Effectiveness and Implementation of a Clinician Decision Support System to Prevent Suicidal Behaviors

Mass General Brigham

Status: Enrolling

Conditions: Suicide, Attempted; Suicide

Treatments: Diagnostic Test: Clinician Decision Support Tool

Study type: Interventional

Funder types: Other

Identifiers

NCT05671133

2022P002689

Details and patient eligibility

About

The primary aim of this project are to evaluate a comprehensive, practice-ready, and deployment-focused strategy for improving the prediction and prevention of suicide attempts among a sample of 4,000 patients presenting to an ED with a psychiatric concern. Our first aim is to evaluate the effects of providing information about risk of patient suicidal behavior to ED clinicians. We hypothesize that patients randomly assigned to have their clinician receive their risk score will have a lower rate of suicide attempts during 6-month follow-up and that this effect will be mediated by changes in clinician decision-making.

Enrollment: 4,000 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 18 years or older
• Presentation to emergency psychiatry service

Exclusion criteria

• Inability to understand study procedures and provide informed consent, such as those with gross cognitive impairment (including florid psychosis), intellectual disability, dementia, acute intoxication
• Presence of violent or extremely agitated behavior

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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4,000 participants in 2 patient groups

Experimental

Experimental group

Description:

Patient's clinician is given Clinician Decision Support Tool

Treatment:

Diagnostic Test: Clinician Decision Support Tool

Control

No Intervention group

Description:

Patient's clinician is not given Clinician Decision Support Tool (care as usual)