Edwin D Boudreaux, Celine Larkin, Ana Vallejo Sefair, Yunsheng Ma, You Fu Li, Ameer F Ibrahim, Wesley Zeger, Gregory K Brown, Lori Pelletier, Ivan Miller
IMPORTANCE: Suicide is a leading cause of deaths in the US. Although the emergency department (ED) is an opportune setting, ED-initiated interventions remain underdeveloped and understudied. OBJECTIVE: To determine if an ED process improvement package, with a subfocus on improving the implementation of collaborative safety planning, reduces subsequent suicide-related behaviors. DESIGN, SETTING, AND PARTICIPANTS: The Emergency Department Safety Assessment and Follow-up Evaluation 2 (ED-SAFE 2) trial, a stepped-wedge cluster randomized clinical trial conducted in 8 EDs across the US, used an interrupted time series design with three 12-month sequential phases: baseline, implementation, and maintenance...
July 1, 2023: JAMA Psychiatry