Pilot Testing Suicide Risk Prediction Algorithms in Primary Care

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

500000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-05

Study Completion Date

2027-04-30

Brief Summary

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The goal of this pilot study is to learn whether the use of suicide risk prediction algorithms in primary care can help identify people who may benefit from extra mental health monitoring.

Specifically, this study aims to measure how use of the suicide risk prediction algorithm to prompt extra mental health monitoring among adult primary care patients impacts proportions of patients identified at risk of suicide and engaged in safety planning. Secondarily, we plan to measure proportions of patients identified at risk of suicide via mental health monitoring (irrespective of engagement in safety planning).

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Detailed Description

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Conditions

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Suicide Prevention Suicide Risk | Patient

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Retrospective pre-post design

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Suicide risk monitoring

Quality improvement intervention: 6 months following implementation of the suicide risk prediction algorithm in primary care to prompt extra mental health monitoring.

Group Type EXPERIMENTAL

Suicide risk prediction algorithm

Intervention Type OTHER

Use of a suicide risk prediction algorithm, developed by the Mental Health Research Network (MHRN), will be used to prompt additional mental health monitoring. Mental health monitoring will include asking patients about suicidal thoughts (via the ninth question of the Patient Health Questionnaire-9, PHQ-9), followed by suicide risk assessment (via use of a brief self-administered version of the Columbia Suicide Risk Severity Rating Scale, C-SSRS), followed by Safety Planning with a designated member of the primary care team.

Usual Care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Suicide risk prediction algorithm

Use of a suicide risk prediction algorithm, developed by the Mental Health Research Network (MHRN), will be used to prompt additional mental health monitoring. Mental health monitoring will include asking patients about suicidal thoughts (via the ninth question of the Patient Health Questionnaire-9, PHQ-9), followed by suicide risk assessment (via use of a brief self-administered version of the Columbia Suicide Risk Severity Rating Scale, C-SSRS), followed by Safety Planning with a designated member of the primary care team.

Intervention Type OTHER

Other Intervention Names

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suicide care clinical decision support

Eligibility Criteria

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Inclusion Criteria

Inclusion Criteria: Any type of adult primary care visit/encounter at Kaiser Permanente Washington (KPWA) between 3/5/25-10/5/25 (pre-period) and '10/6/25-4/5/26 (post-period or implementation period).

Exclusion Criteria: Primary care visit/encounter among people under 18 years old.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes