Efficient, Holistic, Heuristic and Semi-structured Suicide Assessment Tool (EHSSA) - Very Accurate Prediction of Risk.

NCT ID: NCT04888533

Last Updated: 2021-06-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1505 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-08-01

Study Completion Date

2020-01-31

Brief Summary

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Many studies have found that insights regarding suicide risk-factors for cohorts does not translate to practical value in the identification of such risk in specific individuals.

E.H.S.S.A. - a suicide assessment tool that was empirically designed by an emergency psychiatry department (P.E.S.P. of Bergen County) in its effort to accurately predict, in specific patients, the risk of suicide attempts in the reasonably foreseeable future. It is of a unique paradigm that combines critical elements of holism, heuristics and semi-structured design.

Detailed Description

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Objective:

Many studies have found that insight regarding suicide risk-factors for cohorts does not translate to practical value in the identification of such risk in specific individuals.

This performance improvement study formally examined the effectiveness of "EHSSA" (efficient, holistic/heuristic semi-structured suicide-risk assessment) - an empirically derived tool designed by this emergency psychiatry department. It is a suicide assessment tool for predicting in a specific patient (as opposed to a cohort), the risk of serious suicide attempts in the reasonably foreseeable future.

Methods:

At P.E.S.P. (Psychiatric Emergency Screening Program) of Bergen County of New Jersey, a prospective performance improvement study was done on all patients (N = 1,505) that had presented with psychiatric crisis to the department over the course of a 6 month period, (of which approximately 50% had significant suicidal ideations). The only exclusionary criteria was active delirium.

Each patient was evaluated using "EHSSA" by departmentally trained mental health professionals. Patients were deemed to either require hospitalization or be safe to be discharged to the community (with appropriate outpatient referrals). Those that were discharged (N = 137) were followed up with phone calls approximately 15 days post discharge.

Conditions

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Suicide Risk

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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All Patients evaluated by PESP during the trial period.

EHSSA tool applied to every patient in cohort.

EHSSA- An Efficient and Holistic/Heuristic Semi-structured Suicide Assessment Tool

Intervention Type OTHER

EHSSA will be used to evaluate every patient for suicide risk.

Interventions

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EHSSA- An Efficient and Holistic/Heuristic Semi-structured Suicide Assessment Tool

EHSSA will be used to evaluate every patient for suicide risk.

Intervention Type OTHER

Other Intervention Names

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EHSSA

Eligibility Criteria

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Inclusion Criteria

* Patients of any age/gender/economic class with or without dementia and/or substance use disorders
* All patients presenting to P.E.S.P.(Psychiatric Emergency Screening Program of Bergen County) in psychiatric distress/crisis.

Exclusion Criteria

\- Active Delirium.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Care Plus NJ, Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Charles Kim, M.D.

Role: PRINCIPAL_INVESTIGATOR

Care Plus NJ, Inc.

Locations

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Care Plus NJ, Inc.- PESP (Psychiatric Emergency Screening Program)

Paramus, New Jersey, United States

Site Status

Countries

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United States

Other Identifiers

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EHSSA prospective study- PESP

Identifier Type: -

Identifier Source: org_study_id

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