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    A randomized, controlled trial of the safety planning intervention: Research design and methods

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    Authors
    Boudreaux, Edwin D
    Stanley, Barbara
    Green, Kelly L.
    Galfalvy, Hanga
    Brown, Gregory K.
    UMass Chan Affiliations
    Department of Emergency Medicine
    Document Type
    Journal Article
    Publication Date
    2021-01-27
    Keywords
    Brief intervention
    Emergency department
    Randomized clinical trial
    Safety planning
    Suicide
    Suicide prevention
    Emergency Medicine
    Health Services Administration
    Health Services Research
    Mental and Social Health
    Patient Safety
    Psychiatry and Psychology
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    Link to Full Text
    https://doi.org/10.1016/j.cct.2021.106291
    Abstract
    BACKGROUND: Brief interventions for suicide risk among patients treated in acute care settings like the emergency department are needed. The Safety Planning Intervention is a promising approach but has yet to undergo a high quality, individual level randomized controlled trial. PURPOSE: This paper describes the methods associated with an individual level randomized controlled trial of the Safety Planning Intervention compared to a control condition comprised of reviewing risk factors and warning signs. METHODS: The sample comprised patients 18 years and older presenting to one of three different emergency departments with suicide related emergencies (target n = 484). Eligible patients were approached, consented, and randomized to the intervention (Safety Planning Intervention) or control (risk factors and warning signs). They were assessed at 1, 3 and 6 months after their index visit. The primary outcome is suicidal behavior. The study also assessed mechanisms of action. Data analyses are pending. CONCLUSIONS: We identified and addressed key challenges to studying suicidal patients in the emergency department, including difficulty enrolling during the emergency department visit, ascertaining outcomes in patients that are historically very difficult to follow, and addressing the ambiguity of suicidal behavior. ClinicalTrials.gov Identifier: NCT03227991.
    Source

    Boudreaux ED, Stanley B, Green KL, Galfalvy H, Brown GK. A randomized, controlled trial of the safety planning intervention: Research design and methods. Contemp Clin Trials. 2021 Jan 27;103:106291. doi: 10.1016/j.cct.2021.106291. Epub ahead of print. PMID: 33515785. Link to article on publisher's site

    DOI
    10.1016/j.cct.2021.106291
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/29703
    PubMed ID
    33515785
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    ae974a485f413a2113503eed53cd6c53
    10.1016/j.cct.2021.106291
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    UMass Chan Faculty and Researcher Publications
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