Native-RISE (Risk Identification for Suicide and Enhanced Care)

Johns Hopkins Bloomberg School of Public Health

Status: Invitation-only

Conditions: Suicide Prevention

Treatments: Behavioral: Active Comparator - Provider notification of risk status; Device: System of Care - combination of algorithm and Brief Contact Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06782516

IRB00026145

Details and patient eligibility

About

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).

Enrollment: 1,687 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,687 participants in 4 patient groups

Case Managers WITH algorithm AND with provider risk notification (SI/SA/Binge/NSSI)

Experimental group

Description:

Case Managers who see the algorithm classification + IHS provider risk notification \& resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).

Treatment:

Device: System of Care - combination of algorithm and Brief Contact Intervention

Case Managers withOUT algorithm AND with provider risk notification (SI/SA/Binge/NSSI)

Active Comparator group

Description:

Case Managers who do NOT see the algorithm classification + IHS provider risk notification \& resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).

Treatment:

Behavioral: Active Comparator - Provider notification of risk status

Case Managers WITH algorithm AND provider risk notification (high risk history, no SI/SA/Binge/NSSI

Experimental group

Description:

Case Managers who see the algorithm classification + provider risk notification; participants get resource card distribution. High risk participants based on algorithm classification.

Treatment:

Device: System of Care - combination of algorithm and Brief Contact Intervention

Provider risk notification alone (high risk history, without SI/SA/Binge/NSSI)

Active Comparator group

Description:

Provider risk notification alone; participants get resource card distribution. High risk participants based on algorithm classification.

Treatment:

Behavioral: Active Comparator - Provider notification of risk status