Suicide Prevention for Justice Involved Managed Care Subscribers

Suicide and Self-harm Clinical Trial

Official title:

Managed Care Updates of Subscriber Justice System Involvement for Suicide Prevention

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05579600
• Other study ID #: 1P50MH127512-01A1 8577
• Secondary ID: 1P50MH127512-01A
• Status: Active, not recruiting
• Phase: N/A
• Start date: September 1, 2022
• Est. completion date: November 1, 2024

Study information

• Verified date: June 2023
• Source: Butler Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical trial is to test the effects of two suicide prevention interventions for individuals released from jail. The main questions it aims to answer are: Does the use of Caring Contacts improve subscriber engagement with healthcare services while reducing suicide-related outcomes? and Will providing training and resources to behavioral health providers improve re-engagement with healthcare services for patients recently released from jail? Participants will include (1) subscribers of a managed care organization (MCO) and (2) behavioral health providers within the MCO system. Interventions include sending subscribers Caring Contacts letters for 6-months following jail release and providing resources and training to behavioral health providers to target healthcare re-engagement and suicide prevention.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 120
• Est. completion date: November 1, 2024
• Est. primary completion date: November 1, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• 18+ years old

• Behavioral health (BH) providers/staff employed at a CareSource BH agency

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Self-Injurious Behavior
• Suicide
• Suicide and Self-harm
• Suicide Prevention

Intervention

Behavioral:
• Caring Contacts letters
Caring Contacts involves sending individuals at risk for suicide brief, non- demanding messages of care.
• Reports, re-engagement, and training
Behavioral health providers will receive training in reaching out to and re- engaging patients who pass through the justice system, as well as training in suicide risk assessment (the Columbia Suicide Severity Rating Scale; C-SSRS) and response (the Safety Planning Intervention; SPI).

Locations

Country	Name	City	State
United States	Butler Hospital	Providence	Rhode Island

Sponsors (2)

Lead Sponsor	Collaborator
Butler Hospital	Michigan State University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Number of arrests	We will also extract past year and next 6 month number of arrests from the Jail-Medicaid database.	18 months
Primary	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	6-months
Secondary	All-cause injury and poisoning	All-cause injury and poisoning data will be extracted from ICD-10 data.	6-months
Secondary	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.	18 months
Secondary	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.	6-months
Secondary	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.	6-months