Suicide Prevention
Conditions
Brief summary
The goal of this research is to test a systems-level suicide prevention strategy, Native-RISE (Risk Identification for Suicide and Enhanced care), that combines predictive analytics and brief contact interventions (BCIs) to reduce suicide in health systems serving Native Americans (NAs). This project aims to prove the effectiveness and scalability of Native-RISE within three Indian Health Service (IHS) health care clinics (Whiteriver, Chinle and Shiprock) already implementing suicide prevention programs and serving the White Mountain Apache Tribe (WMAT) and Navajo Nation (NN).
Interventions
DEVICESystem of Care - combination of algorithm and Brief Contact Intervention
Case managers see the Native-RISE algorithm classification and Clinical Providers receive a risk notification. A resource card is provided to the participant.
BEHAVIORALActive Comparator - Provider notification of risk status
Clinical Providers receive a risk notification and a resource card is provided to the participant.
Sponsors
Johns Hopkins Bloomberg School of Public Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Caregiver)
Intervention model description
Native-RISE Model is a predictive algorithm for suicide risk in Native American populations. The algorithm was developed based on analysis of over 330,000 visits and designed to identify people at risk of a suicide attempt or death within 90 days of the last visit. The evaluation of the model initial results have been published with the model having an area under the ROC (AUROC) 0.83 \[0.80-0.86\]) and performing better than existing care (AUROC 0.64 \[0.61-0.67\]).
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 18-75 * Visit at least one of the three participating IHS clinics * Identified as at risk of suicide by either an existing method or the new Native-RISE risk model algorithm
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of suicide attempts among individuals flagged at elevated risk | 12 months | Rate of suicide attempts among individuals flagged at elevated risk is tracked through International Classification of Diseases (ICD) codes and chief complaints as recorded in the participating health system. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of contacts with Case Managers (Reach of Brief Contact Interventions (BCI)) | 12 months | Reach of BCI is defined as at least three or more contacts with Case Managers within the first year following identification of elevated risk. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREmily Haroz, PhD
Johns Hopkins University
Outcome results
None listed