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| Name | Class |
|---|---|
| Ohio State University | OTHER |
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Participants will be randomly assigned to 1 of the 4 interventions using a sequential stratified randomization procedure. We will use sex (M, F) and history of suicide attempts (never, 1, and multiple) as our randomization strata. Participants will be assessed before and after the intervention to study the potential effects of each approach on suicide-related clinical outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Structured interview and Safety Plan | Active Comparator | In the structured interview approach, clinicians ask a series of predetermined questions and/or assess a specified set of risk and protective factors, typically using a checklist-based approach. The safety plan is a written, prioritized list of coping strategies and resources for reducing suicide risk. |
|
| Structured interview and Crisis Response Plan | Active Comparator | In the structured interview approach, clinicians ask a series of predetermined questions and/or assess a specified set of risk and protective factors, typically using a checklist-based approach. Crisis response planning intervention teaches a range of coping strategies and provides support that can reduce suicide attempts and ideation. |
|
| Narrative assessment and Safety Plan | Active Comparator | In the narrative assessment approach, clinicians ask patients to "tell the story" of their suicidal crisis. The safety plan is a written, prioritized list of coping strategies and resources for reducing suicide risk. |
|
| Narrative assessment and Crisis Response Plan | Active Comparator | In the narrative assessment approach, clinicians ask patients to "tell the story" of their suicidal crisis. Crisis response planning intervention teaches a range of coping strategies and provides support that can reduce suicide attempts and ideation. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Safety Plan | Behavioral | The safety plan is a written, prioritized list of coping strategies and resources for reducing suicide risk. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in suicide relevant thoughts and behaviors after the intervention (Self Injurious Thoughts and Behaviors questionnaire) | Items from the Self Injurious Thoughts and Behaviors questionnaire (Fox et al., 2020) will be used to assess suicide relevant thoughts and behaviors | During an average of 2-weeks pre-intervention, 2-weeks post-intervention, 1 month follow-up after intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Monika Lohani, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ohio State | Columbus | Ohio | 43214 | United States | ||
| University of Utah |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39533271 | Derived | Lohani M, Baker JC, Elsey JS, Dutton S, Findley SP, Langenecker SA, Do AS, Bryan CJ. Suicide prevention via telemental health services: insights from a randomized control trial of crisis response plan and self-guided safety planning approaches. BMC Health Serv Res. 2024 Nov 12;24(1):1389. doi: 10.1186/s12913-024-11739-w. |
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|
| Crisis Response Plan | Behavioral | Crisis response planning intervention teaches a range of coping strategies and provides support that can reduce suicide attempts and ideation. |
|
| Structured interview | Behavioral | In the structured interview approach, clinicians ask a series of predetermined questions and/or assess a specified set of risk and protective factors, typically using a checklist-based approach. |
|
| Narrative Assessment | Behavioral | In the narrative assessment approach, clinicians ask patients to "tell the story" of their suicidal crisis. |
|
| Salt Lake City |
| Utah |
| 84112 |
| United States |