Native-RISE (Risk Identification for Suicide and Enhanced Care)

Part of paid clinical trials in Chinle, Arizona.

Sponsor
Johns Hopkins Bloomberg School of Public Health
Study ID
NCT06782516
Status
Enrolling By Invitation

Conditions

  • Suicide Prevention

Eligibility Criteria

Sex
ALL
Age
18 Years - 75 Years
Healthy Volunteers
Not accepted

Interventions

  • System of Care - combination of algorithm and Brief Contact Intervention — DEVICE
    Case managers see the Native-RISE algorithm classification and Clinical Providers receive a risk notification. A resource card is provided to the participant.
  • Active Comparator - Provider notification of risk status — BEHAVIORAL
    Clinical Providers receive a risk notification and a resource card is provided to the participant.

Study Details

The goal of this research is to test a systems-level suicide prevention strategy, Native-RISE (Risk Identification for Suicide and Enhanced care), that combines predictive analytics and brief contact interventions (BCIs) to reduce suicide in health systems serving Native Americans (NAs). This project aims to prove the effectiveness and scalability of Native-RISE within three Indian Health Service (IHS) health care clinics (Whiteriver, Chinle and Shiprock) already implementing suicide prevention programs and serving the White Mountain Apache Tribe (WMAT) and Navajo Nation (NN).

Key Dates

Start date
Dec 1, 2024
Status verified
Jan 2026
Primary completion
Sep 30, 2028
Completion
Dec 31, 2028

Study Design

Enrollment
1,687 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Case Managers WITH algorithm AND with provider risk notification (SI/SA/Binge/NSSI)
    Case Managers who see the algorithm classification + IHS provider risk notification \& resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).
  • Active Comparator: Case Managers withOUT algorithm AND with provider risk notification (SI/SA/Binge/NSSI)
    Case Managers who do NOT see the algorithm classification + IHS provider risk notification \& resource card distribution. These participants present with suicide ideation (SI), suicide attempt (SA), binge substance use (Binge), or non-suicidal self injury (NSSI).
  • Experimental: Case Managers WITH algorithm AND provider risk notification (high risk history, no SI/SA/Binge/NSSI
    Case Managers who see the algorithm classification + provider risk notification; participants get resource card distribution. High risk participants based on algorithm classification.
  • Active Comparator: Provider risk notification alone (high risk history, without SI/SA/Binge/NSSI)
    Provider risk notification alone; participants get resource card distribution. High risk participants based on algorithm classification.

Primary Outcome Measure

Rate of suicide attempts among individuals flagged at elevated risk [ Time Frame: 12 months ]

Locations (3)

FacilityCityStateZIPSite coordinators
Chinle Navajo Nation Center for Indigenous HealthChinleArizona86503-
Whiteriver Center for Indigenous HealthWhiteriverArizona85941-
Shiprock Center for Indigenous HealthShiprockNew Mexico87420-

Find similar trials in Chinle, AZ

By research site
Chinle Navajo Nation Center for Indigenous Health· Chinle, AZWhiteriver Center for Indigenous Health· Whiteriver, AZShiprock Center for Indigenous Health· Shiprock, NM

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