Suicide Prevention for Justice Involved Managed Care Subscribers

Butler Hospital45,155 enrolled

Overview

The goal of this clinical trial is to test the effects of a suicide prevention intervention for individuals released from jail. The main question it aims to answer is: Does the use of Caring Contacts improve subscriber engagement with healthcare services while reducing suicide-related outcomes? Participants will include subscribers of a managed care organization (MCO). Intervention includes sending subscribers Caring Contacts letters for 6-months following jail release to target healthcare re-engagement and suicide prevention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

45,155

Conditions

Suicide and Self-harm

Interventions

Caring Contacts lettersBEHAVIORAL

Caring Contacts involves sending individuals at risk for suicide brief, non- demanding messages of care.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18+ years old * Released from an Ohio jail * enrolled in Medicaid through CareSource Exclusion Criteria: * None

Locations (1)

Butler Hospital

Providence, Rhode Island, United States

Outcomes

Primary Outcomes

Suicide Attempt

A suicide attempt is defined as "engaging in a potentially self-injurious behavior, associated with at least some intent to die as a result of the act." We will assess total number of subsequent attempts using the already-developed Mental Health Research Network (MHRN) algorithm for extracting suicide attempt information from claims data

Time frame: 6-months

Secondary Outcomes

All-cause Injury and Poisoning

All-cause injury and poisoning data will be extracted from ICD-10 data.

Time frame: 6-months

Outpatient Behavioral Health Service Linkage

We will extract number of outpatient behavioral health (i.e., mental health or substance use) visits during the 12 months prior to and 6 months following jail release from claims data.

Time frame: 18 months

CareSource Member Services (CMS) Line Use

Caring Contact messages will list the CMS phone number (which is answered by the Care Management Team, who are trained to assess and connect callers to the appropriate services) as a way to reach out. Care Source will track calls to this line by subscribers in all study conditions.

Time frame: 6-months

Inpatient and Emergency Department Mental Health Care Visits

Data on inpatient and emergency department mental health visits will be extracted from claims data using MHRN algorithms.

Time frame: 6-months

Data from ClinicalTrials.gov

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