Pilot Testing Suicide Risk Prediction Algorithms in Primary Care

Part of paid clinical trials in Seattle, Washington.

Sponsor
Kaiser Permanente
Study ID
NCT07068685
Status
Enrolling By Invitation

Conditions

  • Suicide Prevention
  • Suicide Risk | Patient

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Suicide risk prediction algorithm — OTHER
    Use of a suicide risk prediction algorithm, developed by the Mental Health Research Network (MHRN), will be used to prompt additional mental health monitoring. Mental health monitoring will include asking patients about suicidal thoughts (via the ninth question of the Patient Health Questionnaire-9, PHQ-9), followed by suicide risk assessment (via use of a brief self-administered version of the Columbia Suicide Risk Severity Rating Scale, C-SSRS), followed by Safety Planning with a designated member of the primary care team.

Study Details

The goal of this pilot study is to learn whether the use of suicide risk prediction algorithms in primary care can help identify people who may benefit from extra mental health monitoring. Specifically, this study aims to measure how use of the suicide risk prediction algorithm to prompt extra mental health monitoring among adult primary care patients impacts proportions of patients identified at risk of suicide and engaged in safety planning. Secondarily, we plan to measure proportions of patients identified at risk of suicide via mental health monitoring (irrespective of engagement in safety planning).

Key Dates

Start date
Mar 5, 2025
Status verified
Mar 2026
Primary completion
Apr 30, 2026
Completion
Apr 30, 2027

Study Design

Enrollment
500,000 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Suicide risk monitoring
    Quality improvement intervention: 6 months following implementation of the suicide risk prediction algorithm in primary care to prompt extra mental health monitoring.
  • No Intervention: Usual Care

Primary Outcome Measure

Suicide Risk Safety Plan Documentation [ Time Frame: Rates for primary care encounters will be compared before and after implementation, during the 13 month study period 3/05/2025-4/05/2026 (implementation launch 10/6/2025) ]

Locations (1)

FacilityCityStateZIPSite coordinators
Kaiser Permanente Washington Health Research InstituteSeattleWashington98101-

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By research site
Kaiser Permanente Washington Health Research Institute· Seattle, WA

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