Suicide Prevention Among Recipients of Care

  • End date
    Nov 14, 2023
  • participants needed
  • sponsor
    St. Luke's Health System, Boise, Idaho
Updated on 3 October 2021
suicide prevention


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.

Condition Endogenous depression, Depression (Major/Severe), Suicidal Ideation, Depressed, Crisis Intervention, Psychosis, Depression (Treatment-Resistant), mental disorder, Adolescence, Psychological Disorders, Adult, psychological disorder, psychiatric diseases, psychotic disorders, mental health, Depression (Adult and Geriatric), Mood Disorders (Pediatric), Emergency Room, Suicide, Nursing Care Plans, depressive disorders, mental disease, Loneliness, psychiatric illness, Depression, depressive disorder, Hospital Outpatient Clinic, Social support, Affective Disorders, miserable, mood disorder, Depression (Adolescent), Mood Disorders, psychiatric disorder, mental disorders, psychiatric disease, Mental Health Services, Depression (Pediatric), Suicide attempt, Outpatient, psychiatric disorders, Continuity of Care, psychotic, Ambulatory Care, psychotic disorder, Secondary Prevention, Mental illness, depressed mood
Treatment SPI+, SP+CC (Caring Contacts)
Clinical Study IdentifierNCT04893447
SponsorSt. Luke's Health System, Boise, Idaho
Last Modified on3 October 2021


Yes No Not Sure

Inclusion Criteria

Patient at St. Luke's Health System Emergency Department or Primary Care Clinic
-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
Completed, Revised, or Reviewed Safety Plan or Connection & Support Plan as part of current visit
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
Clear my responses

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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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