UH3 Pragmatic Suicide Prevention Trial (SPOT)
Depression, Suicidal Ideation
About this trial
This is an interventional prevention trial for Depression
Eligibility Criteria
Inclusion Criteria:
We propose to include all patients at the participating sites who:
- Complete PHQ questionnaire and respond to item 9 (regarding thoughts of death or self-harm) "more than half the days" or "nearly every day"
- Are currently enrolled in one of the four participating health systems
- Are age 18 or older
- Recent use of Epic Secure Messaging
Exclusion Criteria:
- Recorded diagnosis of dementia or developmental delay
- Previously invited to participate in the UH2 pilot trial
- Non-English speaker
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Care Management
Skills Training
Usual Care
The Care Management intervention will last up to a year and includes routine outreach to assess ongoing risk of suicide attempt, and care management to monitor and facilitate ongoing engagement in outpatient follow-up. The Care Manager will coordinate care with treating mental health and primary care providers (ongoing usual care) using Epic Staff Messaging (or telephone contacts if necessary).
The Skills Training intervention will last up to a year and uses an online skills training program to support patients in developing and using self-management skills for emotion regulation and crisis management. A Coach will monitor each participant's use of the program and send periodic messages (using Epic secure messaging) to encourage and support use of the program and practice of program skills.
Those assigned to the Usual Care group will not be approached or contacted.