Practice Facilitation for Youth Suicide Prevention
Trial Summary
What is the purpose of this trial?
Suicide in youth is rapidly growing to where it is the second leading cause of death across the United States. Use of available tools have shown the potential to boost primary care providers' (PCPs) detection of suicide risk and confidence and knowledge around addressing it; however, ways that work to address clinic and provider barriers that influence the ongoing implementation of a pathway to manage at-risk patients remain under researched. The proposed study will assess the impact of the investigators Facilitated Suicide Prevention program--which provides support to assist practices in integrating screening, assessment, data analysis and management procedures into routine care through feedback and coaching--on clinic use of the suicide prevention pathway and youth suicide. The project hypothesizes that compared to PCPs in Training Only (TO) practices, those in TO+Practice Facilitation (PF) may rate the care pathway as more able to be carried out and acceptable; demonstrate greater use of the pathway components (screening, risk assessment, safety planning, lethal means safety counseling, referrals and follow-up); demonstrate higher levels of use of the pathway suicide prevention skills ; and report higher levels of confidence putting the care pathway into use. Also we predict that, compared to youth who screen positive for suicide risk and are followed by PCPs in TO practices, those who screen positive and are followed by PCPs in TO+PF practices will be less likely to attempt suicide during the next six months; less likely to have suicidal ideation during the next 6 months; more likely to see a behavioral health provider during the next 6 months; and less likely to be sent to Emergency Departments during the next 6 months .
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment Practice Facilitation for Youth Suicide Prevention?
Research shows that structured implementation of suicide prevention practices, like universal screening and safety planning, can improve outcomes in settings such as juvenile detention centers. Additionally, using implementation science to systematically apply evidence-based practices can enhance the delivery and uptake of suicide prevention interventions.12345
Is Practice Facilitation for Youth Suicide Prevention safe for humans?
There is limited information on the safety of Practice Facilitation for Youth Suicide Prevention, as adverse events (unwanted effects) are often underreported and inconsistently defined in suicide prevention studies. This makes it hard to compare risks and evaluate safety across different studies.678910
How does the treatment Practice Facilitation for Youth Suicide Prevention differ from other treatments for this condition?
Practice Facilitation for Youth Suicide Prevention is unique because it involves training clinicians to use an electronic safety plan template, which is integrated with suicide risk assessment tools, enhancing their ability to implement safety plans effectively. This approach focuses on improving clinician knowledge and self-efficacy, which is different from traditional methods that may not emphasize the use of technology or clinician training as central components.1112131415
Research Team
Bruno J Anthony, PhD
Principal Investigator
University of Colorado School of Medicine - Anschutz Medical Campus
Eligibility Criteria
This trial is for primary care providers (PCPs) who manage youth at risk of suicide. It aims to integrate a suicide prevention pathway into routine care, enhancing PCP's ability to detect and address suicidality in young patients.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Training
Primary care practices are trained in the NIMH youth suicide prevention pathway
Practice Facilitation
Practice facilitation is added to training to provide implementation support for integrating the pathway into routine care
Follow-up
Participants are monitored for safety and effectiveness after training and facilitation
Treatment Details
Interventions
- Practice Facilitation
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Colorado, Denver
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator