Written vs Electronic Safety Planning Study

NCT04026308 | Completed Results

• 1 other identifier: 239731
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Safety planning is a brief, ED-feasible intervention which has been demonstrated to save lives and has been universally recommended by every recent expert consensus panel on suicide prevention strategies. In one popular version of the safety plan developed by Stanley et al, the patient is encouraged to write out the following items: identifying personal signs of a crisis; helpful internal coping strategies; social contacts or settings which may distract from a crisis; using family members or friends for help when in crisis; mental health professionals who can be contacted when in crisis; and restricting access to lethal means. This study aims to find out how valuable an electronic safety plan is compared to a traditional paper safety plan. People who are visiting the emergency department for thoughts of self-harm will be asked to participate.

Conditions

Suicidal Ideation; Suicide Attempt; Mental Health

Keywords

Suicide; Suicide Prevention; Safety Planning; Safety Net App

Outcome Measures

Primary Outcomes (3)

• Acceptability of Intervention

  The number of patients approached who agree to allow trained non-clinical staff to assist with safety planning.

  Up to 12 hours

• Length of Stay

  The length of stay in the ED for patients approached who agree to allow trained non-clinical staff to assist with safety planning.

  Up to 12 hours

• Satisfaction With Safety Planning

  Evaluate patient satisfaction with safety planning. This will be assessed by having the patient rate their experience with the safety planning process on a 7-point Likert scale (1 - strongly disagree; 2 - disagree; 3 - moderately disagree; 4 - neutral; 5 - moderately agree; 6 - agree; 7 - strongly agree). A Likert scale measures how much someone disagrees or agrees with a particular statement.

  Up to 12 hours

Study Arms (2)

Written Safety Plan

NO INTERVENTION

Participants will complete a traditional written suicide safety plan.

Electronic Safety Plan

EXPERIMENTAL

Participants will complete a suicide safety plan in the Safety Net app using a tablet.

Other: Safety Net App

Interventions

Safety Net App OTHER

The Safety Net app is an electronic version of a safety plan and it is available for download in Apple's App Store. A preview of the app is available at: https://apps.apple.com/us/app/stanley-brown-safety-plan/id695122998. This app is owned by Two Penguins Studios, LLC. It was developed in partnership with the New York State Office of Mental Health. Unlike the paper version, the Safety Net app allows participants to email a copy of their safety plan to whomever they wish. It also allows patients to dial 911 or the National Suicide Prevention Lifeline from the app.

Also known as: Stanley-Brown Safety Plan App

Electronic Safety Plan

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients presenting for suicidal ideation (SI) or after a suicide attempt to the UAMS ED
• Willingness to engage in safety planning with trained non-clinical staff
• Have not already filled out a safety plan at the current visit

You may not qualify if:

• \<18 or \>89 years of age
• Incarcerated or in police custody
• Non-English-speaking or Non-English-writing (as translators will not be available for this study)
• Critically-ill (or appear to be critically-ill)
• Intoxicated with alcohol or other substance(s)
• ED staff objection to patient enrollment in study
• Unwilling or unable to complete the safety plan electronically
• Unwilling or unable to use a tablet device to complete the safety plan
• Unwilling or unable to show/email the safety plan to clinical and research staff

Sponsors & Collaborators

• University of Arkansas: lead

Study Sites (1)

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

MeSH Terms

Conditions

Suicidal Ideation; Suicide, Attempted; Psychological Well-Being; Suicide; Suicide Prevention

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Personal Satisfaction

Results Point of Contact

• Title: Michael Wilson
• Organization: UAMS

MPWilson@uams.edu

501-686-8729

Study Officials

• Michael P Wilson, M.D., Ph.D.

  University of Arkansas

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 18, 2019
• First Posted: July 19, 2019
• Study Start: September 15, 2020
• Primary Completion: December 28, 2020
• Study Completion: December 28, 2020
• Last Updated: March 21, 2023
• Results First Posted: August 16, 2021

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)