Suicide Prevention Clinical Trial
Official title:
Suicide Prevention Training for Primary Care Providers-in-training
This randomized control study responds to the need for effective suicide prevention education/training that is grounded in adult learning theory and advances in education, in the context of a changing health care landscape where primary care providers are likely to encounter suicidal individuals. The study will test the effectiveness of suicide prevention education for providers-in-training by comparing two conditions: 1) A Control learning group: includes suicide prevention didactics (Commitment to Living: Primary Care) delivered online via brief videos, and 2) An Experimental learning group: includes didactics plus two standardized patient (SP) interactions. One Experimental learning group SP interaction will be in person and the other will be conducted remotely using a secure webcam service (OoVoo). All SP interactions will be recorded. Both groups will be compared in terms of their suicide prevention skills using an SP 'test case' at 6-month follow up. The primary research question is to learn about the impact of practice (though SP simulation) over and above didactics alone.
Suicide is a national public health crisis and a critical patient safety issue. Suicide is
the 10th leading cause of death overall and, shockingly, the 2nd leading cause of death in
adolescents and young adults (15-34 years old). 1 A recent U.S. study of suicide reported
that 45% of individuals who died by suicide had contact with primary care services within one
month before their death. 2 Another study found that 80% of youth who died by suicide saw
their primary care provider within the year of their death. 3 Patient safety is compromised
when primary care providers lack the knowledge and skills to assess and respond to patients
at risk for suicide.
This randomized control study responds to the need for effective suicide prevention
education/training that is grounded in adult learning theory and advances in education, in
the context of a changing health care landscape where primary care providers are likely to
encounter suicidal individuals. 4 We will test the effectiveness of suicide prevention
education for providers-in-training by comparing two conditions: 1) A Control learning group:
includes suicide prevention didactics (Commitment to Living: Primary Care) delivered online
via brief videos, and 2) An Experimental learning group: includes didactics plus two
standardized patient (SP) interactions. One Experimental learning group SP interaction will
be in person and the other will be conducted remotely using a secure webcam service (OoVoo).
All SP interactions will be recorded. Both groups will be compared in terms of their suicide
prevention skills using an SP 'test case' at 6-month follow up. The primary research question
is to learn about the impact of practice (though SP simulation) over and above didactics
alone. The hypotheses are as follows:
H1: All subjects will demonstrate improved suicide prevention knowledge from pre to post
didactics and maintain improvement 6 months after didactics.
H2: Subjects in the experimental learning group will report greater satisfaction with the
training, greater self-efficacy in identifying and responding to patients at risk for
suicide, greater intention to use, as well as use of suicide prevention skills.
H3: Subjects in the experimental learning group will also be more skillful in responding to
patients at risk for suicide (in an SP interview, measured by objective observed ratings)
compared to the control learning group 6 months after didactics.
Exploratory Aims: We will examine moderators of outcomes, differences among SP simulations
(i.e., face-to-face vs. telehealth modalities), and if there is growth in improved skills
observed over multiple SP experiences in the experimental learning group.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01118169 -
Personal Values, Interpersonal Needs, and Suicidal Ideation in a Veteran Population
|
N/A | |
Completed |
NCT02877316 -
MYPLAN - Effectiveness of a Safety Plan App to Manage Crisis of Persons at Risk of Suicide
|
N/A | |
Completed |
NCT06130943 -
Evaluation of the Quality of Telephone Calls to a Suicide Prevention Helpline
|
||
Recruiting |
NCT06139887 -
Suicide Prevention Program for Veterans Discharged From Community Care Settings
|
N/A | |
Recruiting |
NCT05067686 -
Health Professionals Perspective on Suicide
|
||
Not yet recruiting |
NCT06378541 -
Smartphone App Enhanced Facilitation Among Veterans in a Mental Health Inpatient Setting (Project HOPE)
|
N/A | |
Recruiting |
NCT06164106 -
Feasibility Trial of a Single Session of Crisis Response Planning for Youth at High Risk for Suicide
|
N/A | |
Recruiting |
NCT05994612 -
Suicide Prevention for Substance Using Youth Experiencing Homelessness
|
N/A | |
Recruiting |
NCT06094959 -
Integrating Suicide Prevention Packages Into Task-shifted Mental Health Interventions in Low-resourced Contexts
|
N/A | |
Completed |
NCT06282263 -
The Effect of the Awareness Development Program on Suicide Prevention for Oncology Nurses
|
N/A | |
Completed |
NCT00516932 -
Pharmacogenomics of Antidepressant Response in Children and Adolescents
|
N/A | |
Recruiting |
NCT06208293 -
Suicide Prevention Integration Into Task-shifted Mental Health Interventions
|
N/A | |
Completed |
NCT03114917 -
Cognitive AppRoaches to coMbatting Suicidality
|
N/A | |
Recruiting |
NCT03026127 -
A Novel Cognitive Reappraisal Intervention for Suicide Prevention
|
N/A | |
Recruiting |
NCT04446468 -
Suicide Prevention Study of VA-BIC in the Veteran Population
|
N/A | |
Recruiting |
NCT03136094 -
Suicide in Urban Natives: Detection and Networks to Combat Events
|
N/A | |
Completed |
NCT04565951 -
Increasing Help-Seeking Behavior Among Transitioning Veterans at Risk for Suicide With Online Gatekeeper Training
|
N/A | |
Not yet recruiting |
NCT06465381 -
Safety Planning and Cognitive Behavioral Therapy for Adolescent Suicide Prevention in Mozambique
|
N/A | |
Recruiting |
NCT05995678 -
A Mixed Methods Pilot Trial of the STEP Home Workshop to Improve Reintegration and Reduce Suicide Risk for Recently Transitioned Veterans
|
N/A | |
Recruiting |
NCT06225661 -
Focused Suicide Prevention Strategy for Youth Presenting to the Emergency Department With Suicide Related Behaviour
|
N/A |