Self-Guided Electronic Safety Plan for Suicide Prevention

(Project SAFER Trial)

KR
JP
Overseen ByJuno Pinder, MA
Age: < 18
Sex: Any
Trial Phase: Academic
Sponsor: University of Denver
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a self-guided digital safety plan can help teens reduce suicidal thoughts and behaviors. The plan offers a quick, personalized strategy for handling crises and is tested against a standard educational program about suicide resources. It targets teens who have recently experienced suicidal thoughts or attempts and have internet access. The goal is to empower teens to manage crises independently, providing a private, accessible alternative to traditional therapy. As an unphased trial, this study offers teens a unique opportunity to explore innovative, self-guided support strategies for crisis management.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on a digital intervention, so it's likely you can continue your current medications, but please confirm with the trial organizers.

What prior data suggests that this self-guided electronic safety plan is safe for adolescents?

Research has shown that self-guided digital safety plans can be safe and helpful for individuals with suicidal thoughts. Studies have found that these digital plans improve coping, which can lead to fewer suicidal thoughts. Users report finding them useful in a crisis due to their easy access and personalization.

One study examined a digital safety plan app and found it effective in reducing emergency room visits for suicidal behavior. This suggests the plan might help individuals manage their thoughts and actions better.

However, while these plans work well for adults, some research indicates they might not always reduce suicidal thoughts and behaviors in teenagers in crisis. Overall, these digital safety plans are considered safe and could be a helpful tool, especially since they can be used privately and at home.12345

Why are researchers excited about this trial?

Researchers are excited about the Self-Guided Electronic Safety Plan for suicide prevention because it offers a new way for individuals to manage their mental health independently. Unlike traditional therapy sessions or hotline support, this intervention is digital and self-directed, giving users the flexibility to access help anytime, anywhere. It empowers individuals by providing them with personalized strategies to handle crises, fostering a sense of autonomy and control, which can be crucial in preventing suicide.

What evidence suggests that the Self-Guided Electronic Safety Plan Intervention could be effective for reducing suicidal thoughts and behaviors in adolescents?

Studies have shown that digital safety plans can greatly reduce suicidal thoughts and actions in adults. New evidence suggests these plans work well for teenagers too. For example, teens with suicidal thoughts reported feeling comfortable using digital safety plans and found them helpful during tough times. Early research indicates that almost half of the young people who used a self-guided digital safety plan found it "very helpful" and used it within a month. This trial will evaluate the effectiveness of a Self-Guided Electronic Safety Plan Intervention, which could be a promising tool for preventing suicidal behavior in teenagers.12367

Who Is on the Research Team?

KR

Kathryn R Fox, PhD

Principal Investigator

University of Dener

Are You a Good Fit for This Trial?

This trial is for English-reading adolescents in the US with internet access who've had suicidal thoughts in the past month and a suicide attempt within the last year, or at least five days of such thoughts over the past year. It excludes those with disabilities preventing computer use or suspected fraudulent participants.

Inclusion Criteria

Internet access
Able to read and write in English
I have thought about suicide recently and attempted it in the last year.

Exclusion Criteria

Disability that interferes with the ability to complete the study on a computer
Not located in the US
Response that indicates bot or fraudulent

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 week
Online eligibility survey

Baseline Assessment and Randomization

Participants complete a baseline survey and are randomized to either the electronic self-guided intervention or psychoeducational control intervention

30 minutes
Online

Intervention

Participants receive either the self-guided electronic safety plan or psychoeducational control intervention

30 minutes
Online

Follow-up

Participants are monitored for suicidal thoughts and behaviors and other key outcomes over a 3-month period

3 months
Online follow-up assessments at 1.5 months and 3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Self-Guided Electronic Safety Plan Intervention
Trial Overview The study compares two digital interventions: a control group receiving psychoeducation about suicide crisis resources and an experimental group using a self-guided electronic Safety Plan Intervention (SPI) to see if it helps prevent suicidal behavior over three months.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Self-Guided Electronic Safety Plan InterventionExperimental Treatment1 Intervention
Group II: Psychoeducation about Suicide Crisis Resources (Control Intervention)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Denver

Lead Sponsor

Trials
25
Recruited
10,600+

Published Research Related to This Trial

MYPLAN is a mobile application developed to help individuals at risk of suicide create personalized safety plans, making it more accessible than traditional paper versions.
Since its launch in 2013, MYPLAN has been positively received, with nearly 8,000 downloads in Denmark and Norway, indicating its potential utility in supporting at-risk individuals, especially among younger populations.
MYPLAN - A Mobile Phone Application for Supporting People at Risk of Suicide.Skovgaard Larsen, JL., Frandsen, H., Erlangsen, A.[2022]
This trial will assess the effectiveness of a mobile app (MyPlan) for safety planning in reducing suicidal ideation compared to a traditional paper safety plan, involving 546 participants from Danish Suicide Prevention Clinics over a 12-month period.
Both groups will receive standard psychosocial care, allowing researchers to determine if the app can enhance the support provided by traditional safety plans in preventing self-harm and suicide.
MYPLAN -mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial.Andreasson, K., Krogh, J., Bech, P., et al.[2022]
The Safety Planning Intervention (SPI) is effective in reducing suicidal ideation and behavior, as well as improving depression and treatment engagement among adults experiencing suicide-related distress, based on a systematic review of 26 studies.
The SPI is adaptable and can be delivered in various formats (in-person or online) and as a standalone or combined intervention, making it a flexible tool in suicide prevention practices.
The Effectiveness of the Safety Planning Intervention for Adults Experiencing Suicide-Related Distress: A Systematic Review.Ferguson, M., Rhodes, K., Loughhead, M., et al.[2022]

Citations

Effectiveness of Suicide Safety Planning InterventionsEvidence across a range of studies indicates that SSP is effective for reducing suicide behavior (SB) and ideation (SI).
Digital safety plan effectiveness and use: Findings from a ...Among users of a self-guided safety planning app, increases in suicide-related coping uniquely predicted decreases in suicidal ideation. · App-related variables ...
Impact of Digital Safety Plan Activation on Subsequent ...This study evaluated the effectiveness of a digital safety plan, delivered through the MeMind app, in reducing ED visits associated with suicidal behavior.
insights from a randomized control trial of crisis response plan ...In a recently published study [21], it was found that both CRP and self-led SPI were effective in reducing suicide ideation. Follow-up data ...
Suicide prevention using self-guided digital interventionsWe found that, overall, digital interventions are effective for reducing suicidal ideation, and we found encouraging evidence for the superior ...
Safety Planning Interventions for Suicide Prevention in ...Results of this meta-analysis, however, suggest that in contrast to findings in adults, SPIs do not decrease SITBs for adolescents in crisis.
Accessibility and Utility of an Electronic Self-Guided Safety ...Electronic, self-guided safety plan interventions (e-SPI) represent a new, more accessible application of a suicide prevention tool. We tested ...
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