An interventional study of SPI+ and SP+CC (Caring Contacts) in Suicide, Suicide, Attempted and Suicidal Ideation, sponsored by St. Luke's Health System, Boise, Idaho. Completed at 1 site in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2024-11-12.
Sponsored by St. Luke's Health System, Boise, Idaho · Not applicable, Interventional, and Prevention
Randomized controlled trial to determine the best brief suicide prevention intervention for adults and adolescents who screen positive for suicidal ideation or behavior in emergency departments or primary care clinics.
Aim 1: Compare the effectiveness of two brief suicide prevention interventions (safety planning intervention plus structured phone-based follow-up from a suicide prevention hotline (SPI+), versus safety planning intervention plus caring contacts (CC)) to (a) reduce suicidal ideation and behavior, (b) reduce loneliness, (c) reduce return to care for suicidality, and (d) increase uptake of outpatient mental healthcare services over 12 months among adult and adolescent patients screening positive for suicide in emergency departments (EDs) and primary care clinics.
Aim 2: Assess the acceptability of connection and support planning and the safety planning intervention, with or without follow-up among providers and clinical staff in EDs and primary care clinics.
Aim 3: Assess the acceptability of SPI+ and SP+CC among adult and adolescent patients.
714 studies on the registry are indexed under Suicide; 184 are open to participants now.
This study's enrollment of 1,520 is above the median of 103 across 572 interventional studies indexed under Suicide.
Browse Suicide studies →St. Luke's Health System, Boise, Idaho is the lead sponsor of 4 studies on the registry; none are open to participants now.
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Exclusion Criteria:
The Safety Planning Intervention (SPI+) includes safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus a structured telephone-based intervention from a suicide prevention hotline
Behavioral: SPI+
SP+CC will include safety planning (moderate or high risk for suicide) or connection \& support planning (low risk for suicide) at the clinic or ED, plus caring text messages or emails from a suicide prevention hotline.
Behavioral: SP+CC (Caring Contacts)
Suicide prevention hotline follow-up specialists will call participants to (1) conduct a brief suicide risk assessment; (2) review and discuss the participant's connection and support plan or safety plan; and (3) provide referrals to social services or other support with treatment engagement, if indicated. Participants will receive at least one and optional additional phone calls, generally delivered according to the following schedule: days 3, 7, 14, 30, 60, 90. Modifications may be made to the schedule due to weekends, holidays, or participant availability, and additional calls may be scheduled as desired by the participant. The follow-up will stop once the participant is successfully engaged in outpatient treatment or does not desire further follow-up support.
Also known as: phone-based follow-up, brief contact intervention
SP+CC follow-up includes one phone conversation with a suicide prevention hotline follow-up specialist and a series of personalized caring messages sent over the course of 12 months via text or email (based on participant preference). Caring contacts will generally be sent according to the following schedule: 3 in the first week, 6 weekly, 6 bi-weekly, 4 monthly; 2 bi-monthly, and one each for the participant's birthday, Thanksgiving, Christmas, and New Year's (total of 25 over 12 months). Slight variation in the schedule is allowed. There is no expectation that participants respond to the text messages; if they do, follow-up specialists reply to any incoming texts. Replies are individually-tailored and caring.
Also known as: Brief contact intervention, text-based follow-up, email follow-up
Suicidal Ideation & Behavior; measured using the Columbia Suicide Severity Rating Scale (C-SSRS) since-last-contact screener (self-assessment)
6-item questionnaire with yes/no response options. Scores range from 0 (no risk) to 6 (high risk)
Time frame: 6 months
Loneliness; measured using the NIH Toolbox Emotion Batteries Loneliness Scale
5-item questionnaire with Likert scale response options (1=never, 5=always). Scores range from 5 (no loneliness) to 25 (high levels of loneliness).
Time frame: 6 months
Loneliness; measured using the NIH Toolbox Emotion Batteries Loneliness Scale
5-item questionnaire with Likert scale response options (1=never, 5=always). Scores range from 5 (no loneliness) to 25 (high levels of loneliness).
Time frame: 12 months
Utilization of Emergency Department for Suicidality
Measured through self-report
Time frame: 6 months
Utilization of Emergency Department for Suicidality
Measured through self-report
Time frame: 12 months
Attendance at Outpatient Behavioral Health Appointments
Measured through self-report
Time frame: 6 months
Attendance at Outpatient Behavioral Health Appointments
Measured through self-report
Time frame: 12 months
Suicidal Ideation & Behavior; measured using the Columbia Suicide Severity Rating Scale (C-SSRS) since-last-contact screener (self-assessment)
6-item questionnaire with yes/no response options. Scores range from 0 (no risk) to 6 (high risk)
Time frame: 12 months
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — After publication of the final research report, de-identified data may be shared with other researchers.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: Data are estimated to become available in 2026.
Access criteria: A data access committee will review and make decisions on all requests to access data.
This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.
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St. Luke's Health System, Boise, Idaho