NCT05579600

Brief Summary

The goal of this clinical trial is to test the effects of a suicide prevention intervention for individuals released from jail. The main question it aims to answer is: Does the use of Caring Contacts improve subscriber engagement with healthcare services while reducing suicide-related outcomes? Participants will include subscribers of a managed care organization (MCO). Intervention includes sending subscribers Caring Contacts letters for 6-months following jail release to target healthcare re-engagement and suicide prevention.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45,155

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2022

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2022

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 11, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

October 14, 2022

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 3, 2024

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
3 months until next milestone

Results Posted

Study results publicly available

November 12, 2025

Completed
Last Updated

November 12, 2025

Status Verified

October 1, 2025

Enrollment Period

2 years

First QC Date

October 11, 2022

Results QC Date

September 16, 2025

Last Update Submit

October 22, 2025

Conditions

Suicide and Self-harm

Keywords

suicidal behaviorjail releasebehavioral health providerssuicide training

Outcome Measures

Primary Outcomes (1)

  • Suicide Attempt

    A suicide attempt is defined as "engaging in a potentially self-injurious behavior, associated with at least some intent to die as a result of the act." We will assess total number of subsequent attempts using the already-developed Mental Health Research Network (MHRN) algorithm for extracting suicide attempt information from claims data

    6-months

Secondary Outcomes (4)

  • All-cause Injury and Poisoning

    6-months

  • Outpatient Behavioral Health Service Linkage

    18 months

  • CareSource Member Services (CMS) Line Use

    6-months

  • Inpatient and Emergency Department Mental Health Care Visits

    6-months

Other Outcomes (1)

  • Number of Arrests

    18 months

Study Arms (2)

Caring Contact letters

EXPERIMENTAL

Caring Contact letters will be mailed to a randomly selected group of managed care subscribers over a 6-month period following jail release.

Behavioral: Caring Contacts letters

Control

NO INTERVENTION

Care as usual

Interventions

Caring Contacts lettersBEHAVIORAL

Caring Contacts involves sending individuals at risk for suicide brief, non- demanding messages of care.

Caring Contact letters

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • + years old
  • Released from an Ohio jail
  • enrolled in Medicaid through CareSource

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Butler Hospital

Providence, Rhode Island, 02906, United States

Location

Related Publications (2)

  • Arias SA, Sperber K, Jones R, Taxman FS, Miller TR, Zylberfuden S, Weinstock LM, Brown GK, Ahmedani B, Johnson JE. Managed care updates of subscriber jail release to prompt community suicide prevention: clinical trial protocol. BMC Health Serv Res. 2023 Nov 16;23(1):1265. doi: 10.1186/s12913-023-10249-5.

    PMID: 37974126DERIVED

  • Arias SA, Sperber K, Jones R, Taxman FS, Miller TR, Zylberfuden S, Weinstock LM, Brown GK, Ahmedani B, Johnson JE. Managed Care Updates of Subscriber Jail Release to Prompt Community Suicide Prevention: Clinical Trial Protocol. Res Sq [Preprint]. 2023 Sep 25:rs.3.rs-3350204. doi: 10.21203/rs.3.rs-3350204/v1.

    PMID: 37841869DERIVED

MeSH Terms

Conditions

SuicideSelf-Injurious Behavior

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Results Point of Contact

Title
Sarah Arias
Organization
Butler Hospital
sarias@butler.org
909-753-9444

Study Officials

  • Sarah Arias

    Butler Hospital

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 11, 2022

First Posted

October 14, 2022

Study Start

September 1, 2022

Primary Completion

September 3, 2024

Study Completion

August 1, 2025

Last Updated

November 12, 2025

Results First Posted

November 12, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations

US(1)