Men and Providers Preventing Suicide (MAPS)
2 other identifiers
interventional
93
1 country
2
Brief Summary
This study will determine if suicidal middle-aged men who use a personalized computer program addressing suicide risk before a primary care visit are more likely to discuss suicide and accept treatment, reducing their suicide preparatory behaviors and thoughts.This is important because half of all men who die by suicide visit primary care within a month of death, yet few broach the topic, missing chances for prevention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2016
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2016
CompletedFirst Submitted
Initial submission to the registry
December 2, 2016
CompletedFirst Posted
Study publicly available on registry
December 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedOctober 30, 2019
October 1, 2019
2.6 years
December 2, 2016
October 28, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Patient: Beck Scale for Suicide Ideation
3 months
Secondary Outcomes (15)
Patient: Reported discussion of suicide during study visits
Immediately post-study visit
Patient: suicidal intent scale
3 months
Patient: enrollment in telephone evidence-based follow-up care
Immediately post-study visit, 1 month, 2 months, 3 months
Patient adherence to telephone evidence-based follow-up care, ascertained from care manager patient contact logs
1 month, 2 months, 3 months
Patient: Interpersonal Needs Questionnaire
1 month, 2 months, 3 months
- +10 more secondary outcomes
Other Outcomes (2)
Patient: suicide attempts from electronic medical record and insurance claims database review
Up to 3 years follow-up
The number of times that the trial standardized and proactive safety protocols for patients found to be at heightened acute risk of suicide are invoked, ascertained from patient contact tracking sheets
Through study completion, up to 3 years
Study Arms (2)
Men and Providers Preventing Suicide
EXPERIMENTALTailored interactive multimedia intervention, aimed at activating suicidal middle-aged men to disclose and discuss their suicide thoughts with and be receptive to treatment offers from a primary care provider during a linked office visit
Sleep hygiene video
ACTIVE COMPARATORA brief (3 minute) video regarding sleep hygiene, accompanied by introductory text summarizing research linking sleep problems with increased suicide risk.
Interventions
3 minute video on sleep hygiene produced by HealthiNation
3 months of suicide-focused collaborative mental health care, directed by a supervising psychiatrist and implemented by a care manager working with the patient and their primary care provider
Brief (30 minutes total time) video modules presenting participating patients' primary care providers with a patient-centered framework for suicide risk assessment and intervention
Eligibility Criteria
You may qualify if:
- Self-identified male gender
- Aged 35-74
- Has a PCP at a primary care office in one of the two participating health systems who is actively enrolled in the RCT
- Active suicide thoughts within past 4 weeks
- Able to read and speak English; and self-reported adequate vision, hearing, and hand function to engage with an interactive computer program on a touchscreen electronic tablet device.
You may not qualify if:
- Reported or apparent highly unstable medical status (e.g. acute decompensated heart failure requiring immediate care)
- Reported or apparent highly unstable mental health status (e.g. acute uncontrolled psychosis)
- Presence of terminal illness with death anticipated within 3 months
- Plan to leave the current primary care office (e.g., transfer care) within 3 months
- Incarcerated
- Inability to understand and/or provide informed consent, following appropriate explanation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Palo Alto Medical Foundation Research Institute
Palo Alto, California, 94301, United States
University of California Davis Health System
Sacramento, California, 95817, United States
Related Publications (1)
Jerant A, Duberstein PR, Kravitz RL, Kleiman EM, Rizvi SL, Cipri C, Liu D, Scher L, Freitas M, Jones-Hill M, Oravetz A, Van Orden KA, Franks P. Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research. J Psychiatr Res. 2022 Oct;154:242-251. doi: 10.1016/j.jpsychires.2022.07.038. Epub 2022 Aug 6.
PMID: 35961180DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Anthony Jerant, MD
University of California, Davis
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 2, 2016
First Posted
December 8, 2016
Study Start
December 1, 2016
Primary Completion
July 1, 2019
Study Completion
September 1, 2019
Last Updated
October 30, 2019
Record last verified: 2019-10
Data Sharing
- IPD Sharing
- Will not share