An interventional study of Safety Net App in Suicidal Ideation, Suicide Attempt and Mental Health, sponsored by University of Arkansas. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2023-03-21.
Sponsored by University of Arkansas · Not applicable, Interventional, and Prevention
Safety planning is a brief, ED-feasible intervention which has been demonstrated to save lives and has been universally recommended by every recent expert consensus panel on suicide prevention strategies. In one popular version of the safety plan developed by Stanley et al, the patient is encouraged to write out the following items: identifying personal signs of a crisis; helpful internal coping strategies; social contacts or settings which may distract from a crisis; using family members or friends for help when in crisis; mental health professionals who can be contacted when in crisis; and restricting access to lethal means.
This study aims to find out how valuable an electronic safety plan is compared to a traditional paper safety plan. People who are visiting the emergency department for thoughts of self-harm will be asked to participate.
This project has 3 aims: (1) Will ED patients with suicidal ideation/attempt accept coaching on safety planning from non-clinical personnel (i.e., medical students or peer supporters); (2) Are these safety plans of high-enough quality for clinical personnel; and finally, (3) Will ED patients with suicidal ideation/attempt complete safety plans electronically?
701 studies on the registry are indexed under Suicide; 183 are open to participants now.
This study's enrollment of 30 is below the median of 104 across 560 interventional studies indexed under Suicide.
Browse Suicide studies →University of Arkansas is the lead sponsor of 391 studies on the registry; 39 are open to participants now.
Of its 37 completed or terminated interventional studies of FDA-regulated products, 34 (92%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will complete a traditional written suicide safety plan.
Participants will complete a suicide safety plan in the Safety Net app using a tablet.
Other: Safety Net App
The Safety Net app is an electronic version of a safety plan and it is available for download in Apple's App Store. A preview of the app is available at: https://apps.apple.com/us/app/stanley-brown-safety-plan/id695122998. This app is owned by Two Penguins Studios, LLC. It was developed in partnership with the New York State Office of Mental Health. Unlike the paper version, the Safety Net app allows participants to email a copy of their safety plan to whomever they wish. It also allows patients to dial 911 or the National Suicide Prevention Lifeline from the app.
Also known as: Stanley-Brown Safety Plan App
Acceptability of Intervention
The number of patients approached who agree to allow trained non-clinical staff to assist with safety planning.
Time frame: Up to 12 hours
Length of Stay
The length of stay in the ED for patients approached who agree to allow trained non-clinical staff to assist with safety planning.
Time frame: Up to 12 hours
Satisfaction With Safety Planning
Evaluate patient satisfaction with safety planning. This will be assessed by having the patient rate their experience with the safety planning process on a 7-point Likert scale (1 - strongly disagree; 2 - disagree; 3 - moderately disagree; 4 - neutral; 5 - moderately agree; 6 - agree; 7 - strongly agree). A Likert scale measures how much someone disagrees or agrees with a particular statement.
Time frame: Up to 12 hours
| Milestone | Written Safety Plan | Electronic Safety Plan |
|---|---|---|
| Started | 14 | 16 |
| Completed | 14 | 16 |
| Not completed | 0 | 0 |
The number of patients approached who agree to allow trained non-clinical staff to assist with safety planning.
| Participants | Written Safety Plan | Electronic Safety Plan |
|---|---|---|
| Acceptability of Intervention | 14 | 16 |
The length of stay in the ED for patients approached who agree to allow trained non-clinical staff to assist with safety planning.
| minutes | Written Safety Plan | Electronic Safety Plan |
|---|---|---|
| Length of Stay | 250 (12 to 626) | 288 (13 to 978) |
Evaluate patient satisfaction with safety planning. This will be assessed by having the patient rate their experience with the safety planning process on a 7-point Likert scale (1 - strongly disagree; 2 - disagree; 3 - moderately disagree; 4 - neutral; 5 - moderately agree; 6 - agree; 7 - strongly agree). A Likert scale measures how much someone disagrees or agrees with a particular statement.
| units on a scale | Written Safety Plan | Electronic Safety Plan |
|---|---|---|
| Satisfaction With Safety Planning | 5.29 (3 to 7) | 5.31 (4 to 7) |
Collected over Through participant's ED visit at enrollment, usually <1 day. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Written Safety Plan | 0/14 (0%) | 0/14 (0%) | 0/14 (0%) |
| Electronic Safety Plan | 0/16 (0%) | 0/16 (0%) | 0/16 (0%) |
| Age, Categorical(Participants) | Written Safety Plan | Electronic Safety Plan | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 13 | 16 | 29 |
| >=65 years | 1 | 0 | 1 |
| Age, Continuous(years) | Written Safety Plan | Electronic Safety Plan | Total |
|---|---|---|---|
| Mean | 40 (21 to 69) | 39 (21 to 56) | 40 (21 to 69) |
| Sex: Female, Male(Participants) | Written Safety Plan | Electronic Safety Plan | Total |
|---|---|---|---|
| Female | 6 | 5 | 11 |
| Male | 8 | 11 | 19 |
| Race and Ethnicity Not Collected(Participants) | Written Safety Plan | Electronic Safety Plan | Total |
|---|---|---|---|
| Count of participants | — | — | 0 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
This study is completed, as verified in Feb 2023. You cannot join it, but the record below documents what was studied.
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University of Arkansas