Study About Treatment After a Suicide Attempt
Suicide, Attempted
About this trial
This is an interventional treatment trial for Suicide, Attempted focused on measuring Zero Suicide, Effectiveness, Brief Treatment, Interpersonal Theory, Cost-Effectiveness
Eligibility Criteria
Inclusion Criteria:
- 18 years or older.
- Suicide attempt within the past 60 days defined by intent to die using a standard item.
- Ability and willingness to provide information and permission to contact at least one person in the case of a need to contact them to promote subject safety or inability to reach the subject for follow-up.
Exclusion Criteria:
- Acute psychiatric instability (e.g., psychotic symptoms).
- Inability to communicate in English (ASSIP is only provided by the clinic in English).
- Residing outside of NYS (during the period eligible for ASSIP)
Sites / Locations
- University of Rochester Medical Center
- St. Joseph's Health Hospital
- Upstate University Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Zero Suicide Usual Care
Zero Suicide Usual Care + ASSIP
In Onondaga County, New York State (NYS) aims to implement a countywide "Zero Suicide Safety Net" of providers who share enhanced protocols for clinical care, staff training, and data collection (improved coding of suicidal behavior). Participating behavioral health systems have agreed to common protocols for clinical care, training, and data collection. Participating providers receive robust training in suicide prevention best practices. Because of the wide participation of mental health facilities in the NYS Office of Mental Health (OMH) Zero Suicide project, most subjects who engage in outpatient treatment will receive that treatment in facilities that are adopting NYS Zero Suicide protocols. Those who do not engage in care will nonetheless experience enhanced transition and follow-up contact from the services from which they are discharged.
Patients in this treatment arm will receive ASSIP brief therapy in addition to being able to access any usual care as recommended by their provider. ASSIP is a manualized, three-session intervention, delivered either in-person or via telehealth: In Session 1, the therapist guides the patient in telling the story of their attempt. The session is video recorded. In Session 2, the therapist and patient sit side-by-side to view selections of the video, working together to understand the feelings and events that preceded the attempt. The patient is assigned a homework task. In Session 3, the therapist and patient create a summary of the suicide attempt and what led up to it, along with creating a personal safety plan.