Suicide Safety Planning

Part of paid clinical trials in Pleasanton, California.

Sponsor
Kaiser Permanente
Study ID
NCT07783490
Status
Not Yet Recruiting

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Conditions

  • Suicidal Ideation
  • Suicide Attempt
  • Suicide Prevention
  • Suicide Safety Planning

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Local Care Continuity — BEHAVIORAL
    Local Care Continuity uses implementation strategies to support existing specialty mental health clinicians in delivering evidence-based suicide prevention care. Implementation strategies include electronic health record tools for suicide risk assessment, safety planning, and follow-up; practice facilitation, including training and troubleshooting; and audit and feedback on delivery of suicide prevention practices. When suicide risk is identified, the local mental health clinician conducts suicide risk assessment, develops a safety plan as clinically indicated, and plans appropriate follow-up care.
  • Centralized Care Navigation — BEHAVIORAL
    Centralized Care Navigation uses the same implementation strategies as Local Care Continuity and adds a centralized telehealth suicide prevention service. The centralized team includes clinicians and non-clinician care navigators who work with local mental health clinicians to provide or facilitate suicide risk assessment and safety planning. When clinically indicated, patients receive a digital safety plan supported by a care navigator. Care navigators provide telehealth follow-up to support safety plan completion and connection to follow-up mental health care and send Caring Contacts from the care team.

Study Details

The goal of this clinical trial is to learn the best way to provide suicide prevention care to adults receiving outpatient mental health care. The study compares two approaches based on the Zero Suicide Framework: Local Care Continuity and Centralized Care Navigation. The main questions the study aims to answer are: * Does adding support from a centralized telehealth care navigation team reduce suicide attempts compared with providing additional tools and support to local mental health clinicians? * Does the centralized approach help more patients receive recommended suicide prevention care, including safety planning, and connect with follow-up mental health treatment? * How do patients experience the two approaches, including their ability to cope with difficult situations and their experiences with their mental health care? Researchers will compare Local Care Continuity, in which suicide prevention care is delivered by patients' local mental health clinicians with additional implementation support, with Centralized Care Navigation, which adds support from a centralized telehealth team of clinicians and care navigators. The researchers expect that Centralized Care Navigation will result in better suicide prevention care, greater connection to follow-up treatment, and fewer suicide attempts than Local Care Continuity.

Key Dates

First listed
Aug 24, 2026
Start date
Feb 1, 2027
Status verified
Aug 2026
Primary completion
Jun 1, 2030
Completion
Feb 28, 2031

Study Design

Enrollment
176,000 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Active Comparator: Local care continuity
    Existing specialty mental health clinicians deliver suicide prevention care, including suicide risk assessment, safety planning, and connection to follow-up care, supported by implementation strategies designed to increase delivery of recommended suicide prevention practices.
  • Experimental: Centralized care navigation
    A centralized telehealth suicide prevention team works with existing specialty mental health clinicians to provide or facilitate suicide risk assessment, safety planning, and connection to follow-up care. This arm includes the implementation strategies used in Local Care Continuity plus additional support from clinicians and care navigators.

Primary Outcome Measure

Suicide attempt [ Time Frame: From the index outpatient mental health visit through 18 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Kaiser Permanente Northern California Division of ResearchPleasantonCalifornia94588-

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Kaiser Permanente Northern California Division of Research· Pleasanton, CA

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