Suicide Prevention
Conditions
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORAL5S Trial
Participants will receive caring contacts/recruitment outreach, suicide risk screening, suicide safety planning, and, if indicated, connection to healthcare services, resources and the CLASP virtual outreach intervention.
Sponsors
Henry Ford Health System
National Institute of Mental Health (NIMH)
Michigan State University
HealthPartners Institute
Brown University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite measures of suicide attempt and death | 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). |
Countries
United States
Contacts
CONTACTDiane Wisnieski, MSW
PRINCIPAL_INVESTIGATORBrian Ahmedani, PhD, MSW
Henry Ford Health
PRINCIPAL_INVESTIGATORLauren Weinstock, PhD
Brown University
PRINCIPAL_INVESTIGATORRebecca Rossom, MD, MS
HealthPartners Institute
Outcome results
None listed