Effectiveness and Implementation of a Clinician Decision Support System to Prevent Suicidal Behaviors
Massachusetts General Hospital
Summary
The primary aim of this project are to evaluate a comprehensive, practice-ready, and deployment-focused strategy for improving the prediction and prevention of suicide attempts among a sample of 4,000 patients presenting to an ED with a psychiatric concern. Our first aim is to evaluate the effects of providing information about risk of patient suicidal behavior to ED clinicians. We hypothesize that patients randomly assigned to have their clinician receive their risk score will have a lower rate of suicide attempts during 6-month follow-up and that this effect will be mediated by changes in clinician decision-making.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Age 18 years or older * Presentation to emergency psychiatry service Exclusion Criteria: * Inability to understand study procedures and provide informed consent, such as those with gross cognitive impairment (including florid psychosis), intellectual disability, dementia, acute intoxication * Presence of violent or extremely agitated behavior
Interventions
- Diagnostic TestClinician Decision Support Tool
Clinician Decision Support Tool that provides information about patient's statistical probability of suicide attempt in next 1 month
Location
- Massachusetts General HospitalBoston, Massachusetts