Implementability and Effectiveness of the Safety Planning Intervention for Suicidal Behavior

Instituto de Investigación Hospital Universitario La Paz

Status: Completed

Conditions: Suicide, Attempted; Suicidal Ideation; Suicide

Treatments: Behavioral: Safety Plan Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04230434

SPI-EI

Details and patient eligibility

About

The Safety Plan Intervention (SPI) has demonstrated to reduce suicide reattempts and to increase the ambulatory follow-up in american war veterans. This study evaluates the implementability and effectiveness in a significantly different population in a real world setting.

Full description

We will perform a Effectiveness-implementation Hybrid Design (Curran et al. 2012) to study firstly the feasibility of implementing the SPI in our clinical setting and secondly its effectiveness. The experimental arm will consist in a group of patients who visit the ED for a suicide-related concern in which the SPI is performed. This will be in the Emergency Department , unless for clinical reasons, the ED psychiatrist decide to postpone it to the first psychiatric appointment (which will be before one week of the ED visit as part of the treatment as usual).

Right after the SPI is performed, both the patient and the clinician will complete questionnaire with satisfaction and acceptability measures. Subjects will be followed for 6 months. At this time medical records will be consulted to obtain suicide reattempts rates and follow-up adherence.

At all times, the anonymity of the participants will be preserved and will require heading of informed consent, as well as other ethical aspects indicated by the Ethics Committee.

Enrollment: 58 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Suicide attempt or presence of severe suicidal ideation
2. Signed Informed Consent Form

Exclusion criteria

1. Less than 18 years old
2. Hospitalization in the Psychiatry Department
3. Inability to understand the Safety Planning Intervention

Withdrawal criteria:

1) Participant's decision to withdraw from the trial

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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58 participants in 1 patient group

Safety Plan Intervention

Experimental group

Description:

The Safety Plan Intervention (SPI) performed in ED or in ambulatory appointment

Treatment:

Behavioral: Safety Plan Intervention