The goal of this research is to test a systems-level suicide prevention strategy, Native-RISE (Risk Identification for Suicide and Enhanced care), that combines predictive analytics and brief contact interventions (BCIs) to reduce suicide in health systems serving Native Americans (NAs). This project aims to prove the effectiveness and scalability of Native-RISE within three Indian Health Service (IHS) health care clinics (Whiteriver, Chinle and Shiprock) already implementing suicide prevention programs and serving the White Mountain Apache Tribe (WMAT) and Navajo Nation (NN).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
1,687
Case managers see the Native-RISE algorithm classification and Clinical Providers receive a risk notification. A resource card is provided to the participant.
Clinical Providers receive a risk notification and a resource card is provided to the participant.
Chinle Navajo Nation Center for Indigenous Health
Chinle, Arizona, United States
Whiteriver Center for Indigenous Health
Whiteriver, Arizona, United States
Shiprock Center for Indigenous Health
Shiprock, New Mexico, United States
Rate of suicide attempts among individuals flagged at elevated risk
Rate of suicide attempts among individuals flagged at elevated risk is tracked through International Classification of Diseases (ICD) codes and chief complaints as recorded in the participating health system.
Time frame: 12 months
Number of contacts with Case Managers (Reach of Brief Contact Interventions (BCI))
Reach of BCI is defined as at least three or more contacts with Case Managers within the first year following identification of elevated risk.
Time frame: 12 months
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