Trial Outcomes & Findings for Suicide Prevention for Justice Involved Managed Care Subscribers (NCT NCT05579600)

Results Overview

A suicide attempt is defined as "engaging in a potentially self-injurious behavior, associated with at least some intent to die as a result of the act." We will assess total number of subsequent attempts using the already-developed Mental Health Research Network (MHRN) algorithm for extracting suicide attempt information from claims data

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

45155 participants

Primary outcome timeframe

6-months

Results posted on

2025-11-12

Participant Flow

Participant milestones

Participant milestones
Measure	Caring Contact Letters Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control No contact control condition for the Caring Contact letters
Overall Study STARTED	22380	22775
Overall Study COMPLETED	22380	22775
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Suicide Prevention for Justice Involved Managed Care Subscribers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters	Total n=45155 Participants Total of all reporting groups
Age, Continuous	36.4 Year STANDARD_DEVIATION 10.9 • n=10 Participants	36.4 Year STANDARD_DEVIATION 10.8 • n=10 Participants	36.4 Year STANDARD_DEVIATION 10.8 • n=20 Participants
Sex: Female, Male Female	8628 Participants n=10 Participants	8702 Participants n=10 Participants	17330 Participants n=20 Participants
Sex: Female, Male Male	13752 Participants n=10 Participants	14073 Participants n=10 Participants	27825 Participants n=20 Participants
Race/Ethnicity, Customized American Indian Alaskan Native	107 Participants n=10 Participants	110 Participants n=10 Participants	217 Participants n=20 Participants
Race/Ethnicity, Customized Asian or Pacific Islander	116 Participants n=10 Participants	100 Participants n=10 Participants	216 Participants n=20 Participants
Race/Ethnicity, Customized Black (non-Hispanic)	8528 Participants n=10 Participants	8432 Participants n=10 Participants	16960 Participants n=20 Participants
Race/Ethnicity, Customized White (non-Hispanic)	12746 Participants n=10 Participants	13248 Participants n=10 Participants	25994 Participants n=20 Participants
Race/Ethnicity, Customized Hispanic	25 Participants n=10 Participants	28 Participants n=10 Participants	53 Participants n=20 Participants
Race/Ethnicity, Customized Native Hawaiian	29 Participants n=10 Participants	25 Participants n=10 Participants	54 Participants n=20 Participants
Race/Ethnicity, Customized Not Provided	828 Participants n=10 Participants	830 Participants n=10 Participants	1658 Participants n=20 Participants
Race/Ethnicity, Customized Other Race Ethnicity	1 Participants n=10 Participants	2 Participants n=10 Participants	3 Participants n=20 Participants

PRIMARY outcome

Timeframe: 6-months

A suicide attempt is defined as "engaging in a potentially self-injurious behavior, associated with at least some intent to die as a result of the act." We will assess total number of subsequent attempts using the already-developed Mental Health Research Network (MHRN) algorithm for extracting suicide attempt information from claims data

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
Suicide Attempt	.0202 Number of suicide attempts Standard Deviation .3871	.0229 Number of suicide attempts Standard Deviation .5836

SECONDARY outcome

Timeframe: 6-months

All-cause injury and poisoning data will be extracted from ICD-10 data.

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
All-cause Injury and Poisoning	1.18 Number of all cause injury and poisoning Standard Deviation 3.74	1.17 Number of all cause injury and poisoning Standard Deviation 3.60

SECONDARY outcome

Timeframe: 18 months

We will extract number of outpatient behavioral health (i.e., mental health or substance use) visits during the 12 months prior to and 6 months following jail release from claims data.

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
Outpatient Behavioral Health Service Linkage	0.32 Number of behavioral health visits Standard Deviation 4.96	0.34 Number of behavioral health visits Standard Deviation 4.99

SECONDARY outcome

Timeframe: 6-months

Caring Contact messages will list the CMS phone number (which is answered by the Care Management Team, who are trained to assess and connect callers to the appropriate services) as a way to reach out. Care Source will track calls to this line by subscribers in all study conditions.

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
CareSource Member Services (CMS) Line Use	0.0088 Number of calls Standard Deviation 0.2284	0.0161 Number of calls Standard Deviation 1.3033

SECONDARY outcome

Timeframe: 6-months

Data on inpatient and emergency department mental health visits will be extracted from claims data using MHRN algorithms.

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
Inpatient and Emergency Department Mental Health Care Visits	0.27 Number of visits Standard Deviation 1.55	0.28 Number of visits Standard Deviation 1.59

OTHER_PRE_SPECIFIED outcome

Timeframe: 18 months

We will also extract past year and next 6 month number of arrests from the Jail-Medicaid database.

Outcome measures

Outcome measures
Measure	Caring Contact Letters n=22380 Participants Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 Participants No contact control condition for the Caring Contact letters
Number of Arrests	6355 Number of arrests	6312 Number of arrests

Adverse Events

Caring Contact Letters

Serious events: 1177 serious events

Other events: 0 other events

Deaths: 0 deaths

Caring Contact Control

Serious events: 1071 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure	Caring Contact Letters n=22380 participants at risk Caring Contacts involves sending individuals at risk for suicide brief, non-demanding messages of care.	Caring Contact Control n=22775 participants at risk No contact control condition for the Caring Contact letters
Psychiatric disorders Medically-treated Suicide Attempt	5.3% 1177/22380 • From enrollment until end of follow-up, up to 18 months	4.7% 1071/22775 • From enrollment until end of follow-up, up to 18 months
Psychiatric disorders Inpatient hospitalization (potentially suicide-related)	5.3% 1177/22380 • From enrollment until end of follow-up, up to 18 months	4.7% 1071/22775 • From enrollment until end of follow-up, up to 18 months

Other adverse events

Adverse event data not reported

Additional Information

Sarah Arias

Butler Hospital

Phone: 909-753-9444

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place