Syncing Screening and Services for Suicide Prevention Across Health and Jail Systems

Henry Ford Health System5,250 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

5,250

Conditions

Suicide Prevention

Interventions

5S TrialBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 years of age or older * Released from jail between February 2021 and July of 2028 * Had a prior primary care visit or behavioral health visit at a participating health system in the past 3 years Exclusion Criteria: * Does not currently reside in the same state as the study site (i.e.- Michigan, Minnesota) * Would require a translator to participate in the research according to EHR data * Previously requested to be excluded from research

Locations (2)

Henry Ford Health

Detroit, Michigan, United States

RECRUITING

HealthPartners Institute

Bloomington, Minnesota, United States

RECRUITING

Outcomes

Primary Outcomes

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).

Time frame: 6-months from jail release date

Central Contacts

Diane Wisnieski, MSW

CONTACT

313-319-6084 dwisnie2@hfhs.org

Data from ClinicalTrials.gov

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