Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency departments and primary care clinics: Protocol for a pragmatic randomized controlled trial.

Autor: Radin AK; St. Luke's Health System, Applied Research Division, Boise, ID, United States. Electronic address: radina@slhs.org., Shaw J; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Brown SP; University of Washington, Department of Biostatistics, Seattle, WA, United States., Flint H; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Fouts T; St. Luke's Health System, Applied Research Division, Boise, ID, United States., McCue E; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Skeie A; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Peña C; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Youell J; St. Luke's Health System, Applied Research Division, Boise, ID, United States., Ratzliff A; University of Washington, Department of Psychiatry and Behavioral Sciences,, Seattle, WA, United States., Powers DM; University of Washington, Department of Psychiatry and Behavioral Sciences,, Seattle, WA, United States., Biss M; Idaho Crisis and Suicide Hotline, Boise, ID, United States; SPARC Lived Experience Advisory Board, ID, United States., Lemon H; Idaho Crisis and Suicide Hotline, Boise, ID, United States., Sandoval D; Idaho Crisis and Suicide Hotline, Boise, ID, United States., Hartmann J; Idaho Crisis and Suicide Hotline, Boise, ID, United States., Hammar E; SPARC Lived Experience Advisory Board, ID, United States., Doty-Jones A; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States., Wilson J; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States; Cornerstone Whole Healthcare Organization, Inc., McCall, ID, United States., Austin G; Idaho Crisis and Suicide Hotline, Boise, ID, United States., Chan KCG; University of Washington, Department of Biostatistics, Seattle, WA, United States., Zheng Z; University of Washington, Department of Biostatistics, Seattle, WA, United States., Fruhbauerova M; University of Washington, Department of Psychiatry and Behavioral Sciences,, Seattle, WA, United States., Ross M; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States., Stright M; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States., Pullen S; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States; Novant Health, Psychiatry and Mental Health Institute, Winston-Salem, NC, United States; Duke University School of Medicine, Department of Psychiatry and Behavioral Sciences, Durham, NC, United States., Edwards C; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States; National Staffing Solutions (Contracted Provider for Optum Serve), Twin Falls, ID, United States., Walton M; St. Luke's Health System, Behavioral Health Service Line, Boise, ID, United States., Kerbrat A; University of Washington, Department of Psychiatry and Behavioral Sciences,, Seattle, WA, United States., Comtois KA; University of Washington, Department of Psychiatry and Behavioral Sciences,, Seattle, WA, United States.
Jazyk: angličtina
Zdroj: Contemporary clinical trials [Contemp Clin Trials] 2023 Aug; Vol. 131, pp. 107268. Date of Electronic Publication: 2023 Jun 14.
DOI: 10.1016/j.cct.2023.107268
Abstrakt: Background: Suicide is a leading cause of death in adolescents and adults in the US. Follow-up support delivered when patients return home after an emergency department (ED) or primary care encounter can significantly reduce suicidal ideation and attempts. Two follow-up models to augment usual care including the Safety Planning Intervention have high efficacy: Instrumental Support Calls (ISC) and Caring Contacts (CC) two-way text messages, but they have never been compared to assess which works best. This protocol for the Suicide Prevention Among Recipients of Care (SPARC) Trial aims to determine which model is most effective for adolescents and adults with suicide risk.
Methods: The SPARC Trial is a pragmatic randomized controlled trial comparing the effectiveness of ISC versus CC. The sample includes 720 adolescents (12-17 years) and 790 adults (18+ years) who screen positive for suicide risk during an ED or primary care encounter. All participants receive usual care and are randomized 1:1 to ISC or CC. The state suicide hotline delivers both follow-up interventions. The trial is single-masked, with participants unaware of the alternative treatment, and is stratified by adolescents/adults. The primary outcome is suicidal ideation and behavior, measured using the Columbia Suicide Severity Rating Scale (C-SSRS) screener at 6 months. Secondary outcomes include C-SSRS at 12 months, and loneliness, return to crisis care for suicidality, and utilization of outpatient mental health services at 6 and 12 months.
Discussion: Directly comparing ISC and CC will determine which follow-up intervention is most effective for suicide prevention in adolescents and adults.
Competing Interests: Declaration of Competing Interest The authors have no competing interests to declare.
(Copyright © 2023. Published by Elsevier Inc.)
Databáze: MEDLINE
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