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Plan and Protect: Safety Planning for Teens in Rural Emergency Departments

This study, called "Plan and Protect," is looking at whether a tablet-based program can help improve safety at home and lower suicide risk for teenagers (ages 12-17) who visit rural emergency departments (EDs) because of suicidal thoughts, self-harm, or a mental health crisis. The program, called Plan & Protect (P&P), helps teens with safety planning and gives caregivers information on home safety. Some participants will receive this P&P program, while others will receive the usual care provided at the ED. The study hopes to enroll 550 participants and will measure if home safety improves and if teens feel less at risk for suicide.

Study design
This interventional study plans to enroll 550 participants. It compares a new safety planning program to usual care at the emergency department.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 30 and 90 days after their emergency department visit to check on home safety and suicide risk.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07325474

Plan and Protect: Safety Planning for Teens in Rural Emergency Departments

Not Yet Recruiting
NAAges 12–17InterventionalHealth services
Dartmouth-Hitchcock Medical Center
~550 participants
Updated 2026-08-04 on ClinicalTrials.gov
What's tested:Plan & Protect safety planning interventionCare as usual

At a glance

Recruiting sites
0 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Improved home safety (parent and youth)
Measured over 30 and 90 days after ED visit
+1 more outcome measured

Conditions

Suicide Ideation
Suicide Attempt

Explore related trials

Mental Health CrisisSuicidal IdeationSuicide Attempt

NCT07325474

Where you'd take part

This study runs at 4 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Alice Peck Day Memorial Hospital

    Lebanon, New Hampshirestudy coordinator listed

  • Cheshire Medical Center

    Keene, New Hampshirestudy coordinator listed

  • Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshirestudy coordinator listed

  • New London Hospital

    New London, New Hampshirestudy coordinator listed

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

Study leadership

  • JoAnna K Leyenaar, MD, PhD, MPH · PRINCIPAL_INVESTIGATOR · Dartmouth College

Who to contact

Jacqueline Pogue, MPH
[email protected]
603-646-5614
Email the study team

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Eligibility criteria

Inclusion

12-17 years of age (and their parent/caregiver(s))
Ability to speak and complete surveys in English
History of emergency department visit for suicidality, self-harm or mental health crisis
Medically stable
Parent or caregiver of an eligible child
18 years old or older
Ability to speak and complete surveys in English

Exclusion

Cognitive or developmental delays that preclude program participation based on clinical team assessment
Diagnosis of psychosis
Primary diagnosis of an eating disorder
Parent/guardian not able to provide consent in English
Clinical team concern for patient or staff safety based upon active behavioral concerns
Parent/guardian not available to provide consent (e.g youth is in child protective custody/ward of the state)
Inability to understand key aspects of the study

What this trial measures

  • Improved home safety (parent and youth)30 and 90 days after ED visit

    Reduced access to firearms and medications at home. This will be collected with five questions about presence of medications and firearms at home, if they are stored unlocked, and if firearms are loaded. We will measure improvement in safety across the time frame.

  • Concise Health Risk Tracking 9-item measure (youth)30 and 90 days after ED visit

    The Concise Health Risk Tracking (CHRT) is a 9-item survey that assesses suicidal thoughts and behaviors in the past week, with response options ranging 0-4. Total scores range 0-36, with higher scores indicating more severe suicidality.