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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
| Michigan State University | OTHER |
| HealthPartners Institute | OTHER |
| Brown University |
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This study aims to harmonize jail release record data with electronic health record data in order to connect patients to an evidence-based suicide prevention and clinical care pathway upon jail release.
This study is designed to test the effectiveness of a care pathway delivered at the time of jail release, to increase behavioral health services engagement and prevent suicide attempt. There are 3 primary aims of this study: (1) Examine the effectiveness of the intervention on suicide attempt outcomes. (2) Evaluate the impact of the intervention on behavioral health utilization mechanisms. (3) Evaluate implementation outcomes and processes to guide future implementation and research, including: cost and cost-effectiveness; scalability; sustainability; feasibility, acceptability, and appropriateness to providers/systems; and implementation strategies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 5S Trial | Experimental | Participants will receive an intervention aimed at suicide prevention in this group. |
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| No-Contact Control Group | No Intervention | Participants will be able to engage with healthcare services as usual and will have no knowledge of their involvement in the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 5S Trial | Behavioral | Participants will receive caring contacts/recruitment outreach, suicide risk screening, suicide safety planning, and, if indicated, connection to healthcare services, resources and the CLASP virtual outreach intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Composite measures of suicide attempt and death | Nonfatal medically treated suicide attempts will be identified using diagnosis and encounter codes from all inpatient, outpatient, and emergency department encounters recorded in the EHR (for services delivered by participating systems) or claims (for outside services). All suicide deaths will be identified via linkage to regularly updated state mortality data and the National Death Index (NDI). Suicide deaths will be identified using ICD-10 codes indicating definite or possible self-inflicted injury, or deaths identified as suicides in official state government mortality data (updated monthly in each site). | 6-months from jail release date |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Diane Wisnieski, MSW | Contact | 313-319-6084 | dwisnie2@hfhs.org |
| Name | Affiliation | Role |
|---|---|---|
| Brian Ahmedani, PhD, MSW | Henry Ford Health | Principal Investigator |
| Lauren Weinstock, PhD | Brown University | Principal Investigator |
| Rebecca Rossom, MD, MS |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Henry Ford Health | Recruiting | Detroit | Michigan | 48202 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41407099 | Derived | Wisnieski DM, Rossom RC, Weinstock LM, Johnson J, Miley K, Gaudiano BA, Benz MB, Borgert-Spaniol C, Graves HR, Norwood R, Kazan R, Starkey C, Kim H, Fletcher L, Kane S, Hu Y, Farrell Z, Strong S, Yeh HH, Miller T, Jones R, Morey K, Ahmedani BK. Study protocol for a type I hybrid effectiveness trial of strategies to prevent suicide attempts among adults recently released from jail. Contemp Clin Trials. 2026 Feb;161:108184. doi: 10.1016/j.cct.2025.108184. Epub 2025 Dec 15. |
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| ID | Term |
|---|---|
| D000092864 | Suicide Prevention |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| OTHER |
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| HealthPartners Institute |
| Principal Investigator |
| HealthPartners Institute | Recruiting | Bloomington | Minnesota | 55425 | United States |
|