Effectiveness and Implementation of a Clinician Decision Support System to Prevent Suicidal Behaviors

Part of paid clinical trials in Boston, Massachusetts.

Sponsor
Massachusetts General Hospital
Study ID
NCT05671133
Status
Recruiting
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Conditions

  • Suicide
  • Suicide, Attempted

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Clinician Decision Support Tool — DIAGNOSTIC_TEST
    Clinician Decision Support Tool that provides information about patient's statistical probability of suicide attempt in next 1 month

Study Details

The primary aim of this project are to evaluate a comprehensive, practice-ready, and deployment-focused strategy for improving the prediction and prevention of suicide attempts among a sample of 4,000 patients presenting to an ED with a psychiatric concern. The first aim is to evaluate the effects of providing information about risk of patient suicidal behavior to ED clinicians. The investigators hypothesize that patients randomly assigned to have their clinician receive their risk score will have a lower rate of suicide attempts during 6-month follow-up and that this effect will be mediated by changes in clinician decision-making.

Key Dates

First listed
Jan 4, 2023
Start date
Feb 25, 2025
Status verified
Jun 2026
Primary completion
May 31, 2028
Completion
Sep 28, 2028

Study Design

Enrollment
4,000 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Experimental
    Investigators will use previously developed EHR-derived machine- learning-based model to generate predicted probability risk scores of 1-month suicide attempt for each patient. The EHR-derived risk score will be combined with the patient self-report data (initially from the 20-question screener) to generate composite predicted risk scores (based on the most updated ML model developed by investigators via the ensemble ML Super Learner \[SL\] method) for the patient within minutes of the patient completing the self-report survey. Risk scores will be provided to the clinician while the patient is in the ED. This feedback includes information about the patient's relative risk compared to other psychiatric patients seen in the ED and the risk factors contributing to this level of risk.
  • No Intervention: Control
    Patient's clinician is not given Clinician Decision Support Tool (care as usual)

Primary Outcome Measure

Suicide attempt [ Time Frame: 6-months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Massachusetts General HospitalBostonMassachusetts02114
Matthew Nock
[email protected]
6174964484

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