The Impact of Routine Follow-up Contacts After a Pediatric ED Visit for Youth With Suicide Risk

NCT06616701 | Completed

• 1 other identifier: IRB00396477
• Study Type: interventional
• Target: 401
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if a social work led follow up program helps caregivers of youths with suicide risk access mental health resources. Primary aims include:

1. 1.To formalize a mental health follow up protocol that assists youths with engagement of mental health services after a hospital visit.
2. 2.To evaluate and standardize the optimal timing for the follow up phone calls.
3. 3.To assess the proportion of patients with suicide risk who connect with community mental health care within a month after a pediatric emergency department (ED) visit at Johns Hopkins Hospital.
4. 4.To assess the proportion of patients with suicide risk who have repeat ED visits within 3 and 6 months.

Conditions

Suicidal Ideation

Keywords

Suicidal thoughts; Suicidal behaviors; Suicidal risk

Outcome Measures

Primary Outcomes (1)

• Proportion of youths accessing community mental health resources

  The primary outcome of interest is the proportion of youths referred to a community provider who successfully connect to community mental health resources 5 to 10 business days after an ED visit.

  From enrollment up to 6 months

Secondary Outcomes (1)

• Emergency department revisits

  From enrollment up to 6 months

Study Arms (2)

Follow up call within 5 days

EXPERIMENTAL

Follow up call within 5 days

Behavioral: Follow up call

Follow up call within 10 days

NO INTERVENTION

Follow up call within 10 days

Interventions

Follow up call BEHAVIORAL

As part of the standard of care, caregivers of youths who present to the hospital with suicidal risk receive a follow up call approximately 5-10 business days after the hospital discharge to assist them with any challenges they may encounter in accessing mental health care, including medication access. The intervention group will receive a call 5 days after discharge. The non-intervention group will receive a call 10 days after discharge.

Follow up call within 5 days

Eligibility Criteria

• Age: 8 Years - 21 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients ages 8 to 21 years old;
• Who present to the emergency department (ED) and are assessed with suicide risk;
• Who are discharged from the Johns Hopkins Hospital (Pediatric inpatient psychiatric unit, Pediatric Day Hospital, or Pediatric ED) with a mental health referral

You may not qualify if:

• Patients who were directly transferred to the inpatient psychiatry unit or the Day Hospital from an outside hospital, bypassing the hospital's ED
• Direct admissions, bypassing the hospital's ED

Sponsors & Collaborators

• Johns Hopkins University: lead

Study Sites (1)

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

MeSH Terms

Conditions

Suicidal Ideation

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Hanae Fujii-Rios, MD MPH

  Johns Hopkins University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 25, 2024
• First Posted: September 27, 2024
• Study Start: November 20, 2023
• Primary Completion: November 20, 2024
• Study Completion: May 20, 2025
• Last Updated: July 25, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)