Suicide Prevention Among Recipients of Care (SPARC)

St. Luke's Health System, Boise, Idaho

Status: Completed

Conditions: Crisis Intervention; Adult; Outpatient Clinics, Hospital; Loneliness; Ambulatory Care; Adolescent; Social Support; Mental Health Services; Suicide; Emergency Service, Hospital; Mental Health; Mental Disorder; Suicide, Attempted; Patient Care Planning; Suicidal Ideation; Outpatients; Continuity of Patient Care; Depression; Secondary Prevention; Depressive Disorder

Treatments: Behavioral: SPI+; Behavioral: SP+CC (Caring Contacts)

Study type: Interventional

Funder types: Other

Identifiers

NCT04893447

2019-0026

Details and patient eligibility

About

Randomized controlled trial to determine the best brief suicide prevention intervention for adults and adolescents who screen positive for suicidal ideation or behavior in emergency departments or primary care clinics.

Aim 1: Compare the effectiveness of two brief suicide prevention interventions (safety planning intervention plus structured phone-based follow-up from a suicide prevention hotline (SPI+), versus safety planning intervention plus caring contacts (CC)) to (a) reduce suicidal ideation and behavior, (b) reduce loneliness, (c) reduce return to care for suicidality, and (d) increase uptake of outpatient mental healthcare services over 12 months among adult and adolescent patients screening positive for suicide in emergency departments (EDs) and primary care clinics.

Aim 2: Assess the acceptability of connection and support planning and the safety planning intervention, with or without follow-up among providers and clinical staff in EDs and primary care clinics.

Aim 3: Assess the acceptability of SPI+ and SP+CC among adult and adolescent patients.

Enrollment: 1,520 patients

Sex: All

Ages: 12+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient at St. Luke's Health System Emergency Department or Primary Care Clinic
• 12-17 years old (adolescents) or 18+ years old (adults)
• Screened positive for suicide risk on C-SSRS (any response of "yes") during current visit, or current visit is related to a suicide attempt
• Access to a phone for the duration of the study with the ability to receive calls
• The ability to send and receive email messages (required) and text messages (optional)
• English or Spanish speaking and reading

Exclusion criteria

• Unable or unwilling to provide informed consent to participate
• Inappropriate for study participation based on the clinical judgment of provider

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

1,520 participants in 2 patient groups

SPI+: Safety Planning Intervention plus structured phone-based follow-up

Experimental group

Description:

The Safety Planning Intervention (SPI+) includes safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus a structured telephone-based intervention from a suicide prevention hotline

Treatment:

Behavioral: SPI+

Caring Contacts: Safety Planning Intervention plus Caring Contacts (SP+CC)

Experimental group

Description:

SP+CC will include safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus caring text messages or emails from a suicide prevention hotline.

Treatment:

Behavioral: SP+CC (Caring Contacts)