period; for RCT, at end of 12-week LyssnCrisis period. | The Feasibility of Intervention (FIM) to measure target core implementation outcomes and assess if crisis tool is acceptable, appropriate, or feasible for its stated goals. A brief, 4-item measure of a mental health professional's perception of how feasible an innovation would be for use in their context. Each statement about the feasibility of the innovation is rated on a 5-point ordinal scale ranging from "completely disagree" to "completely agree," where higher scores indicate higher levels of feasibility. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDavid C Atkins, PhD
Lyssn.io, Inc.
Outcome results
None listed