A phone call after the ER: testing a suicide prevention lifeline
NCT ID NCT05307432
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial tests whether a safety planning intervention plus follow-up phone calls, delivered either by emergency department staff or via a telehealth referral center, can reduce suicide attempts and deaths in adults who come to the ER with suicidal thoughts or behaviors. Over 2,800 participants across multiple sites will be followed to see if the program improves engagement with mental health care and lowers suicide-related events. The goal is to find a practical, scalable way to support people at risk after they leave the hospital.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Safety Planning Intervention plus follow-up phone calls (SPI+) delivered by ED staff or via telehealth referral
- What this could lead to
- If effective, this approach could provide a scalable, telehealth-based suicide prevention strategy that reaches more at-risk patients after they leave the emergency department.
- What could go wrong
- The trial is large but relies on real-world implementation, so results may vary across sites. The intervention may not reduce suicide attempts or deaths if follow-up engagement is low.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,814 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Aim 1/Aim 3: Inclusion Criteria: * ED visit at one of our participating sites for a suicide-related event or determined to be at risk for suicide per the Electronic Health Record (EHR) and ED clinical staff * 18 years of age or older * Not admitted to an inpatient hospital following the index ED visit as documented in the EHR Exclusion Criteria: \- Inpatient admission following the index ED visit per the EHR Aim 2: Inclusion Criteria: * ED clinician or leader at one of our participating sites, or ED patient who was referred to the SPCC * 18 years of age or older * Able to communicate in English * Willing to give informed consent Exclusion Criteria: * Patients who are at imminent risk of suicide or acutely psychotic at the time of the interview, requiring emergency services and/or precluding ability to provide informed consent * Patients without a phone for contact
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104, United States
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Other studies related to the condition(s) this trial covers.
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- Can group therapy help teens with suicidal thoughts?
- Can music soothe the inner pain of a suicidal crisis?