Effect of Offering Care Management or Online Dialectical Behavior Therapy Skills Training vs Usual Care on Self-harm Among Adult Outpatients With Suicidal Ideation: A Randomized Clinical Trial.

ABSTRACT:

Importance

People at risk of self-harm or suicidal behavior can be accurately identified, but effective prevention will require effective scalable interventions.

Objective

To compare 2 low-intensity outreach programs with usual care for prevention of suicidal behavior among outpatients who report recent frequent suicidal thoughts.

Design, setting, and participants

Pragmatic randomized clinical trial including outpatients reporting frequent suicidal thoughts identified using routine Patient Health Questionnaire depression screening at 4 US integrated health systems. A total of 18 882 patients were randomized between March 2015 and September 2018, and ascertainment of outcomes continued through March 2020.

Interventions

Patients were randomized to a care manageme

SUBMITTER: Simon GE 

PROVIDER: S-EPMC8848197 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature