Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06616701
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-09-25
Brief Title:
The Impact of Routine Follow-up Contacts After a Pediatric ED Visit for Youth With Suicide Risk
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Impact of Routine Follow-up Contacts After a Pediatric ED Visit for Youth With Suicide Risk a Randomized Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this clinical trial is to learn if a social work led follow up program helps caregivers of youths with suicide risk access mental health resources
Primary aims include
1 To formalize a mental health follow up protocol that assists youths with engagement of mental health services after a hospital visit
2 To evaluate and standardize the optimal timing for the follow up phone calls
3 To assess the proportion of patients with suicide risk who connect with community mental health care within a month after a pediatric emergency department ED visit at Johns Hopkins Hospital
4 To assess the proportion of patients with suicide risk who have repeat ED visits within 3 and 6 months
The primary outcome of interest is the proportion of youths referred to a community provider who successfully connect to community mental health resources 5 to 10 business days after an ED visit The secondary outcome will involve repeat ED visits within 3 and 6 months
Primary aims include
1 To formalize a mental health follow up protocol that assists youths with engagement of mental health services after a hospital visit
2 To evaluate and standardize the optimal timing for the follow up phone calls
3 To assess the proportion of patients with suicide risk who connect with community mental health care within a month after a pediatric emergency department ED visit at Johns Hopkins Hospital
4 To assess the proportion of patients with suicide risk who have repeat ED visits within 3 and 6 months
The primary outcome of interest is the proportion of youths referred to a community provider who successfully connect to community mental health resources 5 to 10 business days after an ED visit The secondary outcome will involve repeat ED visits within 3 and 6 months
Detailed Description:
The month following an ED discharge is a high-risk period for suicide for patients recovering from a suicide attempt andor experiencing suicidal ideation making referrals and follow up critically important Very few hospital systems if any have been able to implement policies and practices that ensure patients at risk for suicide are getting the follow up care they need Patient navigator interventions have demonstrated success in improving health outcomes across a range of conditions including mental health and moreover they have been effective in providing practical support and encouragement to aid patients in accessing community mental health services Navigators are trained and supervised frontline public health personnel who are hired from the same communities as patients and aid patients in accessing health care and social services They have shared experiences and nuanced understanding of the communities they serve to help facilitate developing rapport and trust with families which can help mitigate health care inequities To the investigators knowledge there are no published studies that have evaluated the implementation of patient navigators in the pediatric ED to help caregivers of suicidal youths access community mental health resources after an ED visit
In the pediatric ED at Johns Hopkins an ad hoc clinical initiative led by social work SW was started in September 2022 with efforts focused on following up with caregivers of patients with mental health emergencies who are discharged from the hospital SW staff have been calling caregivers a few days after an ED visit or hospitalization to assist with barriers such as challenges in connecting with community mental health resources and accessing prescribed medications
For this research this follow up program will be standardized and consistent data collection will be implemented A randomized controlled trial will be conducted to evaluate the efficacy of this intervention If the results are promising evaluation of this program would provide preliminary data for a future study for implementation of a patient navigation program to improve mental health service engagement for youths with suicide risk who are discharged from the pediatric ED
In the pediatric ED at Johns Hopkins an ad hoc clinical initiative led by social work SW was started in September 2022 with efforts focused on following up with caregivers of patients with mental health emergencies who are discharged from the hospital SW staff have been calling caregivers a few days after an ED visit or hospitalization to assist with barriers such as challenges in connecting with community mental health resources and accessing prescribed medications
For this research this follow up program will be standardized and consistent data collection will be implemented A randomized controlled trial will be conducted to evaluate the efficacy of this intervention If the results are promising evaluation of this program would provide preliminary data for a future study for implementation of a patient navigation program to improve mental health service engagement for youths with suicide risk who are discharged from the pediatric ED
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None