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Effectiveness of a Clinician Decision Support System to Prevent Suicidal Behaviors

This study is looking at how a Clinician Decision Support Tool can help prevent suicide attempts. This tool gives emergency department (ED) doctors information about a patient's chance of attempting suicide in the next month. Researchers want to see if providing this information to doctors can lower the number of suicide attempts over six months. They believe this tool might change how doctors make decisions, like whether to admit a patient to the hospital. You might be able to join if you are 18 or older, can provide an email address, and are visiting an ED at Mass General Brigham (MGH, MGB-Salem, BWH, BWFH) or Cambridge Health Alliance (CHA) for a psychiatric concern. The study aims to enroll 4,000 participants.

Study design
This is an interventional study involving 4,000 participants. Half of the participants will have their clinician receive a risk score from the decision support tool, while the other half will not.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for six months to track suicide attempts.

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NCT05671133

Effectiveness and Implementation of a Clinician Decision Support System to Prevent Suicidal Behaviors

Recruiting
NAAges 18+InterventionalPrevention
Massachusetts General Hospital
~4,000 participants
Updated 2026-06-22 on ClinicalTrials.gov
What's tested:Clinician Decision Support Tool

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Suicide attempt
Measured over 6-months

Conditions

Suicide
Suicide, Attempted

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SuicideSuicide Attempt

Where it's being run

1 sites across 1 states
Massachusetts1

Who to contact

Matthew Nock, PhD
[email protected]
617-496-4484
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Eligibility criteria

Inclusion

Adult status (≥18 years-old);
Willing to provide an email address;
Presentation at the APS

Exclusion

Inability to understand the study procedures and provide informed consent such as those with gross cognitive impairment (including florid psychosis), intellectual disability, dementia, acute intoxication, or the presence of extremely agitated or violent behavior

What this trial measures

  • Suicide attempt6-months

    The primary endpoint is the occurrence (0,1) of a suicide attempt during the 6 months following randomization. The outcome will be measured as a single binary variable, indicating whether a participant experienced at least one suicide attempt during the follow-up period. This outcome will be ascertained using participant self-report and EHR documentation. Self-reported suicide attempts will be assessed using questions from the Self-Injurious Thoughts and Behaviors Interview (SITBI), a widely used measure of suicidal thoughts and behaviors with strong reliability and validity and one of the measures recommended in the PhenX Toolkit. EHR review will further identify documented suicide attempts during follow-up. Information from both sources will be used to determine a single outcome value for each participant. The singular outcome measure is the occurrence of at least one suicide attempt during follow-up (Yes/No; 0,1) as identified by either source (self-report or EHR).