Effectiveness and Implementation of a Clinician Decision Support System to Prevent Suicidal Behaviors

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

RECRUITING

Clinical Phase

NA

Total Enrollment

4000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-25

Study Completion Date

2028-06-30

Brief Summary

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The primary aim of this project are to evaluate a comprehensive, practice-ready, and deployment-focused strategy for improving the prediction and prevention of suicide attempts among a sample of 4,000 patients presenting to an ED with a psychiatric concern. Our first aim is to evaluate the effects of providing information about risk of patient suicidal behavior to ED clinicians. We hypothesize that patients randomly assigned to have their clinician receive their risk score will have a lower rate of suicide attempts during 6-month follow-up and that this effect will be mediated by changes in clinician decision-making.

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Detailed Description

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Conditions

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Suicide Suicide, Attempted

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Experimental

Patient's clinician is given Clinician Decision Support Tool

Group Type EXPERIMENTAL

Clinician Decision Support Tool

Intervention Type DIAGNOSTIC_TEST

Clinician Decision Support Tool that provides information about patient's statistical probability of suicide attempt in next 1 month

Control

Patient's clinician is not given Clinician Decision Support Tool (care as usual)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Clinician Decision Support Tool

Clinician Decision Support Tool that provides information about patient's statistical probability of suicide attempt in next 1 month

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* Presentation to emergency psychiatry service

Exclusion Criteria

* Inability to understand study procedures and provide informed consent, such as those with gross cognitive impairment (including florid psychosis), intellectual disability, dementia, acute intoxication
* Presence of violent or extremely agitated behavior

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes