Suicide Risk Assessment and Suicide Risk Management Protocol for the Texas Youth Depression and Suicide Research Network

Overview

Journal Contemp Clin Trials Commun

Date 2023 Jun 8

PMID 37288070

Authors

Jennifer L Hughes

Joseph M Trombello

Betsy D Kennard

Holli Slater

Afsaneh Rezaeizadeh

Cynthia Claassen

Sarah M Wakefield

Madhukar H Trivedi

Affiliations

Soon will be listed here.

Abstract

Introduction: Suicide prevention research is a national priority, and national guidance includes the development of suicide risk management protocols (SRMPs) for the assessment and management of suicidal ideation and behavior in research trials. Few published studies describe how researchers develop and implement SRMPs or articulate what constitutes an acceptable and effective SRMP.

Methods: The Texas Youth Depression and Suicide Research Network (TX-YDSRN) was developed with the goal of evaluating screening and measurement-based care in Texas youth with depression or suicidality (i.e., suicidal ideation and/or suicidal behavior). The SRMP was developed for TX-YDSRN through a collaborative, iterative process, consistent with a Learning Healthcare System model.

Results: The final SMRP included training, educational resources for research staff, educational resources for research participants, risk assessment and management strategies, and clinical and research oversight.

Conclusion: The TX-YDSRN SRMP is one methodology for addressing youth participant suicide risk. The development and testing of standard methodologies with a focus on participant safety is an important next step to further the field of suicide prevention research.

Citing Articles

Measurement-Based Care as a Tool to Detect and Prevent Harm in Youth Psychotherapy.

Casline E, Douglas S, van Sonsbeek M, Okamura K, Jensen-Doss A Res Child Adolesc Psychopathol. 2024; .

PMID: 39589650 DOI: 10.1007/s10802-024-01262-1.

References

Rush A, Gullion C, Basco M, Jarrett R, Trivedi M . The Inventory of Depressive Symptomatology (IDS): psychometric properties. Psychol Med. 1996; 26(3):477-86. DOI: 10.1017/s0033291700035558. View

. Summary of the practice parameters for the assessment and treatment of children and adolescents with suicidal behavior. J Am Acad Child Adolesc Psychiatry. 2001; 40(4):495-9. DOI: 10.1097/00004583-200104000-00024. View

Trivedi M, Wisniewski S, Morris D, Fava M, Gollan J, Warden D . Concise Health Risk Tracking scale: a brief self-report and clinician rating of suicidal risk. J Clin Psychiatry. 2011; 72(6):757-64. DOI: 10.4088/JCP.11m06837. View

Fisher C, Pearson J, Kim S, Reynolds C . Ethical issues in including suicidal individuals in clinical research. IRB. 2003; 24(5):9-14. View

Blades C, Stritzke W, Page A, Brown J . The benefits and risks of asking research participants about suicide: A meta-analysis of the impact of exposure to suicide-related content. Clin Psychol Rev. 2018; 64:1-12. DOI: 10.1016/j.cpr.2018.07.001. View

Goodsmith N, Zhang L, Ong M, Ngo V, Miranda J, Hirsch S . Implementation of a Community-Partnered Research Suicide-Risk Management Protocol: Case Study From Community Partners in Care. Psychiatr Serv. 2021; 72(3):281-287. PMC: 7920897. DOI: 10.1176/appi.ps.202000095. View

Boudreaux E, Miller I, Goldstein A, Sullivan A, Allen M, Manton A . The Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE): method and design considerations. Contemp Clin Trials. 2013; 36(1):14-24. PMC: 3979300. DOI: 10.1016/j.cct.2013.05.008. View

May D, Kratochvil C, Puumala S, Silva S, Rezac A, Hallin M . A manual-based intervention to address clinical crises and retain patients in the Treatment of Adolescents With Depression Study (TADS). J Am Acad Child Adolesc Psychiatry. 2007; 46(5):573-581. DOI: 10.1097/chi.0b013e3180323342. View

DeVille D, Whalen D, Breslin F, Morris A, Khalsa S, Paulus M . Prevalence and Family-Related Factors Associated With Suicidal Ideation, Suicide Attempts, and Self-injury in Children Aged 9 to 10 Years. JAMA Netw Open. 2020; 3(2):e1920956. PMC: 7261143. DOI: 10.1001/jamanetworkopen.2019.20956. View

10.

Hughes J, Asarnow J . Enhanced Mental Health Interventions in the Emergency Department: Suicide and Suicide Attempt Prevention in the ED. Clin Pediatr Emerg Med. 2015; 14(1):28-34. PMC: 4402934. DOI: 10.1016/j.cpem.2013.01.002. View

11.

Stevens K, Thambinathan V, Hollenberg E, Inglis F, Johnson A, Levinson A . Core components and strategies for suicide and risk management protocols in mental health research: a scoping review. BMC Psychiatry. 2021; 21(1):13. PMC: 7792084. DOI: 10.1186/s12888-020-03005-0. View

12.

Polihronis C, Cloutier P, Kaur J, Skinner R, Cappelli M . What's the harm in asking? A systematic review and meta-analysis on the risks of asking about suicide-related behaviors and self-harm with quality appraisal. Arch Suicide Res. 2020; 26(2):325-347. DOI: 10.1080/13811118.2020.1793857. View

13.

Sheehan D, Lecrubier Y, Sheehan K, Amorim P, Janavs J, Weiller E . The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1999; 59 Suppl 20:22-33;quiz 34-57. View

14.

Runyan C, Becker A, Brandspigel S, Barber C, Trudeau A, Novins D . Lethal Means Counseling for Parents of Youth Seeking Emergency Care for Suicidality. West J Emerg Med. 2016; 17(1):8-14. PMC: 4729425. DOI: 10.5811/westjem.2015.11.28590. View

15.

Brent D, Greenhill L, Compton S, Emslie G, Wells K, Walkup J . The Treatment of Adolescent Suicide Attempters study (TASA): predictors of suicidal events in an open treatment trial. J Am Acad Child Adolesc Psychiatry. 2009; 48(10):987-996. PMC: 2891930. DOI: 10.1097/CHI.0b013e3181b5dbe4. View

16.

Hughes J, Horowitz L, Ackerman J, Adrian M, Campo J, Bridge J . Suicide in young people: screening, risk assessment, and intervention. BMJ. 2023; 381():e070630. PMC: 11741005. DOI: 10.1136/bmj-2022-070630. View

17.

Curtin S, Heron M . Death Rates Due to Suicide and Homicide Among Persons Aged 10-24: United States, 2000-2017. NCHS Data Brief. 2019; (352):1-8. View

18.

McCauley E, Berk M, Asarnow J, Adrian M, Cohen J, Korslund K . Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial. JAMA Psychiatry. 2018; 75(8):777-785. PMC: 6584278. DOI: 10.1001/jamapsychiatry.2018.1109. View

19.

Stanley B, Brown G, Brenner L, Galfalvy H, Currier G, Knox K . Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department. JAMA Psychiatry. 2018; 75(9):894-900. PMC: 6142908. DOI: 10.1001/jamapsychiatry.2018.1776. View

20.

Mayes T, Killian M, Rush A, Emslie G, Carmody T, Kennard B . Predicting future suicidal events in adolescents using the Concise Health Risk Tracking Self-Report (CHRT-SR). J Psychiatr Res. 2020; 126:19-25. DOI: 10.1016/j.jpsychires.2020.04.008. View